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Table 1 Laboratory evaluation.

From: Vague neuroglycopenic complaints camouflage diagnosis of adolescent insulinoma: a case report

Test (unit)

Result (reference range)

A.

 

 Glucose (mg/dL)

43 (65–110)

 Insulin (mcIU/mL)

38.1 (2–18)

 C-peptide (mcIU/mL)

4.1 (0.6–6.3)

 Beta-Hydroxybutyrate (mcmol/L)

<100 (0–269)

 Cortisol (mcg/dL)

4.4 (7–25)

 Free fatty acids (mmol/L)

0.08

 Human growth hormone (ng/mL)

0.2 (0–7)

B.

 

 Ammonia (mcmol/L)

<9 (4–33)

 TSH (mcIU/mL)

2.19 (0.35–5.5)

 Free T4 (ng/dL)

1.0 (0.8–1.9)

 Cortisol 60 min after 250mcg cosyntropin (mcg/dL)

22.1

 Sulfonylurea serum level

Undetectable

 Insulin antibody level

Undetectable

  1. A. Critical sample results reveal hyperinsulinemic hypoglycemia.
  2. B. Additional studies obtained when euglycemic