A 17 year old patient has had two episodes of severe hypoglycemia


Question Number 0852
Question:
A 17 year old patient has had two episodes of severe hypoglycemia. He is being investigated for a possible insulinoma but is also suspected of factitious (self-medication) insulin-induced hypoglycemia by injection of insulin. His plasma insulin levels are elevated. Which of the following is most likely to help in confirming self-induced hypoglycemia?
a) weekly early morning plasma insulin levels
b) hemoglobin level
c) Serum glucose level
d) plasma C-peptide hormone level
e) a weekly weight chart


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