Fasting Hypoglycemia in Adults

Small for gestational age-prematurity Respiratory distress syndrome Maternal diabetes meUitus Toxemia of pregnancy Other (e.g., cold stress, polycythemia) 

Ketotic hypoglycemia Congenital enzyme defects Glycogen storage disease Deficiency of gluconeogenic enzymes Galactosemia 

Hereditary fructose intolerance Leucine hypersensitivity Endogenous hyperinsulinism Reye s syndrome Idiopathic 

Deficiency of hormones (e.g., glucocorticoids, growth hormone) Insulin-producing pancreatic tumors (insulinoma) 

Insulin antibodies Nonpancreatic neoplasms Septicemia Chronic renal failure Reactive 

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