ea0019p173 | Endocrine tumours and neoplasia | SFEBES2009
Geevarghese C
, Lim M
, Sirohi B
, Appleton D
, Chatterjee V
, Simpson H
A 67-year-old lady presented with hypoglycaemic coma, treated with dextrose infusion. Previously she had a 3-month history of weight gain with increasingly frequent episodes of shaking and blurred vision, particularly at night, relieved by food.A 72-hour fast was undertaken. Within 2 h, she became confused. Serum glucose was 1.1 mmol/l with serum insulin 527 pmol/l (060 pmol/l), proinsulin 320 pmol/l (07 pmol/l) and C-peptide 2991 pmol/l (174...