<unk> s are commonly preceded by hypoglycemic symptoms and the Whipple triad. Majority of the hypoglycemic symptoms will manifest as neuroglycopenic symptoms and/or autonomic symptoms. Common neuroglycopenic symptoms include: generalized confusion, significant behavioral changes, coma, and seizure. Common autonomic symptoms include: diaphoresis, weakness, palpitations, and hunger. Thus, there are various presenting symptoms observed in patients. This is primarily attributed to the fact that<unk>  is initially diagnosed as another disease, such as benign<unk> , which has the potential to progress and metastasize
Metastatic insulinoma
Glucagonoma
Insulinoma
Pancreatic neuroendocrine tumor
Adrenocortical adenoma
Granular cell tumor
Pituitary adenoma
Multiple endocrine neoplasia