Figure 1
From: Hypoglycaemia related to inherited metabolic diseases in adults
Causes of hypoglycaemia in adults (without diabetes mellitus) including hypoglycaemia linked to IEM. (1) Dysregulation of insulin secretion; Increase of insulin sensitivity; Dumping syndrome; Endogenous hyperinsulinism post surgery (gastric by-pass). (2) NIPHS (Non-Insulinoma pancreatogenic hypoglycaemia syndrome): Glucokinase activating mutation (and SUR1/Kir6.2, SCHAD, GDH mutations in adult ?).