post bariatric hypoglycemia, RYGB, OAGB
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - (Roux-en-Y gastric bypass) RYGB or OAGB (mini-gastric bypass) - documented hypoglycemia with self-measured glucose (SMBG) < 3.0 mM, blinded continuous glucose monitoring (cgm) 2.8 mM or Meal Test ( < 3.0 mM) - neuroglycopenic symptoms: behavioral changes, confusion, loss of consciousness, seizures - symptom resolution after normalization of blood glucose - hypoglycemic episodes despite adequate dietary advice* and interfering with daily activities, socially and/or work-related - willingness to participate
Exclusion criteria
Exclusion criteria: - diabetes or use of diabetic medication when medical treatment of PBH was started - Addison’s disease or glucocorticoid use - pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| -Number of drugs currently used for PBH: 1, 2, 3, more Then for each drug: -Name of drug -Number in line of treatment: first, second, third, etc. -Replacement or addition -Daily total dosage used -Start date (month-year) -Treatment effect: objective : 1. resolution of severe hypoglycemia (neuroglycopenia or glucose (SMBG) 50% resolution, < 50% resolution, 0-20% resolution 2. number of hypoglycemic events per week/month for which action is needed subjective :1. As documented in the file: semi-quantitive: complete resolution, near-complete, acceptable decrease, not enough decrease, no decrease in hypo-episodes 2. Patient questionnaire: see questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| - Side effects: no, yes-acceptable, yes-not acceptable Kind of side effect Current use: yes, no-date stopped (month-year), | — |
Contacts
Medisch Centrum Leeuwarden