Obesity

The efficacy of GLP‐1RAs for the management of postprandial hypoglycemia following bariatric surgery: a systematic review

Obesity (Silver Spring)Published Systematic review

Authors' conclusion

This first, to the authors' knowledge, systematic review presents evidence suggesting that use of GLP-1RAs does not lead to an increase of hypoglycemic episodes, and, although this approach may appear counterintuitive, the findings suggest that GLP-1RAs could reduce the number of postprandial hypoglycemic episodes and improve glycemic variability.

Study context

Population
Patients with postprandial hyperinsulinemic hypoglycemia following RYGB or gastric sleeve surgery
Comparison
GLP-1 RA for postprandial hypoglycaemia after bariatric surgery
Outcome
Hypoglycemic episodes and glycemic variability
Methodological detailsPRISMA-P, Cochrane Handbook methods
  • PRISMA-P
  • Cochrane Handbook methods

Pooled result

As reported in the abstract

  • GLP-1RA use does not lead to an increase of hypoglycemic episodes
  • GLP-1RAs could reduce the number of postprandial hypoglycemic episodes and improve glycemic variability

Original publication

The efficacy of GLP‐1RAs for the management of postprandial hypoglycemia following bariatric surgery: a systematic review. Obesity (Silver Spring). Published 10 December 2022. doi:10.1002/oby.23600

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