How should hypoglycemia with blurred vision, muscle twitching, dysgeusia be treated?
Patient: I was diagnosed with Hypoglycemia last year, which explained my blurred/tunnel vision when I stand or sit up, but I still have muscle twitches, weird tastes and smells is my mouth and nose, and I often feel detached or out of my body, I also have crazy thoughts. Doctor: My advice is to also get the following tests done if they have not been done before. The tests are serum C- peptide, Serum insulin , Insulin/ C peptide ratio and an abdominal CT scan. It is important to rule out the possibility of an insulinoma which is an insulin secreting tumor which causes hypoglycemia. Please note that insulinoma is a rare tumor . However it is important to rule out this type of tumor in patients with hypoglycemia.Regarding the fatigued feeling & other symptoms of hypoglycemia  you may try to eat frequent small meals with complex carbohydrates such as oat meal ,ragi etc which sustain blood sugar levels for a longer period of time. Best regards