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Hypoglycemia is Subl increasingly recognized complication of bariatric surgery, occurring after both roux-en-Y gastric bypass RYGB and vertical sleeve gastrectomy SG [ 1 — 5 ]. Post-bariatric hypoglycemia PBH typically occurs one to three hours after meals, with increased severity after intake of high glycemic index carbohydrates [ 67 ]. In our clinical experience, some patients also experience hypoglycemia with even modest degrees of activity e.
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Typical patterns of glucose in the fasting state and after a meal in patients with PBH, as revealed by continuous glucose monitoring. In this patient, glucose levels are stable during the overnight fast. Recognizing potential symptoms of hypoglycemia in the post-bariatric patient is important to begin prompt diagnostic evaluation and Wscorts swaping in Germany.
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