- Occurs 2-3 hours post-meal
- Related to high carbohydrate load into small bowel
- Get rapid glucose absorption and profound insulin release that overshoots glucose
- Rebound hypoglycaemia
- Triggers Adrenal Gland to secrete Catecholamines
- Diaphoresis/tremors/tachycardia
- Just like hypoglycaemic shock symptoms
- Management
- Small frequent meals & less carbs
- Surgical option of jejunal interposition