Severe And Persistent Hypoglycemia With Lactic Acidosis In An Elderly Lady With Type 2 Diabetes Mellitus And Lymphoma\Leukemia: A Rare Case Report

We present here a case of hypoglycemia and lactic acidosis in an elderly diabetic lady with underlying leukemia\lymphoma. Possible mechanisms responsible for both hypoglycemia as well as lactic acidosis are discussed. The case emphasizes the need for thorough chasing of all clinical leads obtained from history taking, physical examination, as well as laboratory evaluation in order to avoid getting misled by apparently obvious diagnosis. To the best of the author's knowledge, this is the first time such a case is reported in Indian literature. (C) 2018 Published by Elsevier Ltd on behalf of Diabetes India.