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OCR: secondary Rebound reactive hypoglycaemia is ofte ommon in to some underlying physical cause. It is ieties of patients with insulinomas and other va hly fasting hypoglycaemia, and may be the c insulin symptomatic feature of the autoimmun syndrome (AIS). lycaemia is Contrary to former belief, reactive hypo not a common premonitory symptom o ce, the noninsulin-dependent diabetes. In pract tying most common cause is rapid gastric em gery, but usually as a result of gastroduodenal su In be occasionally no pathoanatomical cause found