Approach to Reactive Hypoglycemia

Abstract

Hypoglycemia episodes are a real nightmare for physicians and as well as patients. If clinician comes across non-diabetic patients visiting their clinic with symptoms of an episode of hypoglycemia like tachycardia, cold sweats, hunger, tremor, and other autonomic nervous symptoms after 3 to 4 hours of their meal, and during the event, their random blood sugar is <70mg/dl with all adrenergic and neuroglycopenic symptoms usually following a carbohydrate-rich meal diet. This kind of hypoglycemia is known as Reactive Hypoglycemia (RH) or Postprandial hypoglycemia (PPH). This article will help physicians to better understand reactive hypoglycemia diagnosis, differential diagnosis, and management. The categorization of the patient with hypoglycemia is the key to treating and avoiding future hypoglycemic episodes Keywords: Hypoglycemia, Reactive hypoglycemia, Postprandial hypoglycemia, Diabetes