{'fraction_non_alphanumeric': 0.022653721682847898, 'fraction_numerical': 0.002157497303128371, 'mean_word_length': 5.489510489510489, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
The diagnosis and management of hyperinsulinaemic hypoglycaemia

Hyperinsulinaemic hypoglycaemia (HH) is an uncommon but important differential to consider in patients without diabetes mellitus (DM) presenting with abnormal neurological and autonomic symptoms. Insulinomas are the most common cause of HH in adults. However, insulinomas themselves are rare and are therefore often missed. We herein report on a 72-year-old non-diabetic Pākehā male with an insulinoma, presenting with recurrent bouts of hypoglycemia and syn-cope. Imaging revealed a lesion in the pancreatic head, which was suc-cessfully medicated and resected soon after. This case demonstrates the appropriate diagnostic evaluation and management of patients with HH, particularly for those with insulinomas. Due to its rarity, HH remains a confusing clinical presentation in patients without DM and can prove to be a diagnostic challenge for many clinicians.