PT  - JOURNAL ARTICLE
AU  - Simkiss, Lauri
AU  - Hakkak, Frances
AU  - Raghavan, Rajeev
TI  - Malignant insulinoma hypoglycaemia: complex palliative management
AID  - 10.1136/bmjspcare-2021-003188
DP  - 2021 Jun 22
TA  - BMJ Supportive & Palliative Care
PG  - bmjspcare-2021-003188
4099  - http://spcare.bmj.com/content/early/2021/06/22/bmjspcare-2021-003188.short
4100  - http://spcare.bmj.com/content/early/2021/06/22/bmjspcare-2021-003188.full
AB  - 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.