Table 3 Classification of the aetiology of hypoglycemia in adults without underlying diabetes [1]
Unwell or medicated individual | Seemingly well individual |
|---|---|
1. Drugs Insulin or insulin secretagogues Alcohol Glucagon during endoscopy Quinine Indomethacin 2. Critical illnesses Hepatic, renal or cardiac failure Sepsis (including malaria) 3. Hormone deficiency Cortisol Glucagon and epinephrine 4. Non-islet cell tumour 5. Inborn errors of metabolism | 1. Endogenous hyperinsulinism Insulinoma Functional β-cell disorders (nesidioblastosis) Insulin autoimmune hypoglycemia Insulin secretagogue 2. Accidental, surreptitious or malicious hypoglycemia |