case-presentation_84

• A young woman known case of diabetes mellitus (under treatment with insulin) for 10 month ago, was admitted in emergency department with complaint of dizziness while changing position and hypoglycemic episodes for two month.

• Hypoglycemia often happens postprandially (20 minutes after meals); she also complains about early satiety but not other concomitant symptoms like nausea ,vomiting or abdominal pain or diarrhea. She has been suffering significant weight loss (over 15 kg) since the diagnosis of DM.