Open AccessAsymptomatic Hyperinsulinaemic Hypoglycaemia
Author(s) -
Ana Isabel Ferreira,
Mariana Serino Barbosa,
R. R. Coelho,
Patrícia Lourenço
Publication year - 2020
Publication title -
european journal of case reports in internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
H-Index - 1
ISSN - 2284-2594
DOI - 10.12890/2020_001827
Subject(s) - medicine , hyperinsulinism , asymptomatic , diabetes mellitus , etiology , triad (sociology) , hyperinsulinemia , pediatrics , endocrinology , insulin resistance , psychology , psychoanalysis
Hypoglycaemia is rare in apparently well patients without drug-treated diabetes mellitus and warrants evaluation and management when Whipple’s triad is present. Even in the absence of Whipple’s triad, when repeatedly low values of plasma glucose are documented, the presence of endogenous hyperinsulinism should be investigated. The authors describe a case of endogenous hypoglycaemic hyperinsulinism, its diagnosis and treatment and the challenges of determining its aetiology.