Thelansis

  Post-bariatric hypoglycemia (PBH) is when patients undergoing various bariatric procedures experience low blood glucose levels following meals. PBH is recognized as a metabolic complication associated with different types of bariatric surgery (BS). While BS is currently considered the most effective and relatively safe treatment for obesity and its related complications, the development of PBH can significantly impact patients' quality of life. PBH is characterized by postprandial hypoglycemic symptoms, typically occurring between one and four hours after a meal, with a higher frequency observed one-year post-surgery. These symptoms are accompanied by low blood glucose levels, often confirmed through provocative testing. The prevalence of PBH varies depending on the diagnostic tools employed. Recent studies have reported prevalence rates of up to 88% using a mixed meal tolerance test (MMTT) and up to 75% using continuous glucose monitoring (CGM). PBH can present with a range of...