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.
Level 4 - case-series / case-control
Single clinical case report
PubMed 27150868 · doi:10.2169/internalmedicine.55.5655
What was done
This case report describes the clinical management of a single patient with reactive hypoglycemia secondary to late dumping syndrome following a total gastrectomy. The intervention consisted of concurrent therapy with an alpha-glucosidase inhibitor (miglitol) and a low-carbohydrate diet based on low-glycemic-index foods.
What was found
The abstract reports that the combined regimen effectively ameliorated postprandial fluctuations in blood glucose and plasma insulin levels. However, the abstract provides no specific numerical values, baseline metrics, or statistical measurements.
Why it matters
It highlights a combined dietary and pharmacological approach (miglitol plus a low-glycemic-index, low-carbohydrate diet) for managing reactive hypoglycemia secondary to late dumping syndrome.
Limits
This is an uncontrolled single-patient case report (n = 1), preventing causal confirmation or generalization. No quantitative glycemic or insulin values are reported in the abstract.
Cited by
- supports In hypoglycemia, consuming refined sugar or starches elevates blood sugar temporarily but triggers an insulin spike that drives glucose back down, worsening the condition over time.