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7965 Medicine

A 30 year old nurse is evaluated for recurrent hypoglycaemia. She feels shaky, anxious, and sweaty; her plasma glucose is 50 mg/dl during the attack at work. She then drinks coffee & feels better. These episodes have not happened outside the work environment. She takes no medications and is otherwise healthy. Which is the most appropriate test in this patient?

AMeasurement of IGF-1
BMeasurement of fasting insulin and glucose levels
CMeasurement of fasting insulin, glucose, and C-peptide levels
DMeasurement of insulin, glucose, and C-peptide levels during a symptomatic episode
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