Abstract:A 61-year-old male with a chronic history of renal insufficiency treated with peritoneal dialysis (PD) was discovered to be asymptomatic for an occult insulinoma after peripheral revascularization. The patient's near continuous provision of glucose in the PD fluid acted to conceal symptoms of an insulinoma which was revealed when PD…
Objective: To describe a case of hyperinsulinemic hypoglycemia precipitated by weight loss. Methods: We present a detailed case report and results of a related literature search on hyperinsulinemic hypoglycemia precipitated by weight loss. Results: The presence of an insulinoma was unveiled by voluntary weight loss and reduction of insulin resistance….
A 64-year-old nondiabetic woman presented with spells of lightheadedness and diaphoresis associated with lethargy and hunger of 2 weeks’ duration. Physical examination was unremarkable; however, her fasting plasma glucose was 66 mg/dl, with concurrent plasma insulin of 171 μIU/ml (normal, 5–27 μIU/ml). Her C-peptide and proinsulin levels were elevated, with…
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