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Old 04-30-2012
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GIT Why avoiding simple carbs is helpful in Dumping Syndrome?

In context of treatment of dumping syndrome....uworld says...

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Dietary changes, including small and frequent meals and avoidance of simple carbohydrates, are tried first, and these are usually effective in the majority of patients.
may I know how come avoiding simple carbs help in dumping syndrome.....
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Old 04-30-2012
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Late dumping

Late dumping occurs 1-3 hours after a meal. The pathogenesis is thought to be related to the early development of hyperinsulinemic (reactive) hypoglycemia.Rapid delivery of a meal to the small intestine results in an initial high concentration of carbohydrates in the proximal small bowel and rapid absorption of glucose. This is countered by a hyperinsulinemic response. The high insulin levels are responsible for the subsequent hypoglycemia. Intrajejunal glucose induces a higher insulin release than does the intravenous infusion of glucose.The serum glucose levels were the same in both experiments. This effect of enhanced insulin release after an enteral glucose load as compared to intravenous glucose administration is called the incretin effect.
(medscape).
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