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CC BY-NC-ND 4.0 · Journal of Diabetes and Endocrine Practice 2021; 04(02): 83-85
DOI: 10.4103/jdep.jdep_8_21
Case Report

Clopidogrel induced autoimmune hypoglycemia

Abdulla Alnuaimi
1   Division of Endocrinology, Tawam Hospital, Alain
,
Bachar Afandi
1   Division of Endocrinology, Tawam Hospital, Alain
,
Yusra Othman
2   Department of Laboratory Medicine, Tawam Hospital, Alain
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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 mellitus

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 10. März 2021

Angenommen: 02. April 2021

Artikel online veröffentlicht:
06. Juli 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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