Hyperinsulinemic hypoglycaemia, nesidioblastosis, late dumping, satiety, metabolism Nutritional, Metabolic, Endocrine
Conditions
Interventions
After an overnight fast, all subjects will undergo a Mixed Meal Tolerance Test (MMTT) consisting of 200mL Ensure® Plus (Abbott Laboratories, North Chicago, IL, USA) containing 300 kcal, 12.5 g protein
Sponsors
Medical Center Leeuwarden
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Patients who underwent primary Roux-en-Y gastric bypass surgery between 2008 and 2011 2. Age between 18 and 75 years 3. Informed consent
Exclusion criteria
Exclusion criteria: Patients with diabetes mellitus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The prevalence of hyperinsulinemic hypoglycemia after gastric bypass during a 3.5 hour Mixed Meal Tolerance Test (MMTT). Symptoms will be assessed by the Dumping Severity Score and other questionnaires every 30 minutes and blood collection will be performed at baseline and 10, 20, 30, 60, 90, 120, 150, 180 and 210 minutes after the start of the test meal. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Sensitivity and specificity of the Dumping Severity Score and other questionnaires for early and late dumping assessed every 30 minutes during the 3.5 hour MMTT 2. Plasma incretin (i.e., gastrointestinal hormone) concentrations during the 3.5 hour MMTT with blood collection at baseline and 10, 20, 30, 60, 90, 120, 150, 180 and 210 minutes after the start of the test meal 3. Plasma amino acid concentrations during the 3.5 hour MMTT with blood collection at baseline and 10, 20, 30, 60, 90, 120, 150, 180 and 210 minutes after the start of the test meal 4. Other blood parameters during the 3.5 hour MMTT with blood collection at baseline and 10, 20, 30, 60, 90, 120, 150, 180 and 210 minutes after the start of the test meal 5. Satiety scores, measured every 30 minutes using a visual analogue scale (VAS) during the 3.5 hour MMTT | — |
Countries
Netherlands
Outcome results
None listed