A 35 year old male, shopkeeper by occupation, presented to us with recurrent spells of altered consciousness with varying features for last 1 year. He was labelled as depression and was on velazodone for the same. He was finally diagnosed as insulinoma, likely unmasked by the drug. He was managed with surgery and is doing well. With this case, the importance of considering hypoglycemia in atypical neurological or psychiatric episodes is highlighted.