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Postprandial reactive hypoglycaemia: varying presentation patterns on extended glucose tolerance tests and possible therapeutic approaches.

Stuart, Kevin and Field, Annmarie and Raju, Jessie and Ramachandran, Sudarshan (2013) Postprandial reactive hypoglycaemia: varying presentation patterns on extended glucose tolerance tests and possible therapeutic approaches. Case reports in medicine, 2013. ISSN 1687-9627.

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Postprandial Reactive Hypoglycaemia- Varying Presentation Patterns on Extended Glucose Tolerance Tests and Possible Therapeutic Approaches.pdf

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Official URL: http://www.hindawi.com/crim/medicine/2013/273957/

Abstract

Reactive hypoglycemia is a state characterised by sympathetic or neuroglycopenic symptoms associated with hypoglycaemia in the postprandial state resulting in considerable distress to the patient. It is our practice to carry out either extended glucose tolerance tests (eGTTs) or mixed meal tests in these patients. We describe two patients who experienced hypoglycaemic symptoms early and late during eGTT. The patient who experienced symptoms early, in contrast to the patient who presented with late symptoms, did not possess any characteristics of the metabolic syndrome. Based on clinical symptoms, glucose, insulin, and free fatty acid (FFA) levels, we speculate on possible mechanisms that may have accounted for each of their presentation patterns. We then discuss low glycaemic index diet which will be the mainstay of management.

Item Type: Article
Subjects: WK Endocrine system. Endocrinology
Divisions: Clinical Support > Pathology
Emergency Services > Therapies
Related URLs:
Depositing User: Preeti Puligari
Date Deposited: 25 Apr 2013 13:39
Last Modified: 25 Apr 2013 13:39
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/80

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