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Patients (N\u2009=\u200913) with suspected PBH underwent a food and symptoms diary (FSD) record along with FGM over 14\u00a0days. Targeted data analysis confirmed the occurrence of low glucose events in parallel to meal-triggered symptoms. Glycaemic variability, as assessed by Mean Absolute Glucose change (MAG change), was increased, while a higher risk of glycaemic excursions towards both hyper and hypoglycaemia (ADRR<jats:sub>FGM<\/jats:sub>GT) was observed in those with more frequent and severe hypoglycaemia. The herein described hypoglycaemia risk index (LBGI<jats:sub>FGM<\/jats:sub>GT) with a cut-off value of 4.6 showed to have 100% sensitivity and 100% specificity for PBH. This pilot proof-of-concept study highlighted that FSD coupled with FGM followed by targeted data analysis, provides relevant insights towards PBH diagnosis and grading in a user-friendly and easy to implement study protocol. Furthermore, LBGI<jats:sub>FGM<\/jats:sub>GT demonstrated to be an excellent index for PBH diagnosis. The unexpected improvement of glucose profile noticed along the monitoring time also unravels a possible application for PBH management.<\/jats:p>","DOI":"10.1038\/s41598-020-68029-8","type":"journal-article","created":{"date-parts":[[2020,7,6]],"date-time":"2020-07-06T10:03:14Z","timestamp":1594029794000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Use of flash glucose monitoring for post-bariatric hypoglycaemia diagnosis and management"],"prefix":"10.1038","volume":"10","author":[{"given":"Carolina B.","family":"Lobato","sequence":"first","affiliation":[]},{"given":"Sofia S.","family":"Pereira","sequence":"additional","affiliation":[]},{"given":"Marta","family":"Guimar\u00e3es","sequence":"additional","affiliation":[]},{"given":"Tiago","family":"Morais","sequence":"additional","affiliation":[]},{"given":"Pedro","family":"Oliveira","sequence":"additional","affiliation":[]},{"given":"Jorge P. 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