A 59-year-old non-diabetic man presented to the diabetologist after a year-long issue of recurrent hypoglycaemia. The number of episodes of had progressively increased in frequency over the last 1 year. His blood sugar levels sometimes dropped to 2.1 mg/dL. However, the patient remained conscious. He was a non-smoker and did not drink.
He had an unremarkable medical history and family history. No neuroglycopaenic symptoms like mood swings, behavioural changes, visual disturbances or confusion were reported. The patient did not have any sympathoadrenergic symptoms like tremors, palpitations, and diaphoresis either. No cause of hypoglycaemia could be found, however, the patient believed that the episodes were more likely to follow after he took a cup of coffee. Physical Examination was normal except for: · BMI: 30 · BP: 140/80 mm Hg Fasting hypoglycaemia reports: Blood…
