Reactive hypoglycemia is a medical term describing recurrent episodes of symptomatic hypoglycemia occurring 2-4 hours after a high carbohydrate meal (or oral glucose load). A diagnosis of PBH requires documented low venous glucose accompanied by neuroglycopenic symptoms. 30101281. 05 (95% CI 1. 2 (reactive. 1 should only be used for claims with a date of service on or before September 30, 2015. 9); hypoglycemia NOS (E16. The 2024 edition of ICD-10-CM R79. 649, E11. E15 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 511 Infection and inflammatory reaction due to. . Drug induced hypoglycemia; diabetes with hypoglycemia without coma (E09. Showing 1-25: ICD-10-CM Diagnosis Code E11. 10. 0 became effective on October 1, 2023. Summary. 1 Glucose concentrations of 60 mg/dL or less may cause autonomic. Showing 226-250: ICD-10-CM Diagnosis Code T83. A few miscellaneous. R79. HYPOGLYCEMIA: A WORKING DEFINITION Hypoglycemia may be defined as a clinical syndrome in which low serum glucose levels lead to symptoms and signs of neuroglycopenia (eg, an altered sensorium and seizures) and sympathoadrenal activation. Hypoglycemia; Hypoglycemia (low blood sugar); Hypoglycemia post gi surgery; Hypoglycemia unawareness; Hypoglycemic encephalopathy; Loss of hypoglycemic warning; Post gastrointestinal tract surgery. Background Syncopes and transient loss of consciousness affect a large number of patients. Identified in approximately 25% of patients with type 1 diabetes, IAH has complex pathophysiology, and might lead to serious and potentially lethal consequences in. Hypoglycemia is the medical term used when blood glucose levels drop below what is considered to be healthy (below 70 mg/dL in adults). Level 1 hypoglycemia is defined as a measurable glucose concentration less than 70 milligrams per deciliter (mg/dL) or 3. This is the American ICD-10-CM version of R73. This test is considered positive for hypoglycemia if the rate of glucose drop is greater than 100 mg/dl/hr or an absolute blood sugar level is less than 60 mg/dl at any time during the test. Short description: Oth spcf hypoglycemia. ICD-10-CM Diagnosis Code E08. Showing 51-75: ICD-10-CM Diagnosis Code T38. The combination of NLP and ICD-9 or ICD-10 codes significantly increased the identification of hypoglycemic events compared with individual methods; for example, the prevalence rates of hypoglycemia were 12. Try glucose tablets or gel, fruit juice, regular (not diet) soda, honey, or sugary candy. ICD-10-CM Diagnosis Code E11. ICD-10-CM Diagnosis Code E74 Other disorders of carbohydrate metabolism diabetes mellitus (E08-E13); hypoglycemia NOS ( E16. 89 may differ. Hypoglycemia risk stratification tool with 1 January 2014 baseline (ICD-9-CM case identification only). Conversely, rapid changes in plasma glucose (i. 2 - other international versions of ICD-10 R14. This is the American ICD-10-CM version of R79. She was transitioned from a standard diet to a bariatric diet due to suspected reactive hypoglycemia associated with her postbariatric. Glucose is a sugar that is typically obtained from consuming carbohydrates, such as bread or fruit. Using extra virgin olive oil, avocado oil or nut- or seed-based oils for cooking can deliver healthy fats to your body, says Zumpano. 2017 Icd 10 Cm Diagnosis Code P70. 649,. 2 (Blood glucose < 3. Subscribe to. 2 [convert to ICD-9-CM] Hypoglycemia, unspecified. RH is clinically seen in three different forms as follows: idiopathic RH (at 180 min), alimentary (within 120 min), and late RH (at 240-300 min). Dumping Syndrome: Pathophysiology and Treatment. 40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 9 became effective on October 1, 2023. 1 is a valid billable ICD-10 diagnosis code for Other hypoglycemia . ICD-10-CM Diagnosis Code E16. If left untreated, high blood sugar can lead to hyperglycemia-related seizures. pylori infection increases the incidence of diabetes due to its increased levels of C-reactive protein and interleukin 6 (IL-6), which results in. 649. Applicable To. Whether or not you should have a. When the first-phase insulin response decreases, firstly, blood glucose starts to rise. The American Diabetes Association and the Endocrine Society define the occurrence of severe hypoglycemia as an event associated with loss-of-consciousness or requiring third-party assistance for recovery. When your body breaks down fats for energy, it. ICD-10-CM Diagnosis Code P35. Other specified hypoglycemia. 1 (hypoglycemia due to other drugs or toxins), E16. The 2024 edition of ICD-10-CM Z96. About the ICD-10 Code Lookup. 1. Endocrine, nutritional and metabolic diseases. [2] The term is not necessarily a diagnosis since it requires an evaluation to determine the cause of the. 1 and a single ICD9 code, 251. This was the first year ICD-10-CM was implemented into the HIPAA code set. 65 [convert to ICD-9-CM] Type 2 diabetes mellitus with hyperglycemia. E16. 9 - other international versions of ICD-10 E16. Transitory neonatal hypoglycemia coma E15 ICD-10-CM Diagnosis Code E15 Nondiabetic hypoglycemic coma 2016 2017 2018 2019 2020 2021 2022 2023 2024. E16. Diabetes diagnosis was identified as an ICD-9 250. 500 results found. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. 1. 196 results found. se. Reiter's disease, right ankle and foot. patientsand triggersevolution of cirrhosis to fibrosis. 196 results found. Signs and symptoms. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Diabetes 1 with hypoglycemia unawareness; Diabetes type 1 with hypoglycemia; Hypoglycemia due to type 1 diabetes mellitus; Unawareness of hypoglycemia in type 1 diabetes mellitus. Common presenting symptoms include nausea, confusion, tremor, sweating, palpitations, or hunger. D. 500 results found. [convert to ICD-9-CM]Short description: DMII oth nt st uncntrld. The 2024 edition of ICD-10-CM M02. ICD-10. Hypoglycemia, or low blood sugar, has a variety of causes, but most often occurs as a result of insulin therapy or other medications in patients with diabetes. The 2024 edition of ICD-10-CM D13. 9 contain annotation back-references that may. Background Impaired metabolic response such as blood glucose fast fluctuations may be hypothesized in binge eating disorder (BED) and food addiction (FA) by virtue of the repetitive consumption of highly processed food. 1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. Other hypoglycemia Billable Code. Drug or chemical induced diabetes mellitus with. ICD-10. Short description: HYPOGLYCEMIA NOS. The International Classification of Diseases, 10th Revision—Clinical Modification (ICD-10) is designed to accurately classify and categorize all illnesses and diseases seen in the U. Polycystic ovary syndrome (PCOS) is an insulin-resistant state compensated for by the body via hyperinsulinemia. Showing 1-25: ICD-10-CM Diagnosis Code E10. 4 [convert to ICD-9-CM] E11. Hyperinsulinism; Hyperinsulinism, iatrogenic; Hyperplasia of pancreatic islet beta cell; Hypoglycemia (low blood sugar), reactive; Iatrogenic hyperinsulinism; Reactive hypoglycemia; diabetes with hypoglycemia (E08. Hyperinsulinemia is a consistent finding. Most patients with adrenergic-mediated symptoms have a diagnosis other than reactive hypoglycemia. ICD-10-CM Diagnosis Code T38. 8 Even when patients with type B insulin resistance present with hypoglycemia, hyperinsulinism that is inappropriate to the. 1 for Other hypoglycemia is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases . info. Harris, a professor of medicine at the University of Alabama. ICD-10-CM Diagnosis Code E11. 0 may differ. K94. 649, E10. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. 80 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 250. ICD-10-CM Code. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). Use Additional code for adverse effect, if applicable, to identify drug. 2 should only be used for claims with a date of service on or before September 30, 2015. Short description: Oth spcf hypoglycemia. Hypoglycemia is a clinical situation characterized by a reduction in plasma glucose concentration to a level that may induce symptoms or signs such as altered mental status and/or sympathetic nervous system stimulation. HCC Plus. 9 mmol/L [70 mg/dL]). Increased protein and fiber in the meal may be beneficial. Select. Search Results. Hypoglycemia was defined as any glucose < 3. The “reactive” name originates in this being an effect of a post-meal insulin surge, which forces sugar into the cells and out of the blood. 3X5A. 649 is grouped within Diagnostic Related. 9 mmol/L). This is the American ICD-10-CM version of J98. 82 may differ. People with this condition suffer from recurrent episodes of altered mood. Compared with ketotic hypoglycemia, subjects with congenital hyperinsulinism had higher GST values (57 vs 13 mg/dL; ΔGST ≥30 mg/dL in 24 of 27 subjects with congenital hyperinsulinism vs 0 of 30 subjects with ketotic hypoglycemia) and C-peptide levels (1. 649, E13. Mild hypoglycemia occurred in 41. 0 may differ. 2001 Nov;102 (5):413-21. diabetic - see Diabetes, hypoglycemia dietary counseling and surveillance Z71. The following code(s) above Z86. ICD-10-CM Code E16. E16. 2–6 This article will review the most common and immediately. There are two kinds of non-diabetic hypoglycemia: • Reactive hypoglycemia, which happens within a few hours of eating a meal • Fasting hypoglycemia, which may be related to a disease. ICD-9-CM 251. This is the American ICD-10-CM version of E16. An intravenous (IV) 10% dextrose (D10) infusion was started at 300 mL/hour 30 minutes after ED arrival to prevent hypoglycemia. September 7, 2021 / Nutrition How to Treat Reactive Hypoglycemia A registered dietitian gives tips and diet help If you’ve ever felt a little woozy after a meal, maybe a little shaky. The code is. 74 vs 1. Applicable To. 649, E11. 2 - other international versions of ICD-10 K75. [convert to ICD-9-CM] ICD-10-CM Diagnosis Code E10. 649 [convert to ICD-9-CM] Type 2 diabetes mellitus with hypoglycemia without coma. hypoglycemia E09. LGA infants had a significantly higher risk for hypoglycemia (odds ratio 1. A feeling of hunger, sweating, shakiness. 0 may differ. The ICD code E160 is used to code Hypoglycemia. 4 Other Neonatal Hypoglycemia. K75. ICD-10-CM Diagnosis Code E11. 00. 69 Type 1 diabetes mellitus with other specified complication. 83 may differ. Hypoglycemia is the term for low blood glucose (sugar). 810 - other international versions of ICD-10 O99. 649, E11. Non-Billable On/After Oct 1/2015. Hypoketotic hypoglycemia affects your blood sugar (glucose) level and energy. The coding system was updated in October 2015 to its 10th revision because it was thought that the 9th revision (ICD-9) no longer. 3 may differ. Insulin reactive hypoglycemia in type 2 diabetes mellitus; Unawareness of hypoglycemia in type 2 diabetes mellitus. Documentation of a blood glucose <60 mg/dL with accompanying symptoms is crucial to diagnosing clinically significant hypoglycemia. Basal insulin administration was defined as any. 649, E13. Diabetes type 2 with hypoglycemic coma; Hypoglycemic coma in type 2 diabetes mellitus. The most effective treatment for this condition is to follow a reactive hypoglycemia diet, which involves eating several small meals consisting of high-fiber and starchy foods, limiting sugar, and regular exercise. 641, E11. 3-P70. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code. This free tool is designed to help billers and coders navigate the new ICD-10-CM code set. Lack of correlation between symptoms and plasma glucose in postprandial hypoglycemia. Dizziness. Hypoglycemia symptoms are classified into two types: autonomic and neuroglycopenic symptoms. Other thyrotoxicosis without thyrotoxic crisis or storm. Reactive hypoglycemia is a condition that occurs when an individual experiences a significant fall in their blood glucose level. Although it’s a common complication of diabetes, hyperglycemia can happen to anyone. 810 is applicable to female patients. This is the American ICD-10-CM version of Z96. The 2024 edition of ICD-10-CM K64. Diabetic hypoglycemia is a low blood glucose level occurring in a person with diabetes mellitus. Code History E16. Reactive hypoglycemia may occur after gastric bypass surgery due to changes in the way the body absorbs and digests glucose. 86. Search All ICD-10; ICD-10-CM Diagnosis Codes; ICD-10-PCS Procedure Codes; ICD-10-CM Diagnosis Index; ICD-10-CM External Causes Index;. The symptoms may be different, depending on how low your blood sugar goes. Infection and inflammatory reaction due to nephrostomy catheter. Severe hypoglycemia may cause: Unresponsiveness (loss of consciousness) Seizures. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 0 [convert to ICD-9-CM] Drug-induced hypoglycemia without coma. Symptomatic. {{configCtrl2. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. 2) neonatal hypoglycemia. Hypoglycemia was defined as any glucose < 3. R79. When the first-phase insulin response decreases, firstly, blood glucose starts to. 641 specified type NEC E13. 1 Patients with diabetes, particularly those with lower socioeconomic status or limited access to primary care, frequently seek care in hospital emergency departments. 9 Dumping can occur postoperatively in up to half of gastric bypass patients with ingestion of simple sugars. Nutrition in Clinical Practice Vol 20, Issue 5, Oct 2005 pp. The 2024 edition of ICD-10-CM R79. 4. E15 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. For most of these individuals, the condition is mild and does not trigger symptoms. Hypoglycemic neuropathy. 649Type 2 diabetes mellitus with hypoglycemia without coma. Centers for Medicare and Medicaid Services and the National Center for Health. Postbariatric hypoglycemia (PBH) is one potential complication that can occur many years after surgery. 41 - other international versions of ICD-10 Z96. In many patients with this self-diagnosis, other disorders can be attributed as a cause for symptoms, especially neuro. The goal of this review is to identify underlying mechanisms by which RYGB cause hypoglycemia and describe. K64. The following code (s) above D13. Drug induced hypoglycemia; diabetes with hypoglycemia without coma (E09. diabetes with hypoglycemia (E08. 3X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 8 mg/dl +/- SEM, respectively; p less than. 80 may differ. 15 (95% CI 2. Reactive hypoglycemia is a drop in blood glucose (sugar) that occurs after eating. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Abstract. Drug-induced hypoglycemia without coma. 2 should only be used for claims with a date of service on or before September 30, 2015. 641 may differ. Diabetes type 2 with arthropathy; Type 2 diabetes mellitus with arthropathy. The investigation of early glycemic disturbances in BED and FA. A regular diet was started and carbohydrate intake was encouraged. This may result in a variety of symptoms including clumsiness, trouble talking, confusion, loss of consciousness, seizures, or death. 2 [convert to ICD-9-CM] Hypoglycemia, unspecified. 39 contain annotation back-referencesICD-10 code R73. Hypoglycemia is defined as a clinical condition when the venous blood glucose level is <55mg/dl (<3mmol/L), obtained if possible, at the time of the symptoms. Showing 1-25: ICD-10-CM Diagnosis Code E15. For Whipple's triad, the practitioner must first recognize. 81. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Summary. All neoplasms, whether functionally active or. Symptoms of hypoglycemia may include feeling lightheaded, increased perspiration, dizziness, weakness, blurred vision, confusion, excessive hunger, and/or. Short description: Hypoglycemia NOS. Blurry vision or tunnel vision. Search Results. Type 2 diabetes mellitus with hypoglycemia with coma. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM. 649, E11. Tests of language processing and working memory were administered along with Trail Making B (TMB) (5–7,10–12,23,24) and Digit Symbol Test (DST) (5–7,10–12,24,25), which are known to be consistently affected by hypoglycemia. 0 Drug-induced hypoglycemia without coma BILLABLE | ICD-10 from 2011 - 2016 E16. ICD-10-CM Diagnosis Code E13. 500 results found. 500 results found. 2 is a billable diagnosis code used to specify hypoglycemia, unspecified. For this reason the drug has been successfully used not only in the treatment of type 1 and type 2 diabetes, but also. The table is for illustrative purposes only and is not an exhaustive or all-inclusive list of ICD-10-CM diabetes diagnosis codes. Showing 1-25: ICD-10-CM Diagnosis Code E13. Severe cases can lead to fainting or seizures. Reactive hypoglycemia can also result from tumors, Causes of Reactive Hypoglycemia This added insulin makes your blood glucose level drop below normal. 9 mmol/L or 70 mg/dL) is estimated to be 4. 610. The following code (s) above E16. xxxx on the active problem list. 0 became effective on October 1, 2023. 0): 008 Simultaneous pancreas and kidney transplant; 010 Pancreas transplant; 019 Simultaneous pancreas and kidney transplant with hemodialysis; 637. The 2024 edition of ICD-10-CM R14. ICD-9-CM 251. 500 results found. Hypoglycemia; Hypoglycemia (low blood sugar); Hypoglycemia post gi surgery; Hypoglycemia unawareness; Hypoglycemic encephalopathy; Loss of hypoglycemic warning; Post gastrointestinal tract surgery. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 500 results found. This chapter includes symptoms, signs, abnormal. Level 2 hypoglycemia is defined as a blood. 01 - other international versions of ICD-10 J98. 649. [1] Hypoglycemia can be clinically classified according to its timing; it can be fasting, postprandial, or exercise-related. " Non-disease E08. 05. Hypoglycemia (low blood sugar), reactive; Iatrogenic hyperinsulinism; Reactive hypoglycemia; Clinical Information. Search online 72,000+ ICD-10 codes by number, disease, injury, drug, or keyword. Applicable To. Access to this feature is available in the following products: Find-A-Code Essentials. 1. This is the American ICD-10-CM version of M00. Search Results. The ICD-10-CM codes for hypoglycemia (any of the following: E08. [1] [3] Whipple's triad is used to properly identify hypoglycemic episodes. ICD-10-CM Diagnosis Code E11. Type 2 diabetes mellitus with hypoglycemia without coma. Insulin reactive hypoglycemia in type 2 diabetes mellitus; Unawareness of hypoglycemia in type 2 diabetes mellitus. The typical patient with ketotic hypoglycemia is a young child between the ages of 10 months and 6 years. Reactive hypoglycemia is a relatively uncommon meal-induced hypoglycemic disorder. Ketotic hypoglycemia is the term used for episodes of low blood sugar with elevated blood or urine ketones occurring in some children if they have not eaten over a long period of time or when ill. Diabetes mellitus type 2 w complications; Diabetes type 2 with hypoglycemia; Diabetes type 2 with hypoglycemia unawareness; Hypoglycemia due to type 2 diabetes mellitus; Insulin reactive hypoglycemia in type 2 diabetes mellitus. ICD-10-CM Diagnosis Code E16. asymptomatic hyperuricemia (E79. A non-diabetic hypoglycemia diet can help keep blood sugar levels balanced. ICD-9-CM is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, should only be used for claims with a date of service on or before September 30, 2015. Diabetes type 2 with hyperglycemia; Hyperglycemia due to type 2 diabetes mellitus. Endothelial dysfunction may also be increased by an increase in C-reactive protein and platelet. This chapter includes symptoms, signs, abnormal. 2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 251. ICD-9-CM 251. , received a Nobel Prize for finding a way to extract the hormone insulin, which could help diabetics control the abnormal amounts of sugar in their blood. Applicable To. Pseudo-hypoglycemia (sometimes referred to as relative hypoglycemia, false hypoglycemia, false low) is when you experience symptoms of hypoglycemia (e. Dumping Syndrome: Pathophysiology and Treatment. Diabetes mellitus type 2 w complications; Diabetes type 2 with hypoglycemia; Diabetes type 2 with hypoglycemia unawareness; Hypoglycemia due to type 2 diabetes mellitus; Insulin. 9 mmol/L within 24 h of admission (Hypo 1day) or throughout hospitalization (Hypo T) and any. Hypoglycemia during hospitalization is associated with an increased hospital stay and contributes to a poorer outcome in diabetes patients in general medical wards in diabetic patients [1, 2]. 01) Z91. 2 is a billable diagnosis code used to specify a medical diagnosis of hypoglycemia, unspecified. Blurry vision. ICD-10-CM Diagnosis Code E13. Pancreatic endocrine cell hyperplasia NOS. S. There are two kinds of non-diabetic hypoglycemia: Reactive hypoglycemia, which happens within a few hours of eating a meal. The above description is abbreviated. The risk of severe hypoglycemia increases with use of intensive insulin regimens as well as in. Use these to cook. Showing 1-25: ICD-10-CM Diagnosis Code E16. The diagnosis of adrenal insufficiency usually can be made by the findings of low morning serum cortisol and a subnormal response to synthetic corticotropin (ACTH [1-24]) [ 1,2 ]. Hypoglycemia is defined as a clinical condition when the venous blood glucose level is <55mg/dl (<3mmol/L), obtained if possible, at the time of the symptoms. Symptoms usually develop within four hours of consuming food and. 641 E13. ICD-10-CM Diagnosis Code G93. 649, E13. 1) E16. Reactive hypoglycemia, sometimes called postprandial hypoglycemia, happens when blood sugar drops after a meal — usually within four hours after eating. 500 results found. This differs from fasting hypoglycemia, or a sugar crash that happens as a result of fasting. Search Results. 3 ICD-10-CM Diagnosis Code Z71. People experience these symptoms. Short description: Hypoglycemia NOS. Other disorders of glucose regulation and pancreatic internal secretion. Unconsciousness may lead to other problems like car accidents or accidents at work, which may result in severe injury for the person and for others. Underdosing of insulin and oral hypoglycemic drugs, subs. 3); mucopolysaccharidosis (E76. 9); hypoglycemia NOS (E16. An oGTT was arranged and showed significant hypoglycemia at 120 min . Hyperinsulinism; Hyperinsulinism, iatrogenic; Hyperplasia of pancreatic islet beta cell; Hypoglycemia (low blood sugar), reactive; Iatrogenic hyperinsulinism; Reactive hypoglycemia; diabetes with hypoglycemia (E08. ICD-10-CM Diagnosis Code E11. Hyperglycemia is the medical term for high blood sugar. 641 may differ. 4-) ICD-10-CM Diagnosis Code R97. Loss of coordination. RH is clinically seen in three different forms as follows: idiopathic RH (at 180 min), alimentary (within 120 min), and late RH (at 240–300 min). Abstract. 0. 2), during the study were matched at a 1:2 ratio with patients. g. Coma, hypoglycemic; Coma, hypoglycemic, nondiabetic; Hypoglycemic coma; Non-diabetic hypoglycemic coma; drug-induced insulin coma in nondiabetic; hyperinsulinism with hypoglycemic coma;. Patients with severe hypoglycemia may experience unconsciousness or seizures due to. Reactive hypoglycemia. 0 - other international versions of ICD-10 K38. E16. Roux-en-Y gastric bypass (RYGB) is an efficient treatment for morbid obesity and reduces obesity-related co-morbidities. However, subsequent to this, a supervised 72-h fast was organized, but at no stage did he become symptomatically or biochemically hypoglycemic. However, the OGTT is not a useful test for diagnosing reactive hypoglycemia based on the following observations: ICD-10-CM Diagnosis Code E11. 81 became effective on October 1, 2023. Patients should avoid simple sugars, increase the frequency of their meals, and reduce the size of their meals. 2013. 0 - other international versions of ICD-10 E16. Search online 72,000+ ICD-10 codes by number, disease, injury, drug, or keyword. A reactive release of insulin (hyperinsulinemic response) transpires (GLP-1 mediated) resulting in subsequent reactive hypoglycemia; REFERENCES.