Management of Severe Hypoglycemia at the End of Life in Non-Diabetic Patients: A Case Study and Recommendations

Faustino Gonzalez, Ramesh Roshan, Richard Levene, Barry Miskin, Norberto Vazquez


We present a case of a patient with metastatic synovial cell sarcoma of the lung with paraneoplastic production of insulin like growth factor (ILG-F) whose main symptom was generalized weakness due to severe hypoglycemia, and we also provide a brief discussion of the management of hypoglycemia at the end of life.

J Med Cases. 2015;6(9):413-416


Paraneoplastic, Hypoglycemia; End of life; ILG-F

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