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. 2024 Apr 1;13(5):e230285. doi: 10.1530/EC-23-0285

Table 2.

Summary table of studies of OGTT in PBH.

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.