Endocrine Abstracts

Introduction: Reactive hypoglycemia (RH) is characterized by postprandial hypoglycemic disorder aggravated by the ingestion of high glycaemic index (GI) foods.

The aim of this study was to evaluate the effectiveness of dietary regimen recommended for patients with RH.

Methods: This interventional prospective study included 20 patients consulted with symptoms suggesting RH, duration of monitoring was one month. Data had been collected by a spontaneous dietary survey and a questionnaire containing four items (demographic conditions, eating habits and lifestyle; evaluation of the effectiveness of the regimen). The questionnaire data had been collected before and after the diet regimen. Data entry was made by the Excel and analyzed by SPSS statistical software 16 and 19 and the food BILNUT investigation software.

Results: The mean age of the patients was 45.4±14 years. Daily caloric intake has been decreased from mean 2910.6 to 2717.1 Kcal/day and even carbohydrate intake of 396.3 (±213.7) to 314.5 (±102.3) g/day.

Daily intakes of respective proportions before and after the diet as shown below: for the protein was 90 (±35.8) and 90.4 (±21.8) g/day for the fibbers was 20.8 and 30 g/day for lipids was 107.3 (±46.2) and 122 (±25.1) g/day. There was significant reduction in frequency and severity of hypoglycemia (P=0.021).

Discussion and conclusion: The recommended regimen was effective in reducing episodes and severity of RH. We need other long-term prospective studies to better explain factors involved in this effectiveness.