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Insulin Autoimmune Syndrome Course and Treatment In Uchigata's review of 197 cases from Japan, 82% ofpatients experienced spontaneous remissions within 3 to 6months of diagnosis Most cases of IA and hypoglycemia occur in the setting ofautoimmune disease with or without precipitating drugs For these patients, the hypoglycemia is usually transientand resolves spontaneously without permanent sequelae Possible offending medications should be stopped

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