Figure 1. A timeline of blood glucose levels through the patient’s clinical course from initial Emergency Medical Services (EMS) encounter to discharge. The patient was able to maintain a normal average blood glucose level of 128 mg/dL with regular feedings and continued to experience dramatic, recurrent hypoglycemic events with cessation of feedings (3 h post-prandial and fasting for biopsy) that corrected with supplemental glucose administration (status-post (S/P) 1 ampule glucose). Note the significant stabilization of blood glucose levels to an average of 167 mg/dL following resection of the tumor.