Society for Endocrinology (SfE) guidelines for the diagnosis and management of post bariatric hypoglycaemia.
Hazlehurst, Jonathan Khoo, Bernard Lobato, Carolina Brito Ilesanmi, Ibiyemi Abbott, Sally Chan, Tin Pillai, Sanesh Maslin, Kate Purkayastha, Sanjay McGowan, Barbara
Hazlehurst, Jonathan
Khoo, Bernard
Lobato, Carolina Brito
Ilesanmi, Ibiyemi
Abbott, Sally
Chan, Tin
Pillai, Sanesh
Maslin, Kate
Purkayastha, Sanjay
McGowan, Barbara
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2024-03-01
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Abstract
Post bariatric hypoglycaemia (PBH) is typically a post-prandial hypoglycaemia occurring about 2-4 hours after eating in people who have undergone bariatric surgery. PBH develops relatively late after surgery and often after discharge from post-surgical follow-up by bariatric teams, leading to variability in diagnosis and management in non-specialist centres.
Aim: to improve and standardise clinical practice in the diagnosis and management of PBH.
Objectives: (1) to undertake an up-to-date review of the current literature; (2) to formulate practical and evidence-based guidance with regards on the diagnosis and treatment of PBH; (3) to recommend future avenues for research in this condition.
Method: A scoping review was undertaken after an extensive literature search. A consensus on the guidance and confidence in the recommendations was reached by the steering group authors prior to review by key stakeholders.
Outcome: We make pragmatic recommendations for the practical diagnosis and management of PBH including criteria for diagnosis and recognition, as well as recommendations for research areas that should be explored.
Citation
Hazlehurst J, Khoo B, Lobato CB, Ilesanmi I, Abbott S, Chan T, Pillai S, Maslin K, Purkayastha S, McGowan B, Andrews R, Tan TM. Society for Endocrinology guidelines for the diagnosis and management of post-bariatric hypoglycaemia. Endocr Connect. 2024 May 1;13(5):e230285. doi: 10.1530/EC-23-0285. Epub 2024 Apr 1.
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