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What Are Symptoms Of Postperandial Hyperadranergic Reaction?

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Posted on Wed, 3 Dec 2014
Question: After research and given the symptoms of blood sugar level remaining normal during an episode (checked at ER Friday night during an episode) does postperandial hyperadranergic reaction sound reasonable? It fits the symptoms. If so is there anything he can take to aleviate the issue so he can eat a regular meal? Also, what specialist would you see for this type of condition? Are one of you in XXXXXXX area?. Thanks
doctor
Answered by Dr. Shehzad Topiwala (9 hours later)
Brief Answer:
Yes

Detailed Answer:
Your research has revealed appropriate answers. Postprandial hyperadrenergic reaction is a medical entity known to pose challenges to diagnosis and treatment. It can be a perplexing condition.

It is related to a couple medical conditions.

One of them is post-bariatric surgery. Has the person you are referring to, undergone any type of weight loss surgery? There is a phenomenon called dumping syndrome that presents just like this, some time after kind of surgeries (such as gastric bypass).

The other is Reactive hypoglycemia. This occurs in individuals with pre diabetes or early type 2 diabetes. Typically these individuals have insulin resistance and are overweight/obese. There is a rise in blood glucose levels after meals, and owing to a exuberant insulin response to the elevation in blood glucoses, a sharp fall in glucose levels follows. This rate of fall in blood glucose concentrations has been associated with the development of these hyperadrenergic symptoms. They mimic low blood glucose reactions even though there is no true hypoglycemia (blood glucose below 70 mg/dl). it is just the rapid rise followed by the quick dip in the blood sugar levels that causes these frustrating symptoms.

To manage these, first the diagnosis needs to be ascertained. Once that is clear, treatment includes seeing a dietitian who will advise eating frequent (every three hours) small meals or snacks, consuming foods high in fiber, avoiding foods high in sugar. A regular exercise regimen have been recommended. If dietary modification is not successful in reducing symptoms, some advocate a trial of a type of medication called alpha-glucosidase inhibitors to delay carbohydrate absorption and thereby reduce the insulin response to a meal.

There are 2 types of specialists who deal with this. Endocrinologists and gastroenterologists.
I am giving you a brief list of endocrinologists in the XXXXXXX area. There are dozens more in the city.

Araiza, XXXXXXX MD     3701 W Alabama #350 XXXXXXX TX     77027     713-572-3200
     Arem, Ridha, MD,FACE     7501 Fannin St. Suite 730 XXXXXXX TX     77054     (713) 790-0102
     Asghar, XXXXXXX MD     6550 Fannin Street XXXXXXX TX     77030     713-441 4333
     
     Bajaj, XXXXXXX MD,FACE     6620 Main Street
Mail Stop: BCM620; Room: BCLN-11C.05 XXXXXXX TX     77030     (713) 798-1712
     Bharaktiya, XXXXXXX MD     6431 Fannin Street
MSB 4.202 XXXXXXX TX     77030     (713) 500-6646
     Bier, XXXXXXX MD     Children's Nutrition Research Center
1100 Bates St. XXXXXXX TX     77030     713-798-7022
     Boccalandro, XXXXXXX MD XXXXXXX Endocrinology Group, PA
6624 Fannin, Suite 2380 XXXXXXX TX     77030     (713) 800-6211
     Brown, XXXXXXX MD,FACE     909 Dairy Ashford Street, Suite 205 XXXXXXX TX     77079-5306     (281) 589-2681
     Bueso, XXXXXXX MD,FACE     5711 Almeda Road XXXXXXX TX     77004-7000     (713) 520-8385
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Are Symptoms Of Postperandial Hyperadranergic Reaction?

Brief Answer: Yes Detailed Answer: Your research has revealed appropriate answers. Postprandial hyperadrenergic reaction is a medical entity known to pose challenges to diagnosis and treatment. It can be a perplexing condition. It is related to a couple medical conditions. One of them is post-bariatric surgery. Has the person you are referring to, undergone any type of weight loss surgery? There is a phenomenon called dumping syndrome that presents just like this, some time after kind of surgeries (such as gastric bypass). The other is Reactive hypoglycemia. This occurs in individuals with pre diabetes or early type 2 diabetes. Typically these individuals have insulin resistance and are overweight/obese. There is a rise in blood glucose levels after meals, and owing to a exuberant insulin response to the elevation in blood glucoses, a sharp fall in glucose levels follows. This rate of fall in blood glucose concentrations has been associated with the development of these hyperadrenergic symptoms. They mimic low blood glucose reactions even though there is no true hypoglycemia (blood glucose below 70 mg/dl). it is just the rapid rise followed by the quick dip in the blood sugar levels that causes these frustrating symptoms. To manage these, first the diagnosis needs to be ascertained. Once that is clear, treatment includes seeing a dietitian who will advise eating frequent (every three hours) small meals or snacks, consuming foods high in fiber, avoiding foods high in sugar. A regular exercise regimen have been recommended. If dietary modification is not successful in reducing symptoms, some advocate a trial of a type of medication called alpha-glucosidase inhibitors to delay carbohydrate absorption and thereby reduce the insulin response to a meal. There are 2 types of specialists who deal with this. Endocrinologists and gastroenterologists. I am giving you a brief list of endocrinologists in the XXXXXXX area. There are dozens more in the city. Araiza, XXXXXXX MD 3701 W Alabama #350 XXXXXXX TX 77027 713-572-3200 Arem, Ridha, MD,FACE 7501 Fannin St. Suite 730 XXXXXXX TX 77054 (713) 790-0102 Asghar, XXXXXXX MD 6550 Fannin Street XXXXXXX TX 77030 713-441 4333 Bajaj, XXXXXXX MD,FACE 6620 Main Street Mail Stop: BCM620; Room: BCLN-11C.05 XXXXXXX TX 77030 (713) 798-1712 Bharaktiya, XXXXXXX MD 6431 Fannin Street MSB 4.202 XXXXXXX TX 77030 (713) 500-6646 Bier, XXXXXXX MD Children's Nutrition Research Center 1100 Bates St. XXXXXXX TX 77030 713-798-7022 Boccalandro, XXXXXXX MD XXXXXXX Endocrinology Group, PA 6624 Fannin, Suite 2380 XXXXXXX TX 77030 (713) 800-6211 Brown, XXXXXXX MD,FACE 909 Dairy Ashford Street, Suite 205 XXXXXXX TX 77079-5306 (281) 589-2681 Bueso, XXXXXXX MD,FACE 5711 Almeda Road XXXXXXX TX 77004-7000 (713) 520-8385