Abstract
Post-bariatric hypoglycaemia (PBH) is a metabolic complication of bariatric surgery which is characterized by low glucose levels in patients following bariatric procedures. The development of postbariatric hypoglycaemia can be dangerous and also significantly impact patients’ quality of life and mental health. Timely diagnosis of PBH and prompt treatment in patients suffering from it is crucial. This case report describes the management of postbariatric hypoglycaemia in a 56-year-old female who had undergone sleeve gastrectomy 16 years ago. She presented to our outpatient department with postprandial hypoglycaemic episodes. She was advised medical nutrition therapy (MNT) and pharmacological agents such as voglibose and diazoxide were added due to the recurrence of hypoglycemic episodes. Eventually, with education and medical management, she gained a better understanding of her condition and started adhering to the MNT prescribed and she chose to transition away from the continuous glucose monitoring. Instead, she opted for self-monitoring of glucose levels using a home glucometer, allowing for greater autonomy.
Published Version
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