INS and Hypoglycemia: However, during December 2022, she had 10 episodes of hypoglycemia that correlated positively with complex carbohydrate intake, which likely explained by dietary polysaccharides found in low glycemic foods, along with the actions of GLP-1 triggered by the rapid passage of food from the stomach into the intestine and the effects of RYGB surgery, induce insulin signaling pathways, leading to heightened insulin sensitivity, which may result in a higher likelihood of hypoglycemic episodes [12-13].