Glucose And Insulin Levels

The ability to measure plasma insulin levels by radioimmunoassay has greatly aided the diagnosis of insulinoma. The diagnosis is made primarily by the recognition of a circulating insulin level that is inappropriately high for the existing level of blood glucose, especially at the time of hypoglycemia. Two types of measurements can be made: fasting and following provocative testing. By far, fasting values are the most reliable and less dangerous, but an observed 72-hour fast is most helpful in some patients. Symptoms of hypoglycemia generally occur if the serum glucose levels are below 40 mg/mL.

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