Types of Reactive Hypoglycemia
There are different kinds of reactive hypoglycemia:
- Alimentary Hypoglycemia (consequence of dumping syndrome; it occurs in about 15% of people who have had stomach surgery)
- Hormonal Hypoglycemia (e.g., hypothyroidism)
- Helicobacter pylori-induced gastritis (some reports suggest this bacteria may contribute to the occurrence of reactive hypoglycemia)
- Congenital enzyme deficiencies (hereditary fructose intolerance, galactosemia, and leucine sensitivity of childhood)
- Late Hypoglycemia (Occult Diabetes; characterized by a delay in early insulin release from pancreatic β-cells, resulting in initial exaggeration of hyperglycemia during a glucose tolerance test)
"Idiopathic Reactive Hypoglycemia" is a term no longer used because researchers now know the underlying causes of reactive hypoglycemia and have both the tools to perform the diagnosis and the pathophysiological data explaining the mechanisms.
To check if there is real hypoglycemia when symptoms occur, neither an oral glucose tolerance test nor a breakfast test is effective; instead, a hyperglucidic breakfast test or ambulatory glucose testing is the current standard.
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