Transient extreme insulin resistance in a critically ill patient: A case report

Table 1 Results of laboratory studies

Variables	Values	References
Antinuclear antibody	Negative	Negative
Peri-nuclear anti-neutrophil cytoplasmic antibody/cytoplasmic anti-neutrophil cytoplasmic antibodies (IU/mL)	0.3/0.5	< 5/< 3
C3/C4 (mg/dL)	60/12.5	83-193/15-57
Erythrocyte sedimentation rate (mm/hour)	60	0-20
Anti-double strand DNA antibody (IU/mL)	1.4	< 15
Others
Insulin (μIU/mL)1	> 600	< 17
C-peptide(ng/mL)1	18.22	0.78-5.19
Cortisol (8AM) (ug/dL)	19.9	3.7-19.4
Insulin-like growth factor 1 (ng/mL)	70.75	40-225
Human growth hormone (ng/mL)	0.55	< 6.6
Thyroid-stimulating hormone (mIU/L)	0.23	0.17-4.05

¹Obtained on day 14 with corresponding glucose level at 632 mg/dL and insulin infusion rate at 235 U/hour.