GPT and Hypoglycemia: Laboratory findings revealed a serum glucose level of 44 mg/dL (hypoglycemia, <50 mg/dL), alanine aminotransferase 30 IU/L (normal, 5-40), aspartate aminotransferase 28 IU/L (normal, 5-40), hemoglobin A1c 10.7% (normal, 4.8-6), free thyroxine 1.12 ng/dL (normal, 0.8-2.3) and a thyroid stimulating hormone level of 3.11 mIU/L (normal, 0.35-4.6).