Abstract
A 38-yr-old woman was referred to our institution for evaluation of hypoglycemia. Over the past year, she had experienced frequent episodes of hunger, leg tremors, and dizziness occurring up to eight times per day. These symptoms resolved within 15–45 min following the ingestion of food. Symptoms occurred at any time of the day and appeared to be unrelated to food ingestion. Snacks eaten every 2 h did not improve or help prevent symptoms. She had not experienced confusion or loss of consciousness. Self-monitored blood glucose levels up to 15 times per day during symptoms were associated with “low” glucose levels, the lowest value being 52 mg/dL. Her highest blood glucose value was approximately 200 mg/dL, taken shortly after a meal, but she could not recall whether she had symptoms at that time. There was no record of venipuncture plasma glucose values while symptomatic.
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Natt, N., Service, F.J. (2002). Hypoglycemia. In: Molitch, M.E. (eds) Challenging Cases in Endocrinology. Contemporary Endocrinology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-277-7_18
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DOI: https://doi.org/10.1007/978-1-59259-277-7_18
Publisher Name: Humana Press, Totowa, NJ
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