INS and Hypoglycemia: Metabolic evaluation of hypoglycemia showed a typical profile of hyperinsulinemic hypoglycemia (glucose 37 mg/dL [2 mmol/L], insulin 6.1 mU/L, betahydroxybutyrate [BHB] 0.15 mmol/L, plasma glucose increased from 40 to 79 mg/dL [2.22 to 4.38 mmol/L] on glucagon administration).