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PGBH should initially be treated with a high-protein, high-fiber, low-carbohydrate diet and then, if hypoglycemia persists, by medication (initially acarbose, then a calcium channel blocker and octreotide or diazoxide or both)

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It lists a personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia type 2, severe kidney disease with an eGFR below 15, and acute pancreatitis