Symptomatic Hypoglycemia Complicating Pregnancy Following Roux-en-Y Gastric Bypass Surgery
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Symptomatic hypoglycemia is a known consequence of gastric bypass surgery, which is being performed with increased frequency in reproductive-aged women. A 36-year old woman presented at 24 weeks–gestation, 39 months following Roux-en-Y gastric bypass (RYGBP), with new onset symptomatic hypoglycemia. Lightheadedness and syncope coinciding with postprandial glucose levels of 34–7 mg/dL responded to dietary modifications. Following RYGBP physiologic changes of pregnancy may precipitate clinically significant hypoglycemia in the previously asymptomatic patient.