Microsoft PowerPoint - S14-1_\300\374\274\272\277\317 [\310\243 ...
Microsoft PowerPoint - S14-1_\300\374\274\272\277\317 [\310\243 ...
Microsoft PowerPoint - S14-1_\300\374\274\272\277\317 [\310\243 ...
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Type B insulin resistance Laboratory Findings Hypoglycemia may be severe(15~30 mg/dL) Insulin levels - inappropriately high C-peptide levels - appropriately low during hypoglycemia Low TG, high adiponectin, polyclonal IgG Elevated variable autoantibodies including antinuclear,antithyroid, antimitochondrial, and antiplatelet antibodies -suggestive of subclinical autoimmune disease The absence of any of these laboratory findings in a patientwith IR-A and hypoglycemia should prompt a search forHodgkin's disease