Non symptomatic hypoglycemia in cancer patients: a case series in a tertiary care cancer hospital

Sever hypoglycemia when blood glucose level <54 mg/dl is a grave condition and patients manifest with impaired cognitive function. Glucose the key energy source for brain. In normal physiological metabolized aerobically to produce in form of ATP after glycolysis. like starvation or any pathologically low level, brain depends on ketone bodies fulfill its requirement. cancer due Warburg effect there aerobic fermentation leads production lactic acid, which requirement doesn't show symptoms