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胰岛素自身免疫综合征为临床少见病,因Graves病后服用含巯基药物诱发此病较为少见。内分泌科门诊接诊Graves病患者时,尤其是应用含巯基抗甲状腺药物后出现餐后低血糖症状时,应注意对血糖、胰岛素及胰岛素自身抗体的筛查,及时调整药物种类及治疗方法,减少患者不适,减少非必要胰腺外科手术。胰岛素自身免疫综合征应注意与糖耐量异常、胰岛素瘤、外源性胰岛素诱发的低血糖相鉴
Insulin autoimmune syndrome is a clinically rare disease, which is rare due to the medications used to treat sulfhydryl-containing drugs in patients with Graves disease. Endocrine clinic patients with Graves disease, especially after the application of sulfhydryl-containing anti-thyroid drugs after symptoms of postprandial hypoglycemia, should pay attention to the screening of blood glucose, insulin and insulin autoantibodies, timely adjustment of drug types and treatment methods to reduce Patient discomfort, reduce unnecessary pancreatic surgery. Insulin autoimmune syndrome should pay attention to and impaired glucose tolerance, insulinoma, exogenous insulin-induced hypoglycemia phase