Mixed meal test detects Gastric Bypass related Hypoglycemia Better than CGM
Bariatric surgery (BS) represents a valid therapeutic choice for the management of severe obesity since it provides durable weight loss and improvement/remission of obesity-related comorbidities. However, hypoglycemia remains a challenging complication of BS, especially with gastric bypass (GB).
In a recent study, researchers have found mixed meal test (MMT) is superior to a continuous glucose monitoring system (CGMS) in detecting hypoglycemia after gastric bypass. The study findings were published in The Journal of Clinical Endocrinology and Metabolism on 22 December 2021.
Gastric bypass surgery increases the postprandial glucose levels, which in turn can predispose to the late complication of hypoglycemia. Diagnosis remains difficult and requires documentation of symptoms associated with hypoglycemia and relief of symptoms when blood glucose normalizes (Whipple triad). In this present study, Dr Marzieh Salehi and her team conducted a study to compare the yield of a mixed meal test and continuous glucose monitoring system in detecting hypoglycemia after gastric bypass.
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