A patient with adenocarcinoma of the stomach and recurrent hypoglycemia is presented. The fasting blood sugar ranged from lOm/100,ml to 35mg/100 and the serum insuline levels ranged from 24 miU/ml to
42 miu/ml. The counterregulatory hormones(growth hormone, cortisol, adrenocorticotropin hormone) levels were within normal limits. No significant hepatic involvement was observed in isotopic liver scanning. we.ruled qut other causes of hypoglycemia in this patient. Hypoglycemia is one of the rare paraneoplastic syndromes of adenocarcinoma.of gapterointestinal tract.