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Context: Insulin autoimmune syndrome (IAS), or Hirata's disease, is a rare hypoglycemic disorder characterized by spontaneous hypoglycemia without evidence of exogenous insulin administration, a high serum concentration of total immunoreactive insulin, and the presence of insulin autoantibodies in high titer. The majority of cases occur in the Asian population, and treatment is generally successful with watchful waiting or steroids. Case Description: We report the case of a 71-year-olddoi:10.1210/jc.2016-1097 pmid:26982011 fatcat:rdxqncxsk5cpbpu3iemilbaqfy