A 40-year-old nurse presents with recurrent episodes of diaphoresis, tremor, and confusion that resolve after eating. Fasting glucose is 2.1 mmol/L (38 mg/dL). What is the most likely diagnosis?
-
A
Type 1 diabetes with hypoglycemia
-
B
Insulinoma
-
C
Reactive hypoglycemia
-
D
Factitious hypoglycemia from insulin injection