TY - JOUR T1 - Malignant insulinoma hypoglycaemia: complex palliative management JF - BMJ Supportive & Palliative Care JO - BMJ Support Palliat Care DO - 10.1136/bmjspcare-2021-003188 SP - bmjspcare-2021-003188 AU - Lauri Simkiss AU - Frances Hakkak AU - Rajeev Raghavan Y1 - 2021/06/22 UR - http://spcare.bmj.com/content/early/2021/06/22/bmjspcare-2021-003188.abstract N2 - This case presentation describes a 65-year-old woman with metastatic malignant insulinoma who experienced frequent episodes of hypoglycaemia causing significant distress and burden to her quality of life. The report describes how medical management was altered and how the patient was supported in order to alleviate these burdens. In particular, the report highlights the first documented use of flash glucose monitoring in insulinoma, which was beneficial in reducing the discomfort of lancet use and anxiety associated with hypoglycaemic episodes. This case demonstrates the benefits of an individualised approach, collaboration with other specialisms and recommends further evaluation of the use of flash glucose monitoring in palliative care. ER -