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General Medicine General 47598bdb

A 30 year old nurse is evaluated for recurrent hypoglycaemia. She feels shaky, anxious, and sweaty; her plasma glucose is 50 mg/dl during the attack at work. She then drinks coffee & feels better. These episodes have not happened outside the work environment. She takes no medications and is otherwise healthy. Which is the most appropriate test in this patient?

A
Measurement of IGF-1
B
Measurement of fasting insulin and glucose levels
C
Measurement of fasting insulin, glucose, and C-peptide levels
D
Measurement of insulin, glucose, and C-peptide levels during a symptomatic episode

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