Hazlehurst, Jonathan; Khoo, Bernard; Lobato, Carolina Brito; Ilesanmi, Ibiyemi; Abbott, Sally; Chan, Tin; Pillai, Sanesh; ... Tan, Tricia M-M; + view all Hazlehurst, Jonathan; Khoo, Bernard; Lobato, Carolina Brito; Ilesanmi, Ibiyemi; Abbott, Sally; Chan, Tin; Pillai, Sanesh; Maslin, Kate; Purkayastha, Sanjay; McGowan, Barbara; Andrews, Rob; Tan, Tricia M-M; - view fewer (2024) Society for Endocrinology (SfE) guidelines for the diagnosis and management of post bariatric hypoglycaemia. Endocrine Connections , 13 (5) , Article e230285. 10.1530/EC-23-0285.

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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.

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