Q: In factitious hypoglycemia caused by sulfonylureas or meglitinides ingestion
A) Plasma Insulin will be high
B) Plasma insulin will be low
C) Plasma C-peptide will be low
D) Plasma proinsulin will be low
Factitious hypoglycemia from sulfonylureas or meglitinides is very hard to detect as they mimic like insulinoma as they work by stimulating insulin secretion. Levels of all three i.e plasma insulin, C-peptide, and proinsulin will be high. The most accurate test would be to directly measure plasma sulfonylureas or meglitinides.