This patient presents with symptoms and labs consistent with acute hypoglycemia, most likely due to ***. Differential diagnosis includes ***. Considered other etiologies of acute hypoglycemia to include drugs (anti-hyperglycemics, alcohol, beta blockers, ACE-I, APAP) or drug related error (missed meal, incorrect dosing, intentional overdose), systemic illness (sepsis, acute coronary syndrome, renal / hepatic failure, adrenal insufficiency), malignancy, or post-op complications (i.e. Gastric bypass). Presentation not consistent with other acute, emergencies related to hypoglycemia.

Plan: serial POC glucose, hypoglycemia protocol treatment per routine, labs***, consider observation/admission, serial reassessment