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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 83-85

Clopidogrel induced autoimmune hypoglycemia


1 Division of Endocrinology, Tawam Hospital, Alain, UAE
2 Department of Laboratory Medicine, Tawam Hospital, Alain, UAE

Correspondence Address:
Dr. Bachar O Afandi
Division of Endocrinology, Tawam Hospital, Alain
UAE
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdep.jdep_8_21

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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.


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