[PDF] Education To Improve The Management Of Reactive Hypoglycemia In Gastric Bypass Patients eBook

Author : Heather E. Sylvester
Publisher :
Page : 32 pages
File Size : 14,8 MB
Release : 2004
Category : Gastric bypass
ISBN :

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Following gastric bypass surgery, some patients experience symptoms of reactive hypoglycemia 2 to 4 hours postprandial. When these patients are advised to eat only 3 times per day, they struggle to avoid eating more frequently to alleviate symptoms. The extra calories obtained from snacks between meals make weight loss more challenging. The purpose of this study was twofold. First, it sought to identify eating behaviors that precede hypoglycemic symptoms among gastric bypass patients. Second, an educational intervention was developed for these patients based on eating behaviors identified. The objective of the intervention was to reduce the symptoms of reactive hypoglycemia in gastric bypass patient through dietary changes. A convenience sample of 4 gastric bypass patients participated in the study. Subjects recorded their food intake and hypoglycemic symptoms for 3 days. Food and symptom records were analyzed to determine eating behaviors that preceded symptoms. A nutrition education intervention was created and used to educate the subjects on eating behaviors to prevent reactive hypoglycemia. After receiving education, subjects recorded their food intake and hypoglycemic symptoms again for 3 days. These food and symptom records were compared to the initial food and symptom records. Subjects reported reactive hypoglycemic symptoms an average of 4.5 times during the 3 days prior to education. Forty-four percent of symptoms occurred after a meal was eaten following an overnight fast or a skipped meal. Sixty-seven percent occurred after high carbohydrate meals. Sixty-seven percent occurred after meals low in dietary fiber. After nutrition education, the mean number of reported hypoglycemic events during 3 days decreased to 2.7. The severity of symptoms did not notably change. The data suggest that symptoms of reactive hypoglycemia may be associated with certain eating behaviors, including the failure to eat small, frequent meals and the consumption of meals high in carbohydrate and meals low in dietary fiber. Bariatric patients who experience reactive hypoglycemia may not be appropriate for the guideline of eating only three meals per day. They many benefit from education regarding the eating behaviors to prevent symptoms.

Author : F. John Service
Publisher :
Page : 208 pages
File Size : 49,13 MB
Release : 1983
Category : Medical
ISBN :

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Abstract: A comprehensive text discusses the current state of knowledge on the physiology of glucose homeostasis, the various metabolic disturbances that result in hypoglycemia, and clinical features of the various hypoglycemic syndromes. The 9 chapters present information for medical students, practitioners, internists, and other health professionals. Topics covered include: physiological and pathological considerations; infant and child hypoglycemia; clinical aspects and diagnosis in adults; insulinoma; and various types of hypoglycemias (e.g., drug-induced; factitial and autoimmune; resulting from liver, kidney, or endocrine disorders; reactive types). Numerous figures, and references are given throughout the text. (wz).

Author : Philip Cryer
Publisher : American Diabetes Association
Page : 194 pages
File Size : 23,46 MB
Release : 2016-07-12
Category : Medical
ISBN : 1580406491

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Intended for diabetes researchers and medical professionals who work closely with patients with diabetes, this newly updated and expanded edition provides new perspectives and direct insight into the causes and consequences of this serious medical condition from one of the foremost experts in the field. Using the latest scientific and medical developments and trends, readers will learn how to identify, prevent, and treat this challenging phenomenon within the parameters of the diabetes care regimen.

Author : Boris Draznin
Publisher : American Diabetes Association
Page : 338 pages
File Size : 48,80 MB
Release : 2016-05-20
Category : Medical
ISBN : 1580406572

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As the number of patients with diabetes increases annually, it is not surprising that the number of patients with diabetes who are admitted to the hospital also increases. Once in the hospital, patients with diabetes or hyperglycemia may be admitted to the Intensive Care Unit, require urgent or elective surgery, enteral or parenteral nutrition, intravenous insulin infusion, or therapies that significantly impact glycemic control (e.g., steroids). Because many clinical outcomes are influenced by the degree of glycemic control, knowledge of the best practices in inpatient diabetes management is extremely important. The field of inpatient management of diabetes and hyperglycemia has grown substantially in the last several years. This body of knowledge is summarized in this book, so it can reach the audience of hospitalists, endocrinologists, nurses and other team members who take care of hospitalized patients with diabetes and hyperglycemia.

Author : Ninh T. Nguyen
Publisher : Springer Nature
Page : 654 pages
File Size : 50,33 MB
Release : 2019-10-16
Category : Medical
ISBN : 3030270211

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​The fully updated 2nd edition of this textbook continues to serve as a comprehensive guide for information dealing with the ever-evolving field of bariatric surgery. The chapters are written by experts in the field and include the most up-to-date information, including new sections on quality in bariatric surgery, endoscopic surgery, and management of bariatric complications. This new edition continues to cover the basic considerations for bariatric surgery, the currently accepted procedures, outcomes of bariatric surgery including long-term weight loss, improvement and resolution of comorbidities, and improvement in quality of life. Other special emphasis is given to the topics of metabolic surgery and surgery for patients with lower BMI. In addition, new endoscopic bariatric procedures including the gastric balloons, endoscopic revisional procedures, and newer pharmacotherapy for obesity are reviewed. The ASMBS Textbook of Bariatric Surgery Second Edition will continue to be a leading source of scientific information for surgeons, physicians, residents, students, and integrated health members today and for years to come.

Author : M. Asif Chaudry
Publisher : Oxford University Press
Page : 368 pages
File Size : 24,20 MB
Release : 2014-02
Category : Medical
ISBN : 0199663203

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A quick-reference guide for the myriad of surgical conditions that trainees and consultants in upper gastrointestinal surgery will face, containing a wealth of evidence-based expert advice as well as practical, highly-illustrated coverage of operative techniques.

Author : Banshi Saboo
Publisher : Jaypee Brothers Medical Publishers
Page : 505 pages
File Size : 20,86 MB
Release : 2021-03-31
Category : Medical
ISBN : 9352701267

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Diabetes mellitus is a group of metabolic diseases in which a person has high blood sugar, either because the body does not produce enough insulin, or because cells do not respond to the insulin that is produced. The latest edition of this reference provides endocrinologists with the latest advances in the diagnosis and management of diabetes. Beginning with an overview of epidemiology, pathophysiology and metabolism, the next sections discuss presentations of diabetes, therapeutic management, complications, and comorbidities. The following chapters cover diabetes in certain population groups, education and technology, nutrition, glucose monitoring, and research. The book concludes with a section dedicated to Type 1 diabetes, and a selection of journal reviews. Flow diagrams, tables and figures further enhance the comprehensive text. Key points Latest edition of comprehensive reference detailing latest advances in diagnosis and management of diabetes Covers numerous therapeutic methods Complete sections dedicated to Type 1 diabetes and journal reviews Highly illustrated with flow diagrams, tables and figures

Author : Leslie Neal-Boylan
Publisher : John Wiley & Sons
Page : 432 pages
File Size : 22,59 MB
Release : 2011-11-28
Category : Medical
ISBN : 1118277856

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Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.