WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals
World Journal of Advance Healthcare Research (WJAHR) has indexed with various reputed international bodies like : Google Scholar , Index Copernicus , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , Cosmos Impact Factor , Scientific Indexing Services (SIS) , UDLedge Science Citation Index , International Impact Factor Services , International Society for Research Activity (ISRA) Journal Impact Factor (JIF) , IFSIJ Measure of Journal Quality , Scientific Journal Impact Factor (SJIF) , International Scientific Indexing, UAE (ISI) (Under Process) , International Impact Factor Services (IIFS) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Academia , Scope Database , 

ISSN 2457-0400

Impact Factor  :  6.711

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  • 6th International Conference on Human and Soci

    Venue:FCT Education Resource Center, Abuja- Nigeria                                        September 22-24, 2019

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    6th INTERNATIONAL CONFERENCE ON EDUCATIONAL TECHNOLOGY AND CURRICULUM STUDIES(ICETC2019) 

     

    Venue: FCT Education Resource Center, Abuja-Nigeria

    September 22-24, 2019

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Best Paper Awards

World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.

Best Article of current issue

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Indexing

Abstract

REACTIVE HYPOGLYCEMIA AND ITS CLINICAL IMPORTANCE

*1Dr. R. Anil Kumar and 2Dr. Surekha B. Shetty

ABSTRACT

Reactive hypoglycemia (RH) is the condition of postprandial hypoglycemia occurring 2-5 hours after foodintake.[1] It is clinically seen in three different forms as follows.1. Idiopathic reactive hypoglycemia. (at 180 min)2. Alimentary reactive hypoglycemia. (within 120 min)3. Late reactive hypoglycemia (240–300 min)The symptoms of reactive hypoglycemia generally start within 4 hours after a meal. They can include anxiety, blurryvision, racing heart, confusion, dizziness, irritability, headache, hunger, light-headedness, sweating, shaking, troublesleeping, feeling faint, extreme tiredness and weakness.The occurrence of reactive hypoglycemia is related to abnormal insulin secretion. Insulin secretion occurs inphases called the first and second phases. The first phase of insulin refers to the rapid release of ready insulin inthe first 10 minutes. Second phase insulin refers to the slowly released insulin over 24 hours. Loss of first-phaseinsulin secretion and decreased second-phase insulin secretion are characteristic features of type 2 diabetes. In theearly phase of type 2 diabetes and IGT, the first-phase insulin secretion declines. When the first-phase insulinresponse decreases, blood glucose starts to rise after the meal. This in turn, leads to late but excessive secretion ofthe second-phase insulin secretion and the mismatch leads to late reactive hypoglycemia.[2,3]

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