RT Journal Article
SR Electronic
T1 Malignant insulinoma hypoglycaemia: complex palliative management
JF BMJ Supportive & Palliative Care
JO BMJ Support Palliat Care
FD British Medical Journal Publishing Group
SP bmjspcare-2021-003188
DO 10.1136/bmjspcare-2021-003188
A1 Simkiss, Lauri
A1 Hakkak, Frances
A1 Raghavan, Rajeev
YR 2021
UL http://spcare.bmj.com/content/early/2021/06/22/bmjspcare-2021-003188.abstract
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.