Letter to the Editor

Response to Hypoglycemia-An Enigmatic Dilemma

Authors: O M. P. Jolobe, MRCP

Abstract

I agree with Dr. Ranjodh Gill, author of the editorial published in the July 2005 issue of the Southern Medical Journal entitled "Hypoglycemia-An Enigmatic Dilemma," that "for best diagnostic yield, patients should undergo testing during an episode of spontaneous hypoglycemia."1 In addition, I contend that this includes taking simultaneous blood samples not just for insulin levels, but also for cortisol levels, in light of the fact that spontaneous hypoglycemia may be a presenting feature of secondary hypoadrenalism.2 O. M. P. Jolobe, MRCPManchester Medical Society Manchester, United Kingdom

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References

1. Gill R. Hypoglycemia-an enigmatic dilemma. South Med J 2005;98:679.
 
2. Jolobe OMP, Htin TS. Hyponatraemia and spontaneous hypoglycemia. Postgraduate Medical Journal1997;73:675–677.