Hypoglycemia - Evaluation Algorithm

Interpreting Hypoglycemia Labs - the patient must be hypoglycemic at the time of testing

Beta-Hydroxybutyrate - Is there an insulin-like substance? → Non-insulin/lGF-mediated

Insulin - Is it insulin? → IGF-2 - Malignancy (islet cell tumor, paraneoplastic)

C-Peptide, Proinsulin - Is it endogenous? → Exogenous Insulin

Oral Hypoglycemic Screen - Is there a sulfonylurea? → Oral Hypoglycemic

Insulinoma, NIPHS, Post-Gastric Bypass



- BWH Medicine Chiefs @BrighamChiefs



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