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DOI: 10.4103/jdep.jdep_8_21
Clopidogrel induced autoimmune hypoglycemia
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We report insulin autoimmune syndrome in a diet-controlled type 2 diabetes mellitus patient. She developed recurrent attacks of severe hypoglycemia 1 week after the initiation of clopidogrel. The evaluation revealed high insulin and C-peptide levels consistent with hyperinsulinemic hypoglycemia. The insulin-to-C-peptide ratio was reversed and >50. Anti-insulin antibody titers were highly positive.
Keywords
Clopidogrel - hyperinsulinemic hypoglycemia - insulin autoimmune syndrome - severe hypoglycemia - type 2 diabetes mellitusFinancial support and sponsorship
Nil.
Publication History
Received: 10 March 2021
Accepted: 02 April 2021
Article published online:
06 July 2022
© 2021. Gulf Association of Endocrinology and Diabetes (GAED). All rights reserved. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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