However, the American Society for Metabolic and Bariatric Surgery (ASMBS) suggests that PBH should be considered when the time point of symptom onset is more than 1 year after bariatric surgery, fasting plasma glucose and fasting insulin levels are normal, provocation test results are positive, and there is a correlation of symptoms with hypoglycemia followed by spontaneous resolution of hypoglycemia [12]. The gene discussed is INS; the disease is Hypoglycemia.