the most striking and consistent metabolic derangements present in all of these patients were fasting hypoglycemia ( less than 20 mg/dl ) , postprandial hyperglycemia ( more than 250 mg/dl ) , marked hyperinsulinemia ( more than 2000 muu/ml ) , and severe insulin resistance ( less than a 20 percent decrease in blood sugar with 0.3 to 1.0 u/kg of regular insulin iv ) .
C0020459
hyperinsulinemia
C0021655
insulin resistance