Causes and Management Strategies for Unusual Hypoglycemia: a Case Series.

BACKGROUND

Glucose levels are vital for indicating the body's sugar content, with imbalances leading to diseases like diabetes or hypoglycemia-related symptoms such as palpitations and fatigue.

METHODS

This case series describes three cases of hypoglycemia identified in recent years, utilizing multiple glucose measurement methods and exploring strategies to eliminate interferences.

RESULTS

Two cases of pseudo-hypoglycemia induced by PEGylated recombinant human granulocyte colony-stimulating factor (PEG-rhG-CSF) and Evolocumab injections, and one case of true reactive hypoglycemia following a glucose tolerance test in a patient post-gastric bypass surgery.

CONCLUSIONS

For unusual hypoglycemia, collaboration with clinicians and multiple methods is crucial for accurate analysis to differentiate true from pseudo-hypoglycemia, ensuring precise diagnosis and optimal clinical service.