Case 23-2022: A 49-Year-Old Man with Hypoglycemia | NEJM

A 49-year-old man with a family history of diabetes was evaluated because of hypoglycemia. Two hours earlier, he had been found on the floor, obtunded and making nonpurposeful movements. A diagnostic test was performed.

Funding and Disclosures

This case was presented at the Medicine Case Conference.

Disclosure forms provided by the authors are available with the full text of this article at

Author Affiliations

From the Departments of Medicine (A.W.B., N.J.W., B.W.C.), Radiology (P.F.H.), and Pathology (M.L.Z.), Massachusetts General Hospital, and the Departments of Medicine (A.W.B., N.J.W., B.W.C.), Radiology (P.F.H.), and Pathology (M.L.Z.), Harvard Medical School — both in Boston.

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