Proposed treatment strategy for reactive hypoglycaemia
Copyright © 2024 Younes, Cron, Field, Nayyar, Clark, Zachariah, Lakshmipathy, Isuga, Maghsoodi and Emmanuel..
Background/aim: Managing reactive hypoglycaemia (RH) poses challenges due to limited and often ineffective treatment options. We report a case series and draw on this to propose a stepwise treatment approach consisting of lifestyle modifications, metformin, GLP-1 analogues, and the use of flash glucose monitoring technology.
Method: A retrospective review was conducted to analyse the management of 11 cases presenting with recurrent RH symptoms.
Result: Two patients experienced successful resolution of symptoms through lifestyle modifications. Metformin alone was effective in treating seven out of nine patients who received pharmacological treatment. Two patients with previous upper gastrointestinal surgery showed a partial response to metformin and benefited further from additional long-acting GLP-1 analogue. Pharmacological intervention led to significant reductions in insulin and C-peptide levels in repeat mixed meal tolerance tests (P-values 0.043 for insulin and 0.006 for C-peptide). Finally, flash glucose monitoring technology was useful in early detection and preventing episodes of hypoglycaemia in one of these patients with persistent symptoms.
Conclusion: These findings highlight the potential efficacy of escalated treatment strategies for RH, including the use of metformin, GLP-1 analogues, and flash glucose monitoring technology.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2024 |
|---|---|
| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:15 |
|---|---|
| Enthalten in: |
Frontiers in endocrinology - 15(2024) vom: 07., Seite 1332702 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Younes, Younes R [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
9100L32L2N |
|---|
| Anmerkungen: |
Date Completed 20.02.2024 Date Revised 06.03.2024 published: Electronic-eCollection Citation Status MEDLINE |
|---|
| doi: |
10.3389/fendo.2024.1332702 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM368604128 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM368604128 | ||
| 003 | DE-627 | ||
| 005 | 20240307232350.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240219s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3389/fendo.2024.1332702 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1319.xml |
| 035 | |a (DE-627)NLM368604128 | ||
| 035 | |a (NLM)38370356 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Younes, Younes R |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Proposed treatment strategy for reactive hypoglycaemia |
| 264 | 1 | |c 2024 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 20.02.2024 | ||
| 500 | |a Date Revised 06.03.2024 | ||
| 500 | |a published: Electronic-eCollection | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2024 Younes, Cron, Field, Nayyar, Clark, Zachariah, Lakshmipathy, Isuga, Maghsoodi and Emmanuel. | ||
| 520 | |a Background/aim: Managing reactive hypoglycaemia (RH) poses challenges due to limited and often ineffective treatment options. We report a case series and draw on this to propose a stepwise treatment approach consisting of lifestyle modifications, metformin, GLP-1 analogues, and the use of flash glucose monitoring technology | ||
| 520 | |a Method: A retrospective review was conducted to analyse the management of 11 cases presenting with recurrent RH symptoms | ||
| 520 | |a Result: Two patients experienced successful resolution of symptoms through lifestyle modifications. Metformin alone was effective in treating seven out of nine patients who received pharmacological treatment. Two patients with previous upper gastrointestinal surgery showed a partial response to metformin and benefited further from additional long-acting GLP-1 analogue. Pharmacological intervention led to significant reductions in insulin and C-peptide levels in repeat mixed meal tolerance tests (P-values 0.043 for insulin and 0.006 for C-peptide). Finally, flash glucose monitoring technology was useful in early detection and preventing episodes of hypoglycaemia in one of these patients with persistent symptoms | ||
| 520 | |a Conclusion: These findings highlight the potential efficacy of escalated treatment strategies for RH, including the use of metformin, GLP-1 analogues, and flash glucose monitoring technology | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a GLP-1 analogues | |
| 650 | 4 | |a freeStyle libre | |
| 650 | 4 | |a metformin | |
| 650 | 4 | |a mixed meal tolerance test | |
| 650 | 4 | |a reactive hypoglycaemia | |
| 650 | 7 | |a Hypoglycemic Agents |2 NLM | |
| 650 | 7 | |a C-Peptide |2 NLM | |
| 650 | 7 | |a Blood Glucose |2 NLM | |
| 650 | 7 | |a Metformin |2 NLM | |
| 650 | 7 | |a 9100L32L2N |2 NLM | |
| 700 | 1 | |a Cron, Nicholas |e verfasserin |4 aut | |
| 700 | 1 | |a Field, Benjamin C T |e verfasserin |4 aut | |
| 700 | 1 | |a Nayyar, Vidhu |e verfasserin |4 aut | |
| 700 | 1 | |a Clark, James |e verfasserin |4 aut | |
| 700 | 1 | |a Zachariah, Sunil |e verfasserin |4 aut | |
| 700 | 1 | |a Lakshmipathy, Kavitha |e verfasserin |4 aut | |
| 700 | 1 | |a Isuga, Jimboy O |e verfasserin |4 aut | |
| 700 | 1 | |a Maghsoodi, Negar |e verfasserin |4 aut | |
| 700 | 1 | |a Emmanuel, Julian |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Frontiers in endocrinology |d 2010 |g 15(2024) vom: 07., Seite 1332702 |w (DE-627)NLM208813357 |x 1664-2392 |7 nnns |
| 773 | 1 | 8 | |g volume:15 |g year:2024 |g day:07 |g pages:1332702 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.3389/fendo.2024.1332702 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 15 |j 2024 |b 07 |h 1332702 | ||