Obesity Abstracts

Post-bariatric-surgery hypoglycaemia (PBH) typically presents at least six months post-operatively, particularly in those who have undergone Roux-en-Y gastric bypass (RYGB). PBH is characterised by high postprandial insulin and glucagon-like peptide-1 secretion, leading to hypoglycaemia 1-3 hours after consumption of meals that are high in carbohydrate content. We present the case of a 47-year-old female, who underwent RYGB in 2009, without prior history of diabetes. Seven yea...

This is a case of 47 year old lady with severe and complex obesity BMI 80 kg/m2.Medical background: Type 2 diabetes, obstructive sleep apnoea on CPAP, depression and osteoarthritis and acute pancreatitis likely due to gallstones in 2020. Her medication list included pioglitazone 45 mg, gliclazide 160 mg, liraglutide (Victoza) 1.8 mg, metformin 1000 mg twice daily, citalopram and ramipril. Her latest HbA1c in September 2023 was 10.1% (87 ...