Implementation of low glycemic index diet together with cornstarch in post-gastric bypass hypoglycemia: Two case reports
| Autor: | Roberta Lupoli, Brunella Capaldo, G. Saldalamacchia, Erminia Lembo, Paola Ciciola, Eufemia Silvestri, Annalisa Creanza |
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| Přispěvatelé: | Lembo, Erminia, Lupoli, Roberta, Ciciola, Paola, Creanza, Annalisa, Silvestri, Eufemia, Saldalamacchia, Gennaro, Capaldo, Brunella |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Fasting Hypoglycemia Gastric bypass Case Report lcsh:TX341-641 030209 endocrinology & metabolism Hypoglycemia Low glycemic index Gastroenterology 03 medical and health sciences 0302 clinical medicine Gastric bypa Internal medicine Medicine 030212 general & internal medicine gastric bypass Nutrition Nutrition and Dietetics business.industry nutritional and metabolic diseases Cornstarch Post-bariatric hypoglycemia Carbohydrate medicine.disease Glycemic index Postprandial business Complication lcsh:Nutrition. Foods and food supply Food Science |
| Zdroj: | Nutrients, Vol 10, Iss 6, p 670 (2018) Nutrients |
| Popis: | Post-bariatric hypoglycemia (PBH) is an increasingly recognized long-term complication of bariatric surgery. The nutritional treatment of PBH includes a high-fiber diet and the restriction of soluble and high-glycemic index carbohydrates; however, these measures are not always enough to prevent hypoglycemia. We evaluated the efficacy of uncooked cornstarch, a low-glycemic index carbohydrate characterized by slow intestinal degradation and absorption, in addition to a high-fiber diet, for the treatment of PBH. We report the cases of two young women suffering from severe postprandial and fasting hypoglycemia following Roux-en-Y gastric bypass (RYGB). The patients underwent Continuous Glucose Monitoring (CGM) before and 12–16 weeks after the administration of uncooked cornstarch (respectively 1.25 g/kg b.w. and 1.8 g/kg b.w.) in addition to a high-fiber diet. In both patients, CGM showed more stable glucose levels throughout monitoring, a remarkable reduction of the time spent in hypoglycemia ( |
| Databáze: | OpenAIRE |
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