Brief Report: Hypoglycemia Due to a Monoclonal Insulin-Binding Antibody in Multiple Myeloma

Abstract

RECURRENT, severe hypoglycemia in the absence of exogenous insulin administration is uncommon. Reported causes include islet-cell adenomas or carcinomas, surreptitious use of insulin or sulfonylurea medications, stimulatory insulin-receptor antibodies, and various non—islet-cell tumors.^{1 2 3 4}