Symptomatic hypoglycemia complicating pregnancy following Roux-en-Y gastric bypass surgery.
Symptomatic hypoglycemia is a known consequence of gastric bypass surgery, which is being performed with increased frequency in reproductive-aged women. A 36-year old woman presented at 24 weeks' gestation, 39 months following Roux-en-Y gastric bypass (RYGBP), with new onset symptomatic hypoglycemia. Lightheadedness and syncope coinciding with postprandial glucose levels of 34-57 mg/dL responded to dietary modifications. Following RYGBP physiologic changes of pregnancy may precipitate clinically significant hypoglycemia in the previously asymptomatic patient.
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, ME, USA. waxj@mmc.org
Joseph R
JR
Wax
Deirdre
D
Heersink
Michael G
MG
Pinette
Angelina
A
Cartin
Jacquelyn
J
Blackstone
D000328:Adult; D005260:Female; D015390:Gastric Bypass / Q000009:adverse effects*; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy