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Continuous Glucose Monitoring for Evaluation of Glycemic Excursions after Gastric Bypass
Joint Authors
Goldfine, Allison B.
Skow, Megan
Bajwa, Muhammad
Patti, Mary Elizabeth
Halperin, Florencia
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-02-07
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Hyperinsulinemic hypoglycemia with neuroglycopenia is a rare complication of Roux-en-Y gastric bypass (RYGB).
We hypothesized that continuous glucose monitoring (CGM) would be useful to characterize glycemic variability after RYGB.
Methods.
CGM and mixed meal tolerance testing (MMTT) were performed on sixteen post-RYGB subjects, ten with a history of neuroglycopenia on medical treatment and six asymptomatic controls.
Results.
9 of 10 subjects with neuroglycopenia developed hypoglycemia defined by glucose <70 mg/dL on CGM, and 3 of 9 on MMTT.
In asymptomatic subjects, 3 of 6 had asymptomatic hypoglycemia during CGM, and 3 of 5 on MMTT.
Therefore, the sensitivity and specificity to detect clinically significant hypoglycemia was 90% and 50% for CGM and 33% and 40% for MMTT.
Conclusions.
Asymptomatic hypoglycemia after RYGB is more frequent than commonly recognized.
For clinicians evaluating patients for postbypass neuroglycopenia, CGM may be a valuable diagnostic tool.
American Psychological Association (APA)
Halperin, Florencia& Patti, Mary Elizabeth& Skow, Megan& Bajwa, Muhammad& Goldfine, Allison B.. 2011. Continuous Glucose Monitoring for Evaluation of Glycemic Excursions after Gastric Bypass. Journal of Obesity،Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-504850
Modern Language Association (MLA)
Halperin, Florencia…[et al.]. Continuous Glucose Monitoring for Evaluation of Glycemic Excursions after Gastric Bypass. Journal of Obesity No. 2011 (2011), pp.1-7.
https://search.emarefa.net/detail/BIM-504850
American Medical Association (AMA)
Halperin, Florencia& Patti, Mary Elizabeth& Skow, Megan& Bajwa, Muhammad& Goldfine, Allison B.. Continuous Glucose Monitoring for Evaluation of Glycemic Excursions after Gastric Bypass. Journal of Obesity. 2011. Vol. 2011, no. 2011, pp.1-7.
https://search.emarefa.net/detail/BIM-504850
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-504850