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HardEndocrinologyInsulinoma – diagnostic fasting testuk-plab-1

A 25-year-old woman presents with episodes of sweating, palpitations and tremor that resolve quickly after eating. Capillary glucose during one episode is 2.2 mmol/L. She is otherwise well and not diabetic. What is the most appropriate first-line investigation to confirm endogenous hyperinsulinaemic hypoglycaemia?

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