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Table 1 Hypoglycemic profiles on prolonged fasting

From: IGF-2 mediated hypoglycemia and the paradox of an apparently benign lesion: a case report & review of the literature

 

24 hr. Fast

72 hr. fast

Plasma glucose

2.7 mmol/L

1.9 mmol/L

Serum insulina

< 10 pmol/L

< 10 pmol/L

Serum proinsulina

< 2.0 pmol/L

< 2.0 pmol/L

Serum c-peptidea

< 94 pmol/L

< 94 pmol/L

Serum β-hydroxybutyrateb

0.3 mmol/L

0.9 mmol/L

Sulphonylurea screena

Negative

Negative

Anti-insulin antibodiesa

Negative

  1. aAnalysed in the Peptide Hormones Laboratory, Supra-regional Assay Service, Guildford, Surrey, UK
  2. bAnalysed in the department of Clinical Chemistry, Sheffield Children’s NHS Trust, United Kingdom (UK)