Evidence map›Paper›PMID 28392017›Full record

ReviewSurgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery2017

Medical nutrition therapy for post-bariatric hypoglycemia: practical insights.

Emmy Suhl, Sue-Ellen Anderson-Haynes, Christopher Mulla, Mary-Elizabeth Patti

Registry-linked trialAbstract readReview
In one paragraph

Review in Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03385707 (Hypoglycemia and the Gut Microbiome), which is not on this map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03385707 active not recruitingnot on this mapstarted 2019, after this paper: background citation

Hypoglycemia and the Gut Microbiome

TypeobservationalSponsorJoslin Diabetes CenterRan2019 to 2026Enrolled28ConditionsHypoglycemia
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Symptomatic reactive hypoglycemia is highly prevalent post-esophagectomy.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2026
    Article
  8. Article
  9. Influence of dietary intake and eating patterns on reactive hypoglycemic events in patients postesophagectomy: A prospective observational study using continuous glucose monitoring.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Observational
  10. Article
  11. Hypoglycemia following metabolic and bariatric surgery: evidence from objective and subjective naturalistic assessment methods.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2026
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Emmy SuhlHypoglycemia Clinic, Joslin Diabetes Center, Boston MA.
Sue-Ellen Anderson-HaynesHypoglycemia Clinic, Joslin Diabetes Center, Boston MA.
Christopher MullaHypoglycemia Clinic, Joslin Diabetes Center, Boston MA; Research Division, Joslin Diabetes Center, Boston, MA; Harvard Medical School, Boston, MA.
Mary-Elizabeth PattiHypoglycemia Clinic, Joslin Diabetes Center, Boston MA; Research Division, Joslin Diabetes Center, Boston, MA; Harvard Medical School, Boston, MA. Electronic address: mary.elizabeth.patti@joslin.harvard.edu.
Joslin Diabetes Center · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI ROHIT N. KULKARNI · 1986 to 2026
$50.5M
TRAINING IN DIABETES AND METABOLISMT32DK007260 · NIDDK · JOSLIN DIABETES CENTER · PI LAURIE J GOODYEAR · 1986 to 2026
$13.6M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Closed-Loop Glucagon Pump for Treatment of Post-Bariatric HypoglycemiaR44DK107114 · NIDDK · XERIS PHARMACEUTICALS, INC. · PI DASSAU, EYAL, PATTI, MARY E · 2015 to 2017
$1.8M
NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R44 DK107114NIDDK NIH HHS T32 DK007260
6 · The paper itself

Abstract

Hypoglycemia is increasingly recognized as a complication of bariatric surgery. Although medications are often required, medical nutrition therapy remains the key cornerstone for successful prevention of hypoglycemia in patients with post-bariatric hypoglycemia (PBH). We provide suggested approaches to the dietary management of PBH, incorporating data from both the medical literature and extensive clinical experience in an academic referral center for PBH. The overall goal of medical nutrition therapy for PBH is to reduce postprandial surges in glucose, which often trigger surges in insulin secretion and promote subsequent hypoglycemia. Thus, strategies focus on controlled portions of low glycemic index carbohydrates, avoidance of rapidly-absorbed carbohydrates, adjustment of timing of meals and snacks, and attention to personal and cultural barriers to implementation.

Indexed as

Alcohol DrinkingBariatric SurgeryCaffeineCentral Nervous System StimulantsDietary CarbohydratesDietary FatsDietary ProteinsDietary SupplementsDiet, HealthyFeeding BehaviorHumansHypoglycemiaMealsMineralsNutrition TherapyPatient Education as TopicCaffeineCentral Nervous System StimulantsDietary CarbohydratesDietary FatsDietary ProteinsMineralsVitaminsBariatric surgeryHypoglycemiaMedical nutrition therapy

Identifiers

PMID28392017
PMCPMC5469688
OpenAlexW2579010290

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.