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Original Article
Online Published: 07 Jan 2023
 


Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia

Reem Mohammed Al-kahtani, Layan Abdullah Al-yahya, Linah Kutaiba Al-saadon, Moeber Mohammed Mahzari, Ghina Ibrahim Al-fehaid, Emad Masuadi.


Abstract
Background: In the last decade, bariatric surgery has shown better outcomes in reducing weight, especially in the long term, with a very low rate of significant complications. This study aims to estimate the rate of weight loss and to assess the changes in metabolic factors and the prevalence of hypoglycemia as a possible complication for post-bariatric surgery patients among patients in a single tertiary hospital in Saudi Arabia.
Methods: A cross-sectional study was carried out with a nonprobability consecutive sampling technique involving 248 post-bariatric patients recruited between 1st January 2016 and 31st December 2018. Data were collected through the BESTCare system by a chart review and were reported as the rate of weight loss and post-surgical hypoglycemia.
Results: Of the 248 patients who underwent bariatric surgery, 210 had successful weight loss. About 213 (96.8%) did not develop hypoglycemia. The metabolic factors that significantly changed after the surgery were BMI with a mean difference of 14.1 ± 6.3 kg/m2 p < 0.001, HbA1c 1.1 ± 1.6 mmol/mol p < 0.001, HDL -0.2 ± 0.3 mmol/l p < 0.001, random glucose 0.9 ± 2.6 mmol/l p < 0.001, systolic blood pressure 4.9 ± 18.8 mmHg p < 0.001, and diastolic blood pressure 3.0 ± 12.5 mmHg p < 0.001. Males had a greater weight loss with a mean of 44.2 ± 20.4 kg p < 0.001 in the age group between 18 and 30 years 42.8 ± 17.4 kg p < 0.001. The most significant weight reduction was between 21 and 30 months post surgery with a mean of 40.9 ± 16.8 kg p < 0.001.
Conclusion: Gastric sleeves resulted in a high weight reduction rate, reflecting better lipid profile, blood pressure, and glycemic control outcomes. Weight reduction was higher in males between 18 and 30 years after 21-30 months postoperatively.

Key words: Hypoglycemia, obesity, bariatric surgery, weight reduction, gastric sleeve, lipid profile.


 
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How to Cite this Article
Pubmed Style

Al-kahtani RM, Al-yahya LA, Al-saadon LK, Mahzari MM, Al-fehaid GI, Masuadi E. Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia. IJMDC. 2023; 7(3): 425-431. doi:10.24911/IJMDC.51-1666780875

Web Style

Al-kahtani RM, Al-yahya LA, Al-saadon LK, Mahzari MM, Al-fehaid GI, Masuadi E. Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia. https://www.ijmdc.com/?mno=124710 [Access: October 14, 2025]. doi:10.24911/IJMDC.51-1666780875

AMA (American Medical Association) Style

Al-kahtani RM, Al-yahya LA, Al-saadon LK, Mahzari MM, Al-fehaid GI, Masuadi E. Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia. IJMDC. 2023; 7(3): 425-431. doi:10.24911/IJMDC.51-1666780875


Vancouver/ICMJE Style

Al-kahtani RM, Al-yahya LA, Al-saadon LK, Mahzari MM, Al-fehaid GI, Masuadi E. Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia. IJMDC. (2023), [cited October 14, 2025]; 7(3): 425-431. doi:10.24911/IJMDC.51-1666780875


Harvard Style

Al-kahtani, R. M., Al-yahya, . L. A., Al-saadon, . L. K., Mahzari, . M. M., Al-fehaid, . G. I. & Masuadi, . E. (2023) Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia. IJMDC, 7 (3), 425-431. doi:10.24911/IJMDC.51-1666780875


Turabian Style

Al-kahtani, Reem Mohammed, Layan Abdullah Al-yahya, Linah Kutaiba Al-saadon, Moeber Mohammed Mahzari, Ghina Ibrahim Al-fehaid, and Emad Masuadi. 2023. Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia. International Journal of Medicine in Developing Countries, 7 (3), 425-431. doi:10.24911/IJMDC.51-1666780875


Chicago Style

Al-kahtani, Reem Mohammed, Layan Abdullah Al-yahya, Linah Kutaiba Al-saadon, Moeber Mohammed Mahzari, Ghina Ibrahim Al-fehaid, and Emad Masuadi. "Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia." International Journal of Medicine in Developing Countries 7 (2023), 425-431. doi:10.24911/IJMDC.51-1666780875


MLA (The Modern Language Association) Style

Al-kahtani, Reem Mohammed, Layan Abdullah Al-yahya, Linah Kutaiba Al-saadon, Moeber Mohammed Mahzari, Ghina Ibrahim Al-fehaid, and Emad Masuadi. "Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia." International Journal of Medicine in Developing Countries 7.3 (2023), 425-431. Print. doi:10.24911/IJMDC.51-1666780875


APA (American Psychological Association) Style

Al-kahtani, R. M., Al-yahya, . L. A., Al-saadon, . L. K., Mahzari, . M. M., Al-fehaid, . G. I. & Masuadi, . E. (2023) Hypoglycemia among bariatric surgery patients in national guard - health affairs, Riyadh, Saudi Arabia. International Journal of Medicine in Developing Countries, 7 (3), 425-431. doi:10.24911/IJMDC.51-1666780875




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