A shock-like state occurred early during the performance of a standard glucose tolerance test in a patient with hypopituitarism. The reaction is interpreted as a dumping syndrome resulting from fluid transudation into the jejunum in a patient who was already hypotensive and hypovolemic.
Sagel J, Colwell JA. Shock During Oral Glucose Tolerance Testing. JAMA. 1973;226(6):667-668. doi:10.1001/jama.1973.03230060045017