Hyperinsulinemic hypoglycemia in adults |
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| Authors: | John Service F |
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| Affiliation: | Division of Endocrinology, Metabolism and Nutrition, Mayo Clinic Rochester, 200 First Street SW, Rochester, MN 55905, USA. |
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| Abstract: | The diagnosis of a hypoglycemic disorder requires a high level of suspicion, careful assessment of the patient for the presence of mediating drugs or a predisposing illness, and, where indicated, methodical evaluation on the basis of well-defined diagnostic criteria. The diagnostic burden is heaviest for healthy-appearing persons with episodes of confirmed neuroglycopenia. Our criteria for insulin mediation of hypoglycemia are: plasma insulin >or=18 pmol (ICMA [immunochemiluminometric assay]), C-peptide >or=200pmol/L (ICMA), proinsulin >or=5pmol/L (ICMA), betaOH butyrate,
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| Keywords: | Hypoglycemia hyperinsulinemia insulinemia NIPHS factitious |
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