This protocol covers late dumping syndrome presenting as reactive hypoglycaemia in the 1–3 hour post-prandial window. The defining criterion is a nadir blood glucose below 50 mg/dl, consistent with pathological late post-meal hypoglycaemia.
Late dumping syndrome usually occurs 1–3 h after a meal and is characterised by reactive hypoglycaemia. A modified oral glucose tolerance test is considered positive when late hypoglycaemia (<50 mg/dl, at 60–180 min after ingestion) develops.
The primary intervention is dietary modification, which is generally beneficial for the majority of patients. Adjustments target both meal composition and post-meal behaviour — the complete, structured regimen with all recommended steps is available via the link below.
Late dumping syndrome usually occurs 1–3 h after a meal and is characterized by (reactive) hypoglycaemia.
The modified OGTT is considered positive for late dumping syndrome based on the development of late (60–180 min after ingestion) hypoglycaemia (<50 mg/dl).
Dietary modification is the initial approach, and is usually beneficial for the majority of patients.
DOI: 10.1038/s41574-020-0357-5
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