BOX 304-1. Causes of fasting hypoglycemia |
Drugs |
Insulin |
Sulfonylureas |
Ethanol |
Salicylates |
Pentamidine |
Quinine |
Critical organ failure |
Renal failure |
Hepatic failure |
Cardiac failure |
Sepsis |
Malnutrition |
Hormonal deficiencies |
Cortisol |
Growth hormone |
Glucagon plus epinephrine |
Extrapancreatic tumors |
Endogenous hyperinsulinism |
Pancreatic beta-cell disorders: Neoplastic (insulinoma), hyperplastic, or functional |
Insulin secretagogues (e.g., sulfonylureas) |
Autoimmune hypoglycemias: Antibodies to insulin, antibodies to insulin receptors |
Hypoglycemias of infancy and childhood |
Neonatal hypoglycemias |
Congenital deficiencies of glucogenic enzymes |
Ketotic hypoglycemia of childhood |