{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T20:43:22Z","timestamp":1694637802238},"reference-count":0,"publisher":"Hogrefe Publishing Group","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Praxis"],"published-print":{"date-parts":[[2010,2,1]]},"abstract":"<jats:p> Wir berichten \u00fcber eine 59-j\u00e4hrige Patientin mit einem idiopathischen autoimmunen Insulin-Syndrom, eine seltene Ursache endogener hyperinsulin\u00e4mer Hypoglyk\u00e4mie. Es ist charakterisiert durch extrem hohe Insulinspiegel bedingt durch positive Insulin-Antik\u00f6rper. Funktionell zeigt sich fr\u00fchpostprandial eine gest\u00f6rte Glukosetoleranz bei verminderter Insulinwirkung aufgrund der Pufferung durch die Antik\u00f6rper, sp\u00e4tpostprandial eine Hypoglyk\u00e4mie durch Freisetzung von Insulin aus der Antik\u00f6rperbindung. Eine korrekte Diagnose ist wichtig, um unn\u00f6tige Abkl\u00e4rungen und chirurgische Eingriffe bei Patienten zu vermeiden, welche mit guter Prognose durch Fraktionierung der Kohlenhydrat-Zufuhr konservativ behandelt werden k\u00f6nnen. <\/jats:p>","DOI":"10.1024\/1661-8157\/a000037","type":"journal-article","created":{"date-parts":[[2010,2,18]],"date-time":"2010-02-18T03:31:44Z","timestamp":1266463904000},"page":"251-254","source":"Crossref","is-referenced-by-count":0,"title":["Von der Frau, der das Essen nicht bekam"],"prefix":"10.1024","volume":"99","author":[{"family":"Sahli","sequence":"first","affiliation":[{"name":"Poliklinik f\u00fcr Endokrinologie, Diabetes und klinische Ern\u00e4hrung, Universit\u00e4tsspital Bern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Pf\u00e4ffli","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Allgemeine Innere Medizin, Universit\u00e4tsspital Bern"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Christ","sequence":"additional","affiliation":[{"name":"Poliklinik f\u00fcr Endokrinologie, Diabetes und klinische Ern\u00e4hrung, Universit\u00e4tsspital Bern"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"101","container-title":["Praxis"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1024\/1661-8157\/a000037","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,8]],"date-time":"2022-05-08T10:20:09Z","timestamp":1652005209000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1024\/1661-8157\/a000037"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,2,1]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2010,2,1]]}},"alternative-id":["10.1024\/1661-8157\/a000037"],"URL":"https:\/\/doi.org\/10.1024\/1661-8157\/a000037","relation":{},"ISSN":["1661-8157","1661-8165"],"issn-type":[{"value":"1661-8157","type":"print"},{"value":"1661-8165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,2,1]]}}}