Postprandial Reactive Hypoglycemia

Postprandial Hypoglycemia

Postprandial hypoglycemia is a syndrome secondary to disorders in which hypoglycemia is manifested within 5 hours after a meal (1). It is classified into two types depending on the time of occurrence, i.e., ‘early,’ with onset within 2 hours, and ‘late,’ occurring between 3 and 5 hours after a meal. The early variety is thought to be secondary to abnormally rapid gastric emptying, whereas late ...

6 Postprandial Hypoglycemia

ASMBS Position Statement on Postprandial Hyperinsulinemic Hypoglycemia after Bariatric Surgery.

ASBMBS Guidelines/Statements ASMBS Position Statement on Postprandial Hyperinsulinemic Hypoglycemia after Bariatric Surgery Dan Eisenberg, M.D., M.S.*, Dan E. Azagury, M.D., Saber Ghiassi, M.D., Brandon T. Grover, D.O., Julie J. Kim, M.D. Department of Surgery, Stanford School of Medicine, Stanford, California Department of Surgery, Palo Alto VA Health Care System, Palo Alto, California Section...

Insulin Autoimmune Syndrome: a rare cause of postprandial hypoglycemia

A 65-year-old obese Caucasian woman presented with symptomatic postprandial hypoglycemic episodes, resolution of symptoms with carbohydrate intake and significantly elevated anti-insulin antibody levels. She did not have any evidence for the use of oral antidiabetic medications, insulin, herbal substances, performing strenuous exercise or history of bariatric surgery. Fingerstick blood glucose ...

A Rare Case of Insulinoma Presenting with Postprandial Hypoglycemia

BACKGROUND Although fasting hypoglycemia has historically been considered the hallmark of insulinoma, postprandial hypoglycemia has also been occasionally reported as the predominant feature. We report a rare case of an insulinoma diagnosed in an individual presenting exclusively with postprandial hypoglycemia without fasting hypoglycemia. CASE REPORT A 47-year-old woman with medical history ...