Case Presentation: A 63-year-old female with a history of heart failure with reduced ejection fraction and pre-diabetes presented to the hospital with lower extremity weakness. On presentation, her physical exam was significant for bilateral lower extremity pitting edema and hepatomegaly. Lab work showed an elevated total bilirubin (7.3mg/dL) and direct bilirubin (3.8mg/dL), liver function tests [...]

Case Presentation: An 80-year-old female with dementia presented with 4 months of intermittent confusion, hypoglycemia, and associated generalized weakness. Her symptoms resolved with eating. She had no diabetic medications at home. She was hospitalized 1 month prior for these symptoms; her blood glucose during that admission was 39 mg/dL, C-peptide was 6.9 ng/mL (reference range [...]