Table 2.
Study | Population | Type of OGTT when test was done | Definition of hypoglycaemia | Prevalence of hypoglycaemia |
---|---|---|---|---|
Roslin, 2011 (35) | RYGB, n=36 Symptoms not stated |
75 g OGTT over 4 h At least 6 months post-op |
≤60 mg/dL (3.3 mmol/L) or drop of ≥100 mg/dL (5.6 mmol/L) over 1 h | 72% of RYGB |
Chen, 2013 (36) | SG, n=33 RYGB, n=96 Pre-existing T2DM symptoms not stated |
OGTT stimulus not stated, length not stated pre-op, 12 weeks and 12 months post-op |
Not stated | 36.4% of SG 12.5% of RYGB |
Itariu, 2014 (37) | RYGB, n=30 SG, n=3 LAGB, n=3 Symptoms not stated |
75 g OGTT over 2 h Pre-op and approximately 12 months post-op |
<60 mg/dL (3.3 mmol/L) | 50% overall, all in RYGB group 53% of RYGB None for SG and LAGB |
Capristo, 2018 (29) | RYGB, n=59 (4 symptomatic) SG, n=60 (all asymptomatic) |
75 g OGTT over 3 h At 12 months post-op |
<55.8 mg/dL (3.1 mmol/L) | 29% of RYGB 14% of SG |
Pigeyre, 2015 (38) | RYGB, n=222, (including those symptomatic of dumping or hypoglycaemia) LAGB, n=129 (all asymptomatic) |
75 g OGTT over 2 h At 12 months post-op |
<50 mg/dL (2.8 mmol/L) | 10% of RYGB None for LAGB |
Brix, 2019 (39) | RYGB, n=175 SG, n=62 LAGB, n=44 All asymptomatic |
75 g OGTT over 2 h At 24 months post-op |
<2.8 mmol/L | 32.6% after RYGB 22.6% after SG 2.3% after LAGB |
Guarino, 2019 (40) | RYGB, n=35 Pre-existing T2DM (11 had mod-severe symptomatic hypoglycaemia) |
75 g OGTT over 3 h Pre-op and at 24 months post-op |
≤60 mg/dL (3.3 mmol/L) | 31% of RYGB |
Papamargaritis, 2019 (41) | SG, n=18 (symptoms not categorised though scoring included) |
75 g OGTT over 2 h Pre-op and at 6 months post-op |
<60 mg/dL (3.3 mmol/L) | 44% of SG |
Raverdy, 2016 (24) | RYGB, n=957 (prospective unselected cohort) |
75 g OGTT over 2 h, pre- and 1 and 5 years post surgery | <50 mg/dL (2.8 mmol/L) and plasma insulin >3 mU/L at 120 min− | 0.5% at baseline, 9.1% and 7.9% at 12 months and 60 months |
LAGB, laparoscopic adjustable gastric banding; OGTT, oral glucose tolerance test; RYGB, Roux-en-Y gastric bypass; SG, sleeve gastrectomy; T2DM, type 2 diabetes mellitus.