ea0021p48 | Clinical practice/governance and case reports | SFEBES2009
Cheah Yee Seun
, Etok Atim
, Gough Andrew
, Kane Pauline
, Aylwin Simon
, Schulte Klaus-Martin
, Gilbert Jackie
A 51-year-old female presented with a 9 month history of symptoms suggestive of hypoglycaemia and associated episodes of unconsciousness, which were prevented by frequent food intake but with subsequent weight gain. She reported a history of lactose-induced anaphylaxis and the use of lactose-free subcutaneous prednisolone since sustaining a traumatic cardiac injury in 1987.Two supervised prolonged fasts demonstrated hypoglycaemia with elevated insulin le...