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Age and Ageing 2006 35(3):317-318; doi:10.1093/ageing/afj089
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© The Author 2006. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

A mysterious case of normalising blood sugar: insulinoma in a long-standing diabetic patient

Muhammad Fuad Hameed, Graeme E. Hoyle and Zoe Muir

Department of Medicine for the Elderly, Woodend Hospital, Eday Road, Aberdeen, AB15 6XS, UK

Address correspondence to: M. F. Hameed. Email: fhameed{at}nhs.net

Abstract

We report a case of recurrent hypoglycaemia in a long-standing type 2 diabetic patient, despite dramatic reduction in her anti-diabetic therapy. Subsequent investigations revealed an insulinoma as the cause. This patient was treated medically with diazoxide therapy, as multiple co-morbidities were felt to preclude surgical intervention. Although insulinoma is rare in the elderly and exceedingly rare in the context of type 2 diabetes, it should be given due consideration when no other exacerbating factor is found.

Keywords: hypoglycaemia, insulinoma, diabetic, impaired cognition, elderly

Received November 16, 2005; accepted in revised form February 13, 2006.


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