Medical nutrition therapy for post-bariatric hypoglycemia: practical insights

Surgery for Obesity and Related Diseases

Volumn 13, Issue 5, 2017, Pages 888-896

  Suhl, Emmy ^a   Anderson Haynes, Sue Ellen ^a   Mulla, Christopher ^a,b   Patti, Mary Elizabeth ^a,b  

^a JOSLIN DIABETES CENTER   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Bariatric surgery; Hypoglycemia; Medical nutrition therapy

Indexed keywords

ALCOHOL; CAFFEINE; CARBOHYDRATE; GLUCAGON; MINERAL; PROTEIN; STARCH; VITAMIN; CENTRAL STIMULANT AGENT;

ARTICLE; BARIATRIC SURGERY; CARBOHYDRATE INTAKE; CULTURAL ANTHROPOLOGY; DIET THERAPY; DISEASE SEVERITY; FAMILY ATTITUDE; FAT INTAKE; GLYCEMIC INDEX; GUILT; HUMAN; HYPOGLYCEMIA; MASTICATION; MEAL; MEDICAL CARE; MINERAL INTAKE; PATIENT ATTITUDE; PATIENT COUNSELING; PATIENT EDUCATION; PRIORITY JOURNAL; PROTEIN INTAKE; SOCIAL SUPPORT; ADMINISTRATION AND DOSAGE; CARBOHYDRATE DIET; DIETARY SUPPLEMENT; DRINKING BEHAVIOR; FAST FOOD; FEEDING BEHAVIOR; HEALTHY DIET; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; PREVENTION AND CONTROL; PROCEDURES;

ALCOHOL DRINKING; BARIATRIC SURGERY; CAFFEINE; CENTRAL NERVOUS SYSTEM STIMULANTS; DIETARY CARBOHYDRATES; DIETARY FATS; DIETARY PROTEINS; DIETARY SUPPLEMENTS; FEEDING BEHAVIOR; HEALTHY DIET; HUMANS; HYPOGLYCEMIA; MEALS; MINERALS; NUTRITION THERAPY; PATIENT EDUCATION AS TOPIC; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; SNACKS; VITAMINS;

EID: 85017133342     PISSN: 15507289     EISSN: 18787533     Source Type: Journal    
DOI: 10.1016/j.soard.2017.01.025     Document Type: Article

References (43)

1. Goldfine, A.B., Patti, M.E., How common is hypoglycemia after gastric bypass?. Obesity 24 (2016), 1210–1211.
2. Nielsen, J.B., Pedersen, A.M., Gribsholt, S.B., Svensson, E., Richelsen, B., Prevalence, severity, and predictors of symptoms of dumping and hypoglycemia after Roux-en-Y gastric bypass. Surg Obes Relat Dis 12:8 (2016), 1562–1568.
3. Ritz, P., Vaurs, C., Barigou, M., Hanaire, H., Hypoglycaemia after gastric bypass: mechanisms and treatment. Diabetes Obes Metab 18:3 (2016), 217–223.
4. Malik, S., Mitchell, J.E., Steffen, K., et al. Recognition and management of hyperinsulinemic hypoglycemia after bariatric surgery. Obes Res Clin Pract 10:1 (2016), 1–14.
5. Vilarrasa, N., Goday, A., Rubio, M.A., et al. Hyperinsulinemic Hypoglycemia after bariatric surgery: diagnosis and management experience from a Spanish multicenter registry. Obes Facts 9:1 (2016), 41–51.
6. Sarwar, H., Chapman, W.H. 3rd, Pender, J.R., et al. Hypoglycemia after Roux-en-Y gastric bypass: the BOLD experience. Obes Surg 24:7 (2014), 1120–1124.
7. Goldfine, A.B., Mun, E.C., Devine, E., et al. Patients with neuroglycopenia after gastric bypass surgery have exaggerated incretin and insulin secretory responses to a mixed meal. J Clin Endocrinol Metab 92:12 (2007), 4678–4685.
8. Seeley, R.J., Chambers, A.P., Sandoval, D.A., The role of gut adaptation in the potent effects of multiple bariatric surgeries on obesity and diabetes. Cell Metab 21:3 (2015), 369–378.
9. Salehi, M., Prigeon, R.L., D'Alessio, D.A., Gastric bypass surgery enhances glucagon-like peptide 1-stimulated postprandial insulin secretion in humans. Diabetes 60:9 (2011), 2308–2314.
10. Craig CM, Liu LF, Deacon CF, Holst JJ, McLaughlin TL Critical role for GLP-1 in symptomatic post-bariatric hypoglycaemia. Diabetologia. 2017 60(3):531-540. http://dx.doi.org/10.1007/s00125-016-4179-x.
11. Patti, M.E., Goldfine, A.B., The rollercoaster of post-bariatric hypoglycaemia. Lancet Diabetes Endocrinol 4:2 (2016), 94–96.
12. Salehi, M., Gastaldelli, A., D'Alessio, D.A., Altered islet function and insulin clearance cause hyperinsulinemia in gastric bypass patients with symptoms of postprandial hypoglycemia. J Clin Endocrinol Metab 99:6 (2014), 2008–2017.
13. Patti, M.E., Li, P., Goldfine, A.B., Insulin response to oral stimuli and glucose effectiveness increased in neuroglycopenia following gastric bypass. Obesity (Silver Spring) 23:4 (2015), 798–807.
14. Cryer, P.E., Axelrod, L., Grossman, A.B., et al., Endocrine Society. Evaluation and management of adult hypoglycemic disorders: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 94:3 (2009), 709–728.
15. Mulla, C.M., Storino, A., Yee, E.U., Insulinoma after bariatric surgery: diagnostic dilemma and therapeutic approaches. Obes Surg 26:4 (2016), 874–881.
16. Kellogg, T.A., Bantle, J.P., Leslie, D.B., et al. Postgastric bypass hyperinsulinemic hypoglycemia syndrome: characterization and response to a modified diet. Surg Obes Relat Dis 4:4 (2008), 492–499.
17. Botros, N., Rijnaarts, I., Brandts, H., Bleumink, G., Janssen, I., de Boer, H., Effect of carbohydrate restriction in patients with hyperinsulinemic hypoglycemia after Roux-en-Y gastric bypass. Obes Surg 24:11 (2014), 1850–1855.
18. Bantle, A.E., Wang, Q., Bantle, J.P., Post-gastric bypass hyperinsulinemic hypoglycemia: fructose is a carbohydrate which can be safely consumed. J Clin Endocrinol Metab 100:8 (2015), 3097–3102.
19. Seino, Y., Maekawa, R., Ogata, H., Hayashi, Y., Carbohydrate-induced secretion of glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1. J Diabetes Investig 7:Suppl 1 (2016), 27–32.
20. Kim, M.S., Krawczyk, S.A., Doridot, L., et al. ChREBP regulates fructose-induced glucose production independently of insulin signaling. J Clin Invest 126:11 (2016), 4372–4386.
21. Herman, M.A., Samuel, V.T., The sweet path to metabolic demise: fructose and lipid synthesis. Trends Endocrinol Metab 27:10 (2016), 719–730.
22. Hanaire, H., Bertrand, M., Guerci, B., Anduze, Y., Guillaume, E., Ritz, P., High glycemic variability assessed by continuous glucose monitoring after surgical treatment of obesity by gastric bypass. Diabetes Technol Ther 13:6 (2011), 625–630.
23. Meijeren JV, Timmer I, Brandts H, Janssen I, Boer H. Evaluation of carbohydrate restriction as primary treatment for post-gastric bypass hypoglycemia. Surg Obes Relat Dis. 2016 Nov 5. pii: S1550-7289(16)30807-3. http://dx.doi.org/10.1016/j.soard.2016.11.004. [Epub ahead of print].
24. Kneepkens, C.M., Fernandes, J., Vonk, R.J., Dumping syndrome in children. Diagnosis and effect of glucomannan on glucose tolerance and absorption. Acta Paediatr Scand 77:2 (1988), 279–286.
25. Speth, P.A., Jansen, J.B., Lamers, C.B., Effect of acarbose, pectin, a combination of acarbose with pectin, and placebo on postprandial reactive hypoglycaemia after gastric surgery. Gut 24:9 (1983), 798–802.
26. Jenkins, D.J., Gassull, M.A., Leeds, A.R., et al. Effect of dietary fiber on complications of gastric surgery: prevention of postprandial hypoglycemia by pectin. Gastroenterology 73:2 (1977), 215–217.
27. Bell, K.J., Smart, C.E., Steil, G.M., Brand-Miller, J.C., King, B., Wolpert, H.A., Impact of fat, protein, and glycemic index on postprandial glucose control in type 1 diabetes: implications for intensive diabetes management in the continuous glucose monitoring era. Diabetes Care 38:6 (2015), 1008–1015.
28. Nguyen, N.Q., Debreceni, T.L., Burgstad, C.M., Effects of fat and protein preloads on pouch emptying, intestinal transit, glycaemia, gut hormones, glucose absorption, blood pressure and gastrointestinal symptoms after Roux-en-Y gastric bypass. Obes Surg 26:1 (2016), 77–84.
29. Heber, D., Greenway, F.L., Kaplan, L.M., Endocrine Society. Endocrine and nutritional management of the post-bariatric surgery patient: an Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab 95:11 (2010), 4823–4843.
30. Moizé, V.L., Pi-Sunyer, X., Mochari, H., Vidal, J., Nutritional pyramid for post-gastric bypass patients. Obes Surg 20:8 (2010), 1133–1141.
31. Allied Health Sciences Section Ad Hoc Nutrition Committee, Aills, L., Blankenship, J., Buffington, C., Furtado, M., Parrott, J., ASMBS Allied Health Nutritional Guidelines for the Surgical Weight Loss Patient. Surg Obes Relat Dis 4:5 Suppl (2008), S73–S108.
32. Faria, S.L., Faria, O.P., Buffington, C., de Almeida Cardeal, M., Ito, M.K., Dietary protein intake and bariatric surgery patients: a review. Obes Surg 21:11 (2011), 1798–1805.
33. Mahoney K. Protein supplements & weight-loss surgery. Obesity Action Coalition [homepage on the Web]. Available from: http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/protein-supplements-weight-loss-surgery. (Accessed on 4 Jan 2017).
34. Tzovaras, G., Papamargaritis, D., Sioka, E., et al. Symptoms suggestive of dumping syndrome after provocation in patients after laparoscopic sleeve gastrectomy. Obes Surg 22:1 (2012), 23–28.
35. Tack, J., Arts, J., Caenepeel, P., De Wulf, D., Bisschops, R., Pathophysiology, diagnosis and management of postoperative dumping syndrome. Nat Rev Gastroenterol Hepatol 6:10 (2009), 583–590.
36. Gebhard, B., Holst, J.J., Biegelmayer, C., Miholic, J., Postprandial GLP-1, norepinephrine, and reactive hypoglycemia in dumping syndrome. Dig Dis Sci 46:9 (2001), 1915–1923.
37. van Beek, A.P., Emous, M., Laville, M., Tack, J., Dumping syndrome after esophageal, gastric or bariatric surgery: pathophysiology, diagnosis, and management. Obes Rev 18:1 (2017), 68–85.
38. Zaharieva, D.P., Riddell, M.C., Caffeine and glucose homeostasis during rest and exercise in diabetes mellitus. Appl Physiol Nutr Metab 38:8 (2013), 813–822.
39. Pleus, S., Schoemaker, M., Morgenstern, K., et al. Rate-of-change dependence of the performance of two CGM systems during induced glucose swings. J Diabetes Sci Technol 9:4 (2015), 801–807.
40. Opozda, M., Chur-Hansen, A., Wittert, G., Changes in problematic and disordered eating after gastric bypass, adjustable gastric banding and vertical sleeve gastrectomy: a systematic review of pre-post studies. Obes Rev 17:8 (2016), 770–792.
41. Kaufman, F.R., Halvorson, M., Kaufman, N.D., Evaluation of a snack bar containing uncooked cornstarch in subjects with diabetes. Diabetes Res Clin Pract 35:1 (1997), 27–33.
42. Pigeyre, M., Vaurs, C., Raverdy, V., Hanaire, H., Ritz, P., Pattou, F., Increased risk of OGTT-induced hypoglycemia after gastric bypass in severely obese patients with normal glucose tolerance. Surg Obes Relat Dis 11:3 (2015), 573–577.
43. Nannipieri, M., Belligoli, A., Guarino, D., et al. Risk factors for spontaneously self-reported postprandial hypoglycemia after bariatric surgery. J Clin Endocrinol Metab 101:10 (2016), 3600–3607.