IGF2 and Hypoglycemia: Table 1 details notable lab work performed after pausing dextrose-containing fluids. The IGF-2/IGF-1 ratio was calculated to be 3.6, which did not align with the typical pattern of IGF-2-mediated hypoglycemia, where this ratio is expected to be greater than 10. However, it is important to note the normal ratio is 3, and IGF-1 was suppressed (Table 1) [4].