26 June 2024
: Case report
Recurrent Hypoglycemia After Total Gastrectomy: A Case Report and Literature Analysis
Challenging differential diagnosis, Rare disease
Yue Zhang1CD, Haiyan Chen1AF, Zhe Wang2ABEF*DOI: 10.12659/AJCR.943144
Am J Case Rep 2024; 25:e943144
Table 2. Differential diagnosis of hypoglycemia in adults.
| Healthy-appearing individual | Individuals suffering from diseases or taking medication |
|---|---|
| Accidental, surreptitious or malicious hypoglycemia | Drugs: insulin, alcohol, sulfonylureas |
| Endogenous hyperinsulinism: insulinoma, non-insulinoma pancreatogenous hypoglycemia, post-gastric bypass hypoglycemia, insulin autoimmune hypoglycemia | Hormonal deficiency: cortisol, glucagon, adrenaline |
| Idiopathic postprandial hypoglycemia | Critical illnesses: sepsis, inanition, hepatic, renal or cardiac failure |
| Non-islet cell tumor |






