Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test

We herein report a case of a 20-year-old woman who experienced hypoglycemia in parallel with acute weight loss confirmed by continuous glucose motoring (CGM). When she recovered from the acute weight loss, CGM revealed nocturnal and postprandial hypoglycemia. Six months were required to resolve the...

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Autores principales: Masuda, Seizaburo, Murakami, Masanori, Bouchi, Ryotaro, Minami, Isao, Hashimoto, Koshi, Yoshimoto, Takanobu, Ogawa, Yoshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874342/
https://www.ncbi.nlm.nih.gov/pubmed/29151531
http://dx.doi.org/10.2169/internalmedicine.9452-17
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author Masuda, Seizaburo
Murakami, Masanori
Bouchi, Ryotaro
Minami, Isao
Hashimoto, Koshi
Yoshimoto, Takanobu
Ogawa, Yoshihiro
author_facet Masuda, Seizaburo
Murakami, Masanori
Bouchi, Ryotaro
Minami, Isao
Hashimoto, Koshi
Yoshimoto, Takanobu
Ogawa, Yoshihiro
author_sort Masuda, Seizaburo
collection PubMed
description We herein report a case of a 20-year-old woman who experienced hypoglycemia in parallel with acute weight loss confirmed by continuous glucose motoring (CGM). When she recovered from the acute weight loss, CGM revealed nocturnal and postprandial hypoglycemia. Six months were required to resolve the hypoglycemia and hyperinsulinemia after the recovery of her weight. Our case suggests that the adaption of insulin secretion to the rapid loss of weight and to the recovery of weight may require a long period of time, leading to the excessive secretion of insulin relative to the glucose level and repeated hypoglycemic episodes with postprandial hyperinsulinemia.
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spelling pubmed-58743422018-03-29 Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test Masuda, Seizaburo Murakami, Masanori Bouchi, Ryotaro Minami, Isao Hashimoto, Koshi Yoshimoto, Takanobu Ogawa, Yoshihiro Intern Med Case Report We herein report a case of a 20-year-old woman who experienced hypoglycemia in parallel with acute weight loss confirmed by continuous glucose motoring (CGM). When she recovered from the acute weight loss, CGM revealed nocturnal and postprandial hypoglycemia. Six months were required to resolve the hypoglycemia and hyperinsulinemia after the recovery of her weight. Our case suggests that the adaption of insulin secretion to the rapid loss of weight and to the recovery of weight may require a long period of time, leading to the excessive secretion of insulin relative to the glucose level and repeated hypoglycemic episodes with postprandial hyperinsulinemia. The Japanese Society of Internal Medicine 2017-11-20 2018-03-01 /pmc/articles/PMC5874342/ /pubmed/29151531 http://dx.doi.org/10.2169/internalmedicine.9452-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Masuda, Seizaburo
Murakami, Masanori
Bouchi, Ryotaro
Minami, Isao
Hashimoto, Koshi
Yoshimoto, Takanobu
Ogawa, Yoshihiro
Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test
title Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test
title_full Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test
title_fullStr Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test
title_full_unstemmed Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test
title_short Repeated Hypoglycemic Episodes with Postprandial Hyperinsulinemia after the Recovery from Acute Weight Loss Revealed by Continuous Glucose Monitoring and the Oral Glucose Tolerance Test
title_sort repeated hypoglycemic episodes with postprandial hyperinsulinemia after the recovery from acute weight loss revealed by continuous glucose monitoring and the oral glucose tolerance test
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874342/
https://www.ncbi.nlm.nih.gov/pubmed/29151531
http://dx.doi.org/10.2169/internalmedicine.9452-17
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