Sarah Frankton, Suhail Baithun, Ehab Husain, Katherine Davis, Ashley B. Grossman
A patient was presented with four days of vomiting, abdominal pain and sweating. At presentation the Capillary Blood Glucose (CBG) was 1.7 mmol/L, the Blood Pressure (BP) was 182/102 mmHg, and the pulse 100 bpm. On examination, he was sweaty, pale and cold. The initial differential diagnosis was hypoglycaemia secondary to insulin abuse, hypoadrenalism or insulinoma …
Shabana Valiji Bharmal, Veronica Moyes, Sahid Ahmed, Ashley Grossman
Drugs are the commonest cause of hypoglycaemia in patients without diabetes mellitus. However, in spite of this, a recent review highlighted the poor quality of evidence available supporting the association between numerous drugs and hypoglycaemia …
Angelos Kyriacou, Was Mansoor, Jeremy Lawrance, Peter J. Trainer
A male patient presented at the age of 54 years with metastatic pancreatic neuroendocrine tumour (NET). He was managed with interferon and multiple courses of MIBG therapy which controlled his disease for about seven years. He then developed symptomatic hypoglycaemia which resolved with the introduction of somatostatin analogue treatment and further therapeutic MIBG. However, three years later he was admitted to hospital with severe and intractable hypoglycaemia …