A 76-year-old man with type 2 diabetes takes glyburide. He has had sweating, tremor, and confusion before lunch twice this week. Capillary glucose

Question

A 76-year-old man with type 2 diabetes takes glyburide. He has had sweating, tremor, and confusion before lunch twice this week. Capillary glucose during symptoms was 48 mg/dL. eGFR is 38 mL/min/1.73 m2. Which of the following is the most likely explanation for this patient's findings?

Accepted Answer

Sulfonylurea-associated hypoglycemia

Answer

Insulin autoimmune syndrome from no medications

Answer

Diabetic ketoacidosis

Answer

Pheochromocytoma

Answer

Hyperosmolar hyperglycemic state

Sulfonylurea hypoglycemia — USMLE Step 3 MCQ

A 76-year-old man with type 2 diabetes takes glyburide. He has had sweating, tremor, and confusion before lunch twice this week. Capillary glucose during symptoms was 48 mg/dL. eGFR is 38 mL/min/1.73 m2. Which of the following is the most likely explanation for this patient's findings?