ArticleAACE endocrinology and diabetes
Distinguishing Insulinoma From Reactive Hypoglycemia: Characteristic Glycemia Patterns During the 5-Hour Oral Glucose Tolerance Test.
Article in AACE endocrinology and diabetes. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Context: Individuals with insulinoma may develop post glucose load hypoglycemia. Objective: To characterize the glucose, insulin, and C-peptide values of patients with insulinoma and reactive hypoglycemia (RH) during a 5-hour oral glucose tolerance test (5h-OGTT). Methods: A retrospective study was conducted involving 85 inpatients (57 with insulinoma, 28 with RH). 5h-OGTT with frequent blood sampling of glucose, insulin, and C-peptide were performed in 22 patients with insulinoma and 28 patients with RH. Results: The insulinoma group had a higher body mass index (25.51 ± 4.03 vs 22.84 ± 4.92 kg/m Conclusion: Distinct glycemia patterns, particularly lower fasting and 5-hour glucose levels during OGTT, effectively differentiate insulinoma from RH.
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