Management of unresectable insulinoma using cloud-based continuous glucose monitoring: A case report

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Introduction: Insulinomas are a rare type of functioning neuroendocrine tumors. Once diagnosed, maintaining normal glycaemic control can be difficult to achieve. Continuous or flash glucose monitoring are now routinely used in the management of type 1 diabetes.

Aim(s): We describe the use of these tools in monitoring the frequency of hypoglycaemia in an individual with unresectable metastatic insulinoma.

Materials and methods: A 62-year old man presented with a three month history of abdominal bloating and hypoglycaemic symptoms that initially occurred after exercise. Following CT scanning, whole-body nuclear medicine imaging and liver biopsy, the patient was diagnosed with non-resectable metastatic insulinoma. Recurrent hypoglycaemic episodes at home led to hospital admission. Flash glucose monitoring was initiated in the form of Free Style Libre.

Conference:

Presenting Author:

Authors: Gardner G, Flanagan D, Sherriff D,

Keywords: insulinoma, hypoglycaemia, self-monitoring,