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Abstract

Causes and Management Strategies for Unusual Hypoglycemia: a Case Series by Guoxiang Bao, Jialu Li, Yunan Mei, Cuiying Yang

Background: Glucose levels are vital for indicating the body's sugar content, with imbalances leading to diseases like diabetes or hypoglycemia-related symptoms such as palpitations and fatigue.
Methods: This case series describes three cases of hypoglycemia identified in recent years, utilizing multiple glucose measurement methods and exploring strategies to eliminate interferences.
Results: Two cases of pseudo-hypoglycemia induced by PEGylated recombinant human granulocyte colony-stimulating factor (PEG-rhG-CSF) and Evolocumab injections, and one case of true reactive hypoglycemia following a glucose tolerance test in a patient post-gastric bypass surgery.
Conclusions: For unusual hypoglycemia, collaboration with clinicians and multiple methods is crucial for accurate analysis to differentiate true from pseudo-hypoglycemia, ensuring precise diagnosis and optimal clinical service.

DOI: 10.7754/Clin.Lab.2024.240533