Hypoglycemia ============ þ Types of Hypoglycemia - fasting hypoglycemia: By definition, patients with fasting hypoglycemia develop low glucose levels at least 5 to 6 hours after a meal. Ref: Tintinalli 3rd ed. p 728 - Ingestions: Can be caused by ingesting unripe Jamaican ackee fruit, that contains hypoglycin A, a liver toxin that inhibits gluconeogenesis. þ Drug-Induced Hypoglycemia - from quinolone antibiotics, including ciprofloxacin (Cipro) and gatifloxacin (Tequin)