Hypoglycemia secondary to factitious hyperinsulinism in a foster care adolescent - a case report of munchausen syndrome in a community hospital emergency department setting

Table 2 Laboratory findings from the three hypoglycemia ED visits

Test (normal range)	Initial ED Presentation (1/22/2018)	Second ED Presentation (1/23/2018)	Third ED Presentation/ICU admission (2/12/2018)
Hemoglobin (12.5-17 g/dL)	12.4^a	not collected	12.3^a
Hematocrit (35–49%)	38.6	not collected	38.6
White Blood Cell (WBC) (4.0–10.5 K/uL)	6.5	not collected	5.3
Platelets (140–400 K/uL)	388	not collected	361
Potassium (3.5–5.0 mmol/L)	3.3^a	3.5	3.2^a
Sodium (136–145 mmol/L)	136	136	138
Chloride (98–107 mmol/L)	105	107	107
Bicarbonate (22–29 mmol/L)	26	26	28
Blood Urea Nitrogen (7–18 mg/dL)	12	11	13
Creatinine (0.60–1.30 mg/dL)	0.54^a	0.56^a	0.58^a
Glucose (70–110 mg/dL)	59^a	76	77
Anion Gap (8–16 mmol/L)	5.0^a	3.0^a	3.0^a
Urine Pregnancy Test	negative	not collected	negative

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