Postprandial hyperinsulinemic hypoglycemia
https://doi.org/10.15829/2713-0177-2023-3-19
Abstract
Reactive hypoglycemia is a relatively rare hypoglycemic condition that develops due to the intake of large amounts of easily digestible carbohydrates. RG can be the result of an excessive insulin response associated with either insulin resistance or increased levels of glucagon-like peptide-1 and defects in glucagon regulation, and the most common cause of postprandial hypoglycemia (50-70%) is high insulin sensitivity. Such situations can occur in people who are very thin or who have significantly lost weight. The development of WG may be influenced by the patient’s dietary habits (high carbohydrate, low fat diet, alcohol consumption). In these conditions, insulin secretion becomes inadequate to blood glucose levels, causing hyperinsulinemic hypoglycemia.
This article presents a clinical case of a patient with idiopathic reactive hypoglycemia, which began to be observed in adolescence and was characterized by a decrease in glycemic levels in response to foods high in easily digestible carbohydrates
About the Authors
A. A. Akmedova
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Clinical Resident of the Department of Endocrinology
117997, Moscow, st. Ostrovityanova, 1
F. O. Ushanova
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Candidate of Medical Sciences, Associate Professor of the Department of Endocrinology
117997, Moscow, st. Ostrovityanova, 1
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Review
For citations:
Akmedova A.A., Ushanova F.O. Postprandial hyperinsulinemic hypoglycemia. FOCUS. Endocrinology. 2023;4(3):74-79. (In Russ.) https://doi.org/10.15829/2713-0177-2023-3-19
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