A 75-year-old woman with diabetes for approximately 20 years, diabetic retinopathy, and diabetic nephropathy with creatinine level 2.2 mg/dL is brought into the office by her daughter for follow-up. Patient History: The patient currently takes a higher dose of sulfonylurea for her diabetes and an ACE inhibitor for her proteinuria. Her daughter reports that on three occasions in the past 2 weeks, her mother became sweaty, shaky, and confused, which resolved when she was given some orange juice. Which causative factor is most likely contributing to these episodes?
How would you manage such patient? *This case is from Docplexus Editorial Team for educative purpose only. Source: Case Files Acute Medicine
