Hypoglycemia

Question 1

Hypoglycemia. Rare causes

Answer 1

Insulin autoimmune antibodies:
Sulfonylurea abuse
Surreptitious use of insulin/suicide

Question 2

Hypoglycemia main causes

Answer 2

errors in treatment of diabetes, such as excess medication or failure to adjust doses,

Question 3

Insulinoma: labs and tx

Answer 3

Low glucose + High insulin/C-peptide levels. Remove the

lesion surgically

Question 4

Insulin autoimmune antibodies: dx

Answer 4

Autoantibodies present

Question 5

Sulfonylurea abuse: dx

Answer 5

Urine metabolites of sulfonylureas found. Elevated C-peptide and proinsulin

Question 6

Surreptitious use of insulin/suicide: dx

Answer 6

Low C-peptide, low pro-insulin