Hypoglycemia as first presentation of insulin resistance-A case report

Sourya Sourabh Mohakuda and J Muthukrishnan*

Post prandial hypoglycemia refers to low blood glucose levels in the post meal period. In absence of any gastro-intestinal abnormality or surgery, other less common conditions need consideration. Extended glucose tolerance test helps confirm the diagnosis. The timing of hypoglycemia post meals and the corresponding insulin and C-peptide values help in understanding its pathophysiology. Hyperinsulinemia in Insulin resistance can also rarely present initially with post meal hypoglycemia. Frequent low glycemic index meals along with alpha-glucosidase inhibitors help alleviating the symptoms. We report this case for its rarity and clinical relevance.

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Published on: Jan 28, 2020 Pages: 5-7

Full Text PDF Full Text HTML DOI: 10.17352/ijcem.000043
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