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Pancreatic Cancer

Question on Insulinoma



Hi. I know this is not cancer-related, but of course it is pancreas-related. I have a 20 year history of "reactive" hypoglycemia. It was very manageable, as long as I ate about every three hours. Fast forward to last year. I kept getting more frequent episodes of hypoglycemia, and had to begin eating every 2 waking hours. I bought a glucometer, and was surprised to see that I would drop into the 40s about 2 1/2 hours after meals. An OGTT done two years ago showed normal fasting insulin and glucose: time glucose insulin fast 92 8.8 30min. 140 48 60min. 185 110 2hr. 145 175 3hr. 55 38 I saw an endo, and had a 72-hour fast, and never dropped below 62. I have since read articles of some people with confirmed insulinomas that didn`t drop during the fast, but DID drop post prandially. I was wondering if you could guide me on what my next step might be. By the way, I have lost 20lbs. in the last 5 months by lowering my carb intake, but still eat every 1 1/2 to 2 hours. I am still about 20 lbs. overweight now. 20 years ago when this started, I was 125 lbs. Again, I was wondering what might be the next diagnostic step in my uncontrollable hypoglycemia?


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