Table 3 The relationship between classic and non-classic insulin resistance
From: Insulin autoimmune syndrome induced by exogenous insulin injection: a four-case series
Subject | Classic IAS | Non-classic IAS |
|---|---|---|
Clinical manifestation | Postprandial hypoglycemia | Fasting hypoglycemia |
Diagnosis | high titers of autoantibodies against endogenous insulin, without exposure to exogenous insulin | high titers of autoantibodies against exogenous insulin exposure |
Medical Treatment | Glucocorticoids (30-60 mg per day) and immunosuppressant | a small dose of prednisone (15 mg per day) in combination with a suitable dose of insulin |
serum insulin levels | serum insulin concentration > 1000 pmol | serum insulin concentration > 1000 pmol |