Concurrent Therapy with a Low-carbohydrate Diet and Miglitol Remarkably Improved the Postprandial Blood Glucose and Insulin Levels in a Patient with Reactive Hypoglycemia due to Late Dumping Syndrome
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- Hirose Sachie
- Division of Diabetes and Endocrinology, Department of Internal Medicine, Chibune General Hospital, Japan
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- Iwahashi Yasuyuki
- Division of Diabetes and Endocrinology, Department of Internal Medicine, Chibune General Hospital, Japan
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- Seo Akane
- Division of Diabetes and Endocrinology, Department of Internal Medicine, Chibune General Hospital, Japan
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- Sumiyoshi Michitaka
- Division of Diabetes and Endocrinology, Department of Internal Medicine, Chibune General Hospital, Japan
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- Takahashi Tetsuya
- Division of Diabetes and Endocrinology, Department of Internal Medicine, Chibune General Hospital, Japan
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- Tamori Yoshikazu
- Division of Diabetes and Endocrinology, Department of Internal Medicine, Chibune General Hospital, Japan Division of Diabetes and Endocrinology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Japan
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抄録
Reactive hypoglycemia induced by late dumping syndrome is often observed after gastrectomy. However, no effective therapy has yet been fully established. We herein describe a case in which concurrent therapy with a low-carbohydrate diet using low-glycemic-index food and an alpha-glucosidase inhibitor, miglitol, very effectively ameliorated the postprandial fluctuations in the blood glucose and plasma insulin levels in a patient with reactive hypoglycemia due to late dumping syndrome following total gastrectomy. The administration of miglitol under a low-carbohydrate diet using low-glycemic-index food may therefore be an ideal treatment for reactive hypoglycemia due to late dumping syndrome.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 55 (9), 1137-1142, 2016
一般社団法人 日本内科学会