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OCR: it is recognised of symptomatic AIS occurs mainly in Japan, ially in people as one of the most common spontaneous hypoglycaemia treated with the presence in with thyroid disease that has methimazole. It is characteri enous human plasma of autoantibodies to unoreactive insulin and high total plasm ay be normal, insulin. Plasma C-peptide le poglycaemic high, or very high, even dur und variety more IS is thought to episodes that tend to be of th often than of the fasting vari aring the und by be due to insulin that is secre ing released absorptive phase of a meal be anti-insulin antibodies and t ve phase when from them during the postal s been absorbed all the carbohydrate in the m (Fig. 20.29).