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Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology
INTRODUCTION: Factitious hypoglycaemia is defined as the surreptitious use of insulin or oral hypoglycaemic agents to deliberately induce self‐harm. It represents a challenging diagnosis and misdiagnosis is associated with significant morbidity and mortality. The aim of this study was to assess the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9659651/ https://www.ncbi.nlm.nih.gov/pubmed/36117266 http://dx.doi.org/10.1002/edm2.375 |
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author | Oueslati, Ibtissem Terzi, Amani Yazidi, Meriem Kamoun, Elyes Chihaoui, Melika |
author_facet | Oueslati, Ibtissem Terzi, Amani Yazidi, Meriem Kamoun, Elyes Chihaoui, Melika |
author_sort | Oueslati, Ibtissem |
collection | PubMed |
description | INTRODUCTION: Factitious hypoglycaemia is defined as the surreptitious use of insulin or oral hypoglycaemic agents to deliberately induce self‐harm. It represents a challenging diagnosis and misdiagnosis is associated with significant morbidity and mortality. The aim of this study was to assess the prevalence and the associated factors of factitious hypoglycaemia in non‐diabetic patients. METHODS: This was a single‐centre, retrospective study including 70 non‐diabetic patients who were admitted for the investigation of hypoglycaemia. All patients fulfilled the Whipple triad. Epidemiological parameters, medical history, clinical and paraclinical data and the aetiology of hypoglycaemia were collected from medical records. RESULTS: The diagnosis of factitious hypoglycaemia was held in 11 patients (9 women and 2 men) corresponding to a prevalence of 16%. It was secondary to intentional insulin use in six patients and the ingestion of glibenclamide in five patients. The median age of the patients was 28 years (interquartile range: 21–43). Two patients with factitious hypoglycaemia had a personal history of psychiatric disorders. The other causes of hypoglycaemia were adrenal insufficiency (34%), prediabetes (24%), insulinoma (6%), iatrogenic hypoglycaemia (10%), criminal hypoglycaemia (1%) and alcohol intoxication (2%). Age ≤ 35 years (Odds Ratio = 5.6, p = .017), family history of diabetes mellitus (Odds Ratio = 1.29, p = .015), attention disorders during hypoglycaemia (Odds Ratio = 12.5, p = .017) and fasting glucose level <0.7 g/L (Odds Ratio = 5.75, p = .017) were positively associated with factitious hypoglycaemia. CONCLUSION: Factors significantly associated with factitious hypoglycaemia were young age, family history of diabetes and a low fasting glucose level. |
format | Online Article Text |
id | pubmed-9659651 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-96596512022-11-14 Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology Oueslati, Ibtissem Terzi, Amani Yazidi, Meriem Kamoun, Elyes Chihaoui, Melika Endocrinol Diabetes Metab Research Articles INTRODUCTION: Factitious hypoglycaemia is defined as the surreptitious use of insulin or oral hypoglycaemic agents to deliberately induce self‐harm. It represents a challenging diagnosis and misdiagnosis is associated with significant morbidity and mortality. The aim of this study was to assess the prevalence and the associated factors of factitious hypoglycaemia in non‐diabetic patients. METHODS: This was a single‐centre, retrospective study including 70 non‐diabetic patients who were admitted for the investigation of hypoglycaemia. All patients fulfilled the Whipple triad. Epidemiological parameters, medical history, clinical and paraclinical data and the aetiology of hypoglycaemia were collected from medical records. RESULTS: The diagnosis of factitious hypoglycaemia was held in 11 patients (9 women and 2 men) corresponding to a prevalence of 16%. It was secondary to intentional insulin use in six patients and the ingestion of glibenclamide in five patients. The median age of the patients was 28 years (interquartile range: 21–43). Two patients with factitious hypoglycaemia had a personal history of psychiatric disorders. The other causes of hypoglycaemia were adrenal insufficiency (34%), prediabetes (24%), insulinoma (6%), iatrogenic hypoglycaemia (10%), criminal hypoglycaemia (1%) and alcohol intoxication (2%). Age ≤ 35 years (Odds Ratio = 5.6, p = .017), family history of diabetes mellitus (Odds Ratio = 1.29, p = .015), attention disorders during hypoglycaemia (Odds Ratio = 12.5, p = .017) and fasting glucose level <0.7 g/L (Odds Ratio = 5.75, p = .017) were positively associated with factitious hypoglycaemia. CONCLUSION: Factors significantly associated with factitious hypoglycaemia were young age, family history of diabetes and a low fasting glucose level. John Wiley and Sons Inc. 2022-09-18 /pmc/articles/PMC9659651/ /pubmed/36117266 http://dx.doi.org/10.1002/edm2.375 Text en © 2022 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Oueslati, Ibtissem Terzi, Amani Yazidi, Meriem Kamoun, Elyes Chihaoui, Melika Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology |
title | Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology |
title_full | Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology |
title_fullStr | Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology |
title_full_unstemmed | Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology |
title_short | Prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology |
title_sort | prevalence and characteristics of factitious hypoglycaemia in non‐diabetic patients in a department of endocrinology |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9659651/ https://www.ncbi.nlm.nih.gov/pubmed/36117266 http://dx.doi.org/10.1002/edm2.375 |
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