Table 1. Insulin and C peptide levels during arterial stimulation and venous sampling (ASVS) in an adult patient with insulin autoimmune syndrome (insulin results were only available after 1/50 dilution of the serum).
Basal | 30 seconds | 60 seconds | 120 seconds | |||||
---|---|---|---|---|---|---|---|---|
Arteries | Insulin | C peptide | Insulin | C peptide | Insulin | C peptide | Insulin | C peptide |
Hepatic | 5795 | 4.3 | 7605 | 4.3 | 6395 | 4.5 | 7185 | 4.0 |
Distal splenic | 3955 | 3.2 | 4005 | 3.6 | 4590 | 3.9 | 4895 | 3.7 |
Proximal splenic | 5330 | 3.8 | 5170 | 3.6 | 5520 | 3.5 | 5050 | 3.9 |
Gastroduodenal | 7035 | 4.3 | 5785 | 4.2 | 7865 | 4.2 | 6365 | 4.2 |
Superior mesenteric | 7740 | 4.4 | 5555 | 4.3 | 6245 | 4.5 | 6090 | 4.4 |
Reference values: insulin: 5 – 25 μIU/ml; C peptide: 0.8 – 4.0 ng/ml.