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 #Hypoglycemia #Evaluation #Algorithm #workup #diagnosis #endocrinology
