Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Hypoglycemia Unawareness in Insulinoma Revealed with Flash Glucose Monitoring Systems
Taku SugawaTakaaki MurakamiDaisuke YabeRiko KashimaMakiko TatsumiShinobu OoshimaErina JooKeiko WadaAtsushi YoshizawaToshihiko MasuiYuji NakamotoYuki YamauchiYuzo KodamaYoshiki IemuraMasahito OguraAkihiro YasodaNobuya Inagaki
Author information
JOURNALS OPEN ACCESS

2018 Volume 57 Issue 23 Pages 3407-3412

Details
Abstract

The delayed diagnosis of insulinoma remains a clinical issue. One of the main causes of such a delay is hypoglycemia unawareness. A 53-year-old woman fell unconscious during postprandial exercises. Flash glucose monitoring (FGM) systems revealed glucose profiles with fasting hypoglycemia, which facilitated the clinical diagnosis of insulinoma even though she was unaware of her hypoglycemia. The preoperative comparison of the blood glucose values provided by FGM with those obtained from capillary blood were consistent. Thus, FGM may have potential utility in revealing the presence of insulinoma-induced hypoglycemia.

Information related to the author
© 2018 by The Japanese Society of Internal Medicine
Previous article Next article
feedback
Top