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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Frequent Hypoglycemic Episodes With Pcos

Hi,am a doctor.one of my patient ,age 30 yrs - having frequent hypoglycemic episodes (once in 2-3 days),normal built and nourished-her fbs and ppbs and HbA1c ,blood counts are normal,known case of polycystic ovarian disease of Tab femilon since 2years with frequent gaps.stress ful lifestyle .can u suggest so dd's.
posted on Fri, 14 Mar 2014
Twitter Fri, 6 Jun 2014 Answered on
Twitter Sat, 7 Jun 2014 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hi. I would like to look for nesidioblastosis or insulinoma if basic issues like blood parameters for liver and kidney function are normal. So, once this is normal, you may go ahead with measuring c peptide level, insulin level , sugar level and glucagon level at the time of hypoglycemic episode. This will help you differentiate between various causes of hypoglycemia including factitious hypoglycemia which is also an important differential among young patients.
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Suggest Treatment For Frequent Hypoglycemic Episodes With Pcos

Hi. I would like to look for nesidioblastosis or insulinoma if basic issues like blood parameters for liver and kidney function are normal. So, once this is normal, you may go ahead with measuring c peptide level, insulin level , sugar level and glucagon level at the time of hypoglycemic episode. This will help you differentiate between various causes of hypoglycemia including factitious hypoglycemia which is also an important differential among young patients.