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. Author manuscript; available in PMC: 2020 Jul 1.
Published in final edited form as: Curr Opin Clin Nutr Metab Care. 2019 Jul;22(4):295–302. doi: 10.1097/MCO.0000000000000574

FIGURE 1.

FIGURE 1.

Changes in glucose delivery and glucose utilization typical of gastric bypass surgery and the steps that are implicated in the pathogenesis of hypoglycemia after this procedure. The glycemic gradient across the liver contributing to enhanced net hepatic glucose uptake is shown by different font sizes in this figure. ☆, Gastric bypass effect; ☆, Pathophysiologic defect specific to hypoglycemia; ★, Treatment options utilized based on pathogenic factors. CNS, central nervous system; GE, gastric emptying; GLP-1, glucagon-like peptide-1; IR, insulin receptor; SG, glucose effectiveness.