C-peptide may be of use, but see the following articles re the use of
insulin abs and issue re type of insulin.
regards
1. Roberts et al bmj 289, 11 may 1985 p1391
2.Grunberger etal Ann Int Med 1988;108:252
3.Nelson Mayo Cli Pr 1985;60:844
Ahmed Waise FRCP FRCPath
Consultant Chemical Pathologist
Friarage Hospital, Northallerton,
North Yorkshire DL6 1JG, UK.
Tel 01609 763030
Fax 01609 764632
E Mail [log in to unmask]
> ----------
> From:
> [log in to unmask][SMTP:[log in to unmask]]
> Reply To: [log in to unmask]
> Sent: 18 May 2000 15:17
> To: [log in to unmask]
> Subject: Deliberate insulin injection?
>
>
> I was asked by an ER physician (is that A&E in the UK?)
> if it is possible to distinguish endogenous insulin from
> injected insulin in a non-diabetic patient.
>
> A baby was brought to the ER in severe hypoglycemia, and
> within hours made a full recovery. No cause of the
> hypoglycemia could be determined; blood drawn after eight
> hours showed both glucose and insulin in the normal
> range. (This is the only blood remaining for further
> analysis.) The child had been in the care of a baby
> sitter at the time of the onset of hypoglycemia; the baby
> sitter is known to be a diabetic. Deliberate injection
> of insulin is considered a possibility.
>
> Given the short half life of insulin and the 8 hour
> interval, can any analysis be done to suggest or to rule
> out insulin injection? Thanks for any suggestions.
>
> Robert Murray, Ph.D.
> Lutheran General Hospital
> Park Ridge, IL 60068
> USA
> [log in to unmask]
>
>
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