连续血糖监测系统在胰岛素自身免疫综合征低血糖治疗中的应用

Q4 Pharmacology, Toxicology and Pharmaceutics
Andrada Raluca Pop, C. Ruscanu, G. Roman, I. Pașcanu
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引用次数: 0

摘要

背景:胰岛素自身免疫综合征(IAS),也称为平田氏病,是一种罕见的自发性高胰岛素性低血糖症,其特征是存在针对人胰岛素(IAA)的自身抗体。病例报告:采用连续监测系统(CGM)对一名48岁的IAS女性患者进行了两个不同时期的研究,每个时期7天,采用不同的治疗方案,即饮食改变和皮质类固醇治疗。讨论:在自身免疫性低血糖中使用CGM是被鼓励的,必须考虑到这一点,以防止低血糖发作。在低血糖发作和影像学阴性患者的鉴别诊断中纳入IAS和量化IAA可以避免患者进行不必要的手术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of the continuous glucose monitoring system in the management of hypoglicemia in insulin autoimmune syndrome
Abstract Background: Insulin autoimune syndrome (IAS), also known as Hirata’s disease, is a rare cause of spontaneous hyperinsulinemic hypoglicemia characterised by the presence of autoantibodies directed against human insulin (IAA). Case Report: A 48-year-old Caucasian female patient with IAS was studied in two different periods, for 7 days each, using a continuous monitoring system (CGM) under various treatment regimens, i.e diet modification and corticosteroids therapy. Discutions: The use of CGM in autoimmune hypoglycemia is encouraged and must be taken into consideration in order to prevent episodes of hypoglicemia. Including of IAS and quantification of IAA in differential diagnosis in patients with hypoglicemia episodes and negative imaging results can prevent patients from going through unnecessary procedures.
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来源期刊
Acta Marisiensis - Seria Medica
Acta Marisiensis - Seria Medica Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (all)
CiteScore
0.40
自引率
0.00%
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0
审稿时长
24 weeks
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