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your patient has an insulinoma and suffers from fasting hypoglycemia. all of the

ID: 722352 • Letter: Y

Question

your patient has an insulinoma and suffers from fasting hypoglycemia. all of the following would help explain why the abnormally high insulin levels would cause fasting hypoglycemia EXCEPT:
a. insulin is signaling cells to remove and use or store glucose, this lowering the blood glucose
b. insulin is inhibiting the breakdown of liver glycogen so blood glucose cannot b e renewed from this source
c. insulin is inhibiting gluconeogenesis so blood glucose cannot be renewed from this source
d. insulin is inhibiting glycolysis in muscle so even more glucose is needed to maintain normal levels of ATP
e. insulin is inhibiting the release of free fatty acids from adipose so even more glucose is needed to maintain the ATP of most cell types.

Explanation / Answer

d. insulin is inhibiting glycolysis in muscle so even more glucose is needed to maintain normal levels of ATP as insulinoma