Michio Otsuki    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Professor and Division head
Article types	Case report
Language	English
Peer review	Peer reviewed
Title	Successful treatment of reactive hypoglycemia secondary to late dumping syndrome using miglitol
Journal	Formal name：Internal Medicine Abbreviation：Intern Med ISSN code：09182918
Domestic / Foregin	Domestic
Volume, Issue, Page	51(18),pp.2581-2585
Author and coauthor	Fujita, Y. Tamada, D. Kozawa, J. Kobayashi, Y. Sasaki, S. Kitamura, T. Yasuda, T. Maeda, N. Otsuki, M. Okita, K. Iwahashi, H. Kaneto, H. Funahashi, T. Imagawa, A. Shimomura, I.
Publication date	2012
Summary	We herein describe a 59-year-old woman who had undergone a total gastrectomy for gastric carcinoma and suffered from postprandial hypoglycemia characterized by a loss of consciousness and spasms. She was diagnosed with reactive hypoglycemia and treated with nutrition therapy, but the frequency and severity of the hypoglycemic episodes did not decrease. She was subsequently treated successfully with miglitol, an alpha-glucosidase inhibitor (alpha-GI) taken twice a day; other alpha-GIs (acarbose and voglibose) were not effective. In conclusion, the administration of miglitol was effective for preventing reactive hypoglycemia secondary to late dumping syndrome.
DOI	10.2169/internalmedicine.51.8171.
Document No.	22989830