Open AccessPostprandial hyperinsulinaemic hypoglycaemia and type 1 diabetes mellitus
Author(s) -
Myra Poon,
Khalid Hussain
Publication year - 2009
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr.10.2008.1174
Subject(s) - medicine , prodrome , postprandial , type 2 diabetes mellitus , diabetes mellitus , type 1 diabetes , endocrinology , hyperinsulinemia , hypoglycemia , insulin , hyperinsulinism , insulin resistance , psychosis , psychiatry
A patient with severe postprandial hyperinsulinaemic hypoglycaemia (PPHH) for 4 years developed type 1 diabetes mellitus. She had no insulin or insulin receptor antibodies but was positive for islet cell and glutamic acid decarboxylase (GAD) antibodies. PPHH prior to the onset of type 1 diabetes mellitus has not been previously described and may be a prodrome of type 1 diabetes mellitus.