In a 52-year-old woman with severe post-bariatric reactive hypoglycemia after gastric sleeve surgery 11 years ago, who is taking diazoxide 25 mg three times daily, should semaglutide (Wegovy) 0.25 mg be continued?

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Last updated: March 8, 2026 • View editorial policy

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Related Questions

Is a weekly dose of 0.25 mg Wegovy (semaglutide) safe for a non‑diabetic woman who had sleeve gastrectomy 11 years ago and experiences post‑prandial hypoglycemia?

In a patient taking diazoxide (Proglycem) 25 mg three times daily, can I start semaglutide (Wegovy) at the 0.25 mg weekly initiation dose?

Is it safe to start Wegovy (semaglutide) 0.25 mg weekly while continuing diazoxide 25 mg three times daily, and how should blood glucose be monitored?

For severe post‑prandial hypoglycemia, should diazoxide be used first, or are somatostatin analogues preferred as initial therapy?

A woman who consumed four glasses of wine over seven hours experienced recurrent hypoglycemia with a glucose of 2.7 mmol/L at night while on diazoxide (and semaglutide titration); what immediate actions should she take to treat the low blood sugar and prevent further episodes?

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