Skip to main content

Idiopathic Postprandial Syndrome

  • Chapter
  • First Online:

Abstract

Reactive or postprandial hypoglycemia is a nonspecific term referring to hypoglycemia (glucose <55 mg/dL) that occurs up to 4 hours after a meal (Brun et al. Diabetes Metab 26:337–351). This terminology is purely a description of the timing of a hypoglycemic event; an evaluation for a possible etiology should subsequently be pursued. Patients with hypoglycemic symptoms but without chemical hypoglycemia are often erroneously characterized as having reactive or postprandial hypoglycemia. Idiopathic postprandial syndrome refers to hypoglycemic symptoms that occur without chemical evidence of hypoglycemia. Once other etiologies for hypoglycemic symptoms are excluded, it is then appropriate to identify hypoglycemic symptoms without chemical hypoglycemia as idiopathic postprandial syndrome.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Cryer PE. Minimizing hypoglycemia in diabetes. Diabetes Care. 2015;38(3):1583–91.

    Google Scholar 

  2. Whipple AO. The surgical therapy of hyperinsulinism. J Int Chir. 1938;3:237.

    Google Scholar 

  3. Cryer PE, Axelrod L, Grossman AB, Heller SR, Montori VM, Seaquist ER, Service FJ. Evaluation and management of adult hypoglycemic disorders: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2009;94(3):709–28.

    Article  CAS  Google Scholar 

  4. Murad MH, Coto Yglesias F, Wang AT, Mullan RJ, Elamin M, Sheidaee N, Erwin PJ, Montori VM. Drug-induced hypoglycemia: a systematic review. J Clin Endocrinol Metab. 2009;94:741–5.

    Article  CAS  Google Scholar 

  5. Golightly LK, Simendinger BA, Barber GR, Stolpman NM, Kick SD, McDermott MT. Hypoglycemic effects of tramadol analgesia in hospitalized patients: a case-control study. J Diabetes Metab Disord. 2017;16:30.

    Article  Google Scholar 

  6. Brun JF, Fedou C, Mercier J. Postprandial reactive hypoglycemia. Diabetes Metab. 2000;26(5):337–51.

    CAS  PubMed  Google Scholar 

  7. Kurihara K, Tamai A, Yoshida Y, Yakushiji Y, Ueno H, Fukumoto M, Hosoi M. Effectiveness of sitagliptin in a patient with late dumping syndrome after total gastrectomy. Diabetes Metab Syndr. 2018;12:203–6.

    Article  Google Scholar 

  8. Charles MA, Hofeldt F, Shackelford A, Waldeck N, Dodson LE Jr, Bunker D, Coggins JT, Eichner H. Comparison of oral glucose tolerance tests and mixed meals in patients with apparent idiopathic postabsorptive hypoglycemia: absence of hypoglycemia after meals. Diabetes. 1981;30(6):465–70.

    Article  CAS  Google Scholar 

  9. Lee KT, Abadir PM. Failure of glucose monitoring in an individual with pseudohypoglycemia. J Am Geriatr Soc. 2015;63(8):1706–8.

    Article  Google Scholar 

  10. Berlin I, Grimaldi A, Landault C, Cesselin F, Puech AJ. Suspected postprandial hypoglycemia is associated with beta-adrenergic hypersensitivity and emotional distress. J Clin Endocrinol Metab. 1994;79(5):1428–33.

    CAS  PubMed  Google Scholar 

  11. Ozgen AG, Hamulu F, Bayraktar F, Cetínkalp S, Yilmaz C, Túzún M, Kabalak T. Long-term treatment with acarbose for the treatment of reactive hypoglycemia. Eat Weight Disord. 1998;3(3):136.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Helen M. Lawler .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Lawler, H.M. (2019). Idiopathic Postprandial Syndrome. In: McDermott, M. (eds) Management of Patients with Pseudo-Endocrine Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-22720-3_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-22720-3_8

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22719-7

  • Online ISBN: 978-3-030-22720-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics