The latest endocrine case report from Brady Pregerson, MD, features a man in his mid-70’s with a recent UTI brought to the hospital with a glucose of 30 mg/dL and reports of generalized weakness. Can you determine the correct diagnosis?
History of Present Illness:
A man in his mid-70’s with a recent UTI is brought to the hospital by ambulance with a glucose of 30 after family called 911 for generalized weakness. Medics gave an amp of D50 and he gradually became less weak. He is 4 days into the second course of antibiotics for a UTI but denies any fever, pain, or other complaints. He has a history of Parkinson’s and HTN, but no diabetes or other endocrine conditions.
Vital Signs & Physical Exam:
Vital signs are normal. Physical exam is non-focal
Initial Diagnostic Testing:
CBC: normal except for chronic anemia
Chem-7: normal except for Cr = 1.6
What is the most likely cause of the low glucose?