Abstract
We report a case of an 82 year-old woman who had two episodes of documented hypoglycemia. Initial laboratory testing revealed hyperinsulinemia and a negative serum sulfonylurea screen. While these data suggested the presence of an insulinoma, further evaluation of the case revealed inadvertent ingestion of glimepiride, a sulfonylurea not included in the standard serum sulfonylurea screen.
MeSH terms
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Aged
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Aged, 80 and over
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Blood Glucose / drug effects
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Blood Glucose / metabolism
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C-Peptide / blood
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Diabetes Mellitus, Type 2 / blood
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Diabetes Mellitus, Type 2 / drug therapy*
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Drug Overdose*
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Female
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Humans
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Hypoglycemia / chemically induced*
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Hypoglycemic Agents / adverse effects*
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Insulin / blood
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Sulfonylurea Compounds / adverse effects*
Substances
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Blood Glucose
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C-Peptide
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Hypoglycemic Agents
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Insulin
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Sulfonylurea Compounds
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glimepiride