My take is that prior to confronting her or persuing a diagnosis of factitious disorder, you would want to "prove" your suspicions. The best way to do this is to measure C-peptide concentration because if she really was having odd endogenous insulin spikes, C-peptide would be elevated as well (C-peptide is released endogenously when insulin is released, thus elevated endogenous insulin secretion = elevated C-peptide). If it is factitious disorder, her C-peptide would be normal, and you could go from there.
Factitious disorder FA2020 p566
Also interesting to note that C-peptide measurement can be used in determination of the cause of hypoglycemia from medication in a diabetic - glyburide (sulfonylureas) cause increased endogenous insulin and thus C-peptide is increased in hypoglycemia caused by sulfonylurease; hypoglycemia from exogenous insulin overdose has normal C-peptide
submitted by โcassdawg(1781)
My take is that prior to confronting her or persuing a diagnosis of factitious disorder, you would want to "prove" your suspicions. The best way to do this is to measure C-peptide concentration because if she really was having odd endogenous insulin spikes, C-peptide would be elevated as well (C-peptide is released endogenously when insulin is released, thus elevated endogenous insulin secretion = elevated C-peptide). If it is factitious disorder, her C-peptide would be normal, and you could go from there.
Factitious disorder FA2020 p566
Also interesting to note that C-peptide measurement can be used in determination of the cause of hypoglycemia from medication in a diabetic - glyburide (sulfonylureas) cause increased endogenous insulin and thus C-peptide is increased in hypoglycemia caused by sulfonylurease; hypoglycemia from exogenous insulin overdose has normal C-peptide