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A 30-year-old Hispanic male presents to the office with complaints of palpitations, tremor, nervousness and headache. His past history is insignificant. His mother has type 2 diabetes, which is well-controlled with medications. His temperature is 37.0° C (98.6° F) , pulse is 100/min, blood pressure is 150/80 mm Hg, and respirations are 16/min. He appears anxious, sweaty and shaky. His neurological examination is non-focal, and examination of other systems is unremarkable. His fingerstick blood glucose level is 38 mg/dL. Intravenous administration of a bolus of 50% dextrose leads to the improvement of his symptoms. He is then subjected to supervised prolonged fasting. After an overnight fast, laboratory studies reveal: Based on the above information, what is the most likely cause of this patient's hypoglycemia?
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