Medical nutrition therapy for post-bariatric hypoglycemia: practical insights
| Autor: | Emmy Suhl, Mary-Elizabeth Patti, Sue-Ellen Anderson-Haynes, Christopher M. Mulla |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Alcohol Drinking Bariatric Surgery 030209 endocrinology & metabolism Hypoglycemia 03 medical and health sciences Postoperative Complications 0302 clinical medicine Patient Education as Topic Caffeine Dietary Carbohydrates Humans Medicine In patient 030212 general & internal medicine Medical nutrition therapy Intensive care medicine Meals Postoperative Care Minerals business.industry Dietary management Feeding Behavior Vitamins medicine.disease Dietary Fats Postprandial Cultural barriers Dietary Supplements Referral center Central Nervous System Stimulants Surgery Dietary Proteins Nutrition Therapy Diet Healthy Snacks business Medical literature |
| Zdroj: | Surgery for Obesity and Related Diseases. 13:888-896 |
| ISSN: | 1550-7289 |
| DOI: | 10.1016/j.soard.2017.01.025 |
| Popis: | Hypoglycemia is increasingly recognized as a complication of bariatric surgery. Although medications are often required, medical nutrition therapy remains the key cornerstone for successful prevention of hypoglycemia in patients with post-bariatric hypoglycemia (PBH). We provide suggested approaches to the dietary management of PBH, incorporating data from both the medical literature and extensive clinical experience in an academic referral center for PBH. The overall goal of medical nutrition therapy for PBH is to reduce postprandial surges in glucose, which often trigger surges in insulin secretion and promote subsequent hypoglycemia. Thus, strategies focus on controlled portions of low glycemic index carbohydrates, avoidance of rapidly-absorbed carbohydrates, adjustment of timing of meals and snacks, and attention to personal and cultural barriers to implementation. |
| Databáze: | OpenAIRE |
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