Question

A 42-year-old woman presents with severe episodic epigastric pain, sweating and pallor that resolves spontaneously. She is found to have fasting hypoglycaemia with inappropriately elevated insulin levels. What is the MOST likely diagnosis?

Accepted Answer

Insulinoma

Answer

Type 1 diabetes mellitus

Answer

Factitious hypoglycaemia due to sulfonylureas

Answer

Adrenal insufficiency

Answer

Reactive postprandial hypoglycaemia

Practice question

A 42-year-old woman presents with severe episodic epigastric pain, sweating and pallor that resolves spontaneously. She is found to have fasting hypoglycaemia with inappropriately elevated insulin levels. What is the MOST likely diagnosis?