scholarly journals Hyperinsulinemic Hypoglycemia after Bariatric Surgery: Diagnosis and Management Experience from a Spanish Multicenter Registry

Obesity Facts ◽  
2016 ◽  
Vol 9 (1) ◽  
pp. 41-51 ◽  
Author(s):  
Nuria Vilarrasa ◽  
Albert Goday ◽  
Miguel Angel Rubio ◽  
Assumpta Caixàs ◽  
Silvia Pellitero ◽  
...  
2016 ◽  
Vol 18 (1) ◽  
pp. 68-85 ◽  
Author(s):  
A. P. van Beek ◽  
M. Emous ◽  
M. Laville ◽  
J. Tack

Author(s):  
Sangeeta Kashyap

Endocrine complications after bariatric surgery include persistent hyperglycemia in patients with type 2 diabetes who experience initial success with weight loss. This complication occurs in those with a prolonged duration of diabetes (> 8 years) and is related to poor residual pancreatic beta-cell function. Often, weight regain is associated with recurrent diabetes, and strategies that target both weight loss and glycemic control are required. New diabetes agents, such as the SGLT2 inhibitor drug class, offer advantages to diabetes treatment after bariatric surgery. On the other end of the glycemic spectrum, hyperinsulinemic hypoglycemia occurs in patients with and without diabetes prior to surgery and often presents with little or no symptoms (i.e., neuroglycopenia). Treatment strategies involve careful monitoring of blood glucose levels and the use of low-glycemic/high-fiber diets as well as drugs that lower glucose absorption and insulin secretion. Glycemic management after bariatric surgery requires close observation.


2008 ◽  
Vol 103 (4) ◽  
pp. 1047-1048 ◽  
Author(s):  
Feng Yang ◽  
Deliang Fu ◽  
Quanxing Ni

2017 ◽  
Vol 13 (3) ◽  
pp. 371-378 ◽  
Author(s):  
Dan Eisenberg ◽  
Dan E. Azagury ◽  
Saber Ghiassi ◽  
Brandon T. Grover ◽  
Julie J. Kim

2016 ◽  
Vol 10 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Sarah Malik ◽  
James E. Mitchell ◽  
Kristine Steffen ◽  
Scott Engel ◽  
Ron Wiisanen ◽  
...  

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