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I had mini-gastric bypass in September and started having issues with reactive hypoglycemia after only 4 mos post op. I had revision surgery after having a band for 10 years. I originally planned to get a gastric sleeve, but the surgeon strongly recommends the bypass for patients who are insulin resistant (I'm prediabetic and have PCOS). The hypoglycemia can be scary and I find my diet is now far more restricted than a Type 2 DM diet. I've seen an endocrinologist and am managing with diet (low carb, no simple sugars, high protein, regular snacks) and with taking Glucobay 4 x/day and a calcium channel blocker at bed time. I have to tell you, I regret not getting the sleeve and wish I'd been informed of this relatively common phenomenon prior to surgery (it's connected to late dumping in my case). However, one must weigh the pros and cons. I wish you all the best outcomes. Kerri

Hello. You have to have a referral from your pcp. I have been trying to loose weight for 7 years. But my diabetes and hypo thyroid has gotten in the way. Plus I also have high cholesterol. I had to show proof that I was under a doctor care for six months and going to a gym and signed off by doctor. My process has moved pretty fast. I have stay well. Who do you have for your insurance?

I have the sleeve but, I do have reactive hypoglycemia. For me its a minor complication after surgery. It's manageable with nutrition. I also distance run. I have to balance things out so my sugars don't get too low. I have no regrets having my health back. It's great that you are doing your research and evaluating all the possible risks and complications before surgery.

Almost 4 years out sleeve - I'm not going to post my menu - I don't want anyone to think what I am eating in a day is normal. 1988 calories. I try to hit up to 2500/3000 calories (crazy to think you can get this amount of calories in with surgery) protein 133 grams carbs 214 grams (I'm carb sensitive and up to 144 pounds this morning) fat 74 grams I am carb loading for a practice uphill trail run this weekend....This is In prep for a half marathon elevation run on the 21st. I fuel differently to sustain the run and keep my blood sugar from dropping. (reactive hyperglycemia from surgery) After this run I will be back on my plan.

Creekimp13, I agree with all of your points, I really do. There are certainly a lot of pros and cons of it. In my case, my C-Reactive Protein is over 5, and that is off the charts for chronic inflammation, which is an outstanding way to have a fatal cardiovascular event, or just about any form of cancer. I'm just trying to weigh out (pun not intended) all of the options, benefits and consequences. I haven't heard about either of the aforementioned consequences in the books I've read, nor the information seminar. I do plan on checking with the nurse to see if she could get the surgeon's take on the studies. I'm confident he has seen them and determined that the benefits outweigh the risks, but nevertheless I still like to have all the bases covered. And yes, that guy had said he had never been to the dentist, so I only used that episode as the "seed" for further research I definitely agree that the key to success is proper follow-up and keeping an eye on blood levels and the EGD!

And here’s a funny coda to yesterday’s chats: watched that drs video about Caloratio app, reread Glenn Livingston book about not binging. Great ideas about food rules - always, never and conditional- define with regard to your personal goals and needs and adhere to them, plus stuff about how to deal with the demons that make you want to break your own rules! This morning I think hmmm weetabix is on post op diet, banana good fruit with potassium... do it! The only weetabix in the house is a pack I got from a new brand sampling thing I used to get - additions with apple raisin and cinnamon. VERY HEALTHY I think. Two biscuits one small banana half cup of milk. Ate slowly. Then I DUMPED big time dumped. Cramps, sweats, hypo, nausea!!! Funnily enough I had a shop porridge mix in week three after surgery with apple cinnamon an raisin which gave me my first ever dump! Might need to plan my diet rules carefully. No processed apple n cinnamon products! Live and learn but feeling very positive about remembering old tools and picking up some new ones!

Several individuals develop a condition called reactive hypoglycemia after gastric bypass surgery. Here are some links: https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass http://www.todaysdietitian.com/newarchives/060415p48tip.shtml https://www.bariatricpal.com/topic/194130-reactive-hypoglycemia/

Prior to surgery I had Idiopathic hyperhidrosis, or excessive sweating for several years. Shortly after surgery this condition went away. I am now 5 years post-op and that condition is no longer a problem. This weblink list 10 causes of night sweats. http://www.activebeat.co/your-health/10-common-medical-causes-of-night-sweats/ #4 and #10 look interesting. Do you have other symptoms that pair with these conditions. Many people develop a condition called reactive hypoglycemia after bariatric surgery.

I'll admit that I'm having a few. I am dealing with some serious reactive hypoglycemia 5 months post op. I had the surgery to avoid diabetes. Now when I eat, my blood sugar spikes (even with careful avoidance of simple sugars etc) and then drops dangerously low about 2 hours after meals. I'm learning that this is a more common consequence of gastric bypass than I initially thought. I had originally wanted a gastric sleeve, but the surgeon felt mini gastric bypass was a better option for someone who is prediabetic. I was not warned about this potential complication.

I don't have reactive hypoglycemia, but I have been suffering from hypoglycemia for over a year. I do have occasional issues with reactive hypoglycemia if I have things like protein bars. I also have issues with low blood pressure. My body has never fully adjusted to a lower weight like I hoped it would.

I am a bypasser... had my bypass in 2015, turned 50 last year... having issues with GERD and reactive hypoglycaemia.. I live in Albury NSW Australia.

Denmark, Norway, Sweden,Finland and Iceland. Trolls are Scandinavian in origin. Ever notice how people who have lost their favorite coping vice....and are really freaking hungry...can be really really...bitchy? And also really touchy and reactive about other people who they perceive are being bitchy? Hell, I'm guilty of it. Probably of both. Sure don't mean to be. I'm not pointing fingers at any particular party....just something I've noticed. People get extra angsty and on edge when they're stressed and have one of their main coping mechanisms missing. This whole adventure has tough moments you don't expect. Emotionally difficult spots that might show up as fangs instead of tears. Something to keep in mind. PS...if anyone asked me if I went to the gym in real life, I'd probably smack the **** out of them. If they're not a close friend whose kind intent I was certain of...without the context of real love and support....it's a rude question. Just sayin'

For me, my family was part of the reason I was obese. So I found it quite empowering to make the decision by myself to go for bariatric surgery. That being said, I wouldn't be where I am today without the support I have from people around me. However ultimately it's me that has to deal with the pains from overeating. Me that has to deal with the dumping and hypos. But it's also me who can say how incredibly proud I am to have achieved what I have to date (-150lbs). You are never alone, even with yourself Sent from my GT-I9505 using BariatricPal mobile app

That does sound like it is a bit on the low side. One time my mom was lying down on the couch, my daughter called me and said there was something wrong with mom. She was white as a sheet. She couldn't talk. She tried but no words came out, only a few whispers. She couldn't move. She looked like she was dying. We called an ambulance, they came in and measured her blood sugar and I believe it was in the 30's. So 58 is too low. So I think you are right about reactive hypoglycemia. Here is a link https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf According to their webpage: How can I prevent reactive hypoglycemia? You can help prevent reactive hypoglycemia by following your diet guidelines for bariatric surgery. • eat 3 healthy meals and 2 healthy snacks each day • space meals and snacks 2 to 3 hours apart • eat protein at each meal and snack time • avoid skipping meals and snacks • avoid or limit alcohol depending on what stage of diet your are at • avoid or limit caffeine depending on what stage of diet your are at • avoid sweets like cookies, cakes, candy, pop, juice and sweet drinks Instead of sugars and simple carbohydrates, eat complex carbohydrates because they release less sugar over a longer period of time. Having a complex carbohydrate with protein will slow this release even more.

Hi there, Sorry to hear of your struggles. We don't have the same type of surgery but I have reactive hypoglycemia. Some of us will develop this as a complication from surgery. Sounds like you are managing it. I use a glucose meter. I usually know when my blood sugar is crashing. I can feel it coming on. I agree this takes work even years out. I have times when I'm doing well. When I'm not, I peek back in here to get back on track. Wishing you the best, Jenn

Hi all, I haven’t been around here in a while but I’m working on a reset and wanted to check in. I’ll be 4 years out in a few weeks. I had RNY gastric bypass. I initially lost 125lbs and have slowly gained back around 20lb, it fluctuates a little. Some of that is definitely fat, I’m not always vigilant about my diet but I also weight train a few days a week and have added on some muscle mass. I had a bike wreck last summer which resulted in a broken hand, dislocated knuckles, and pretty severe scrapes and bruises. It could have been much worse, but it did put me on my butt for a few months. I get most of my exercise in the summer by riding. I put put on about 15 pounds and it was winter by the time I finished physical therapy. For the last 4 months I’ve been really committed to my gym routine. I’ve been watching my diet more closely, cutting back on my drinking which, was never a problem or excessive but it is empty calories. I’ve lost most of the 15lbs and put on a little muscle. Sorry for the book, just want to give you the full picture. 3 months ago I woke up in the middle of the night to let my dog out and suddenly had what felt like severe hypoglycemia. I was pouring sweat, shaking, dizzy ect. I got some juice in me, laid back down, and felt ok soon after. I don’t have a meter so I couldn’t test. I had a drink earlier in the evening after dinner, which I normally don’t do, so I thought that might have been the cause and made a mental note to not do that again. But this incident was also many many hours after that, much longer than a normal reactive hypoglycemia episode or dumping. 3 weeks ago, I had a fairly normal dinner, a couple of pieces of thin crust pizza with vegetables, fell asleep so on the couch, and woke up again the same state. I hadn’t had anything to drink that night. This time I was slurring my words and stumbling around. I got some juice and felt ok. 2 weeks ago, same story. Except this time I didn’t have juice, I rubbed some honey on the inside of my cheek and ate a tea spoon of it. I was home alone and the next thing I know I’m waking up on the kitchen floor with no idea what happened. I went to my doctor, she told me to go on a hypoglycemia diet, which is pretty similar to an RNY diet and she ordered a glucose tolerance test. Let me tell you, that was not fun. Considering I avoid sugary drinks and items, trying shove 75grams of it into my pouch was awful, it’s amazing I didn’t throw up. My test results came back yesterday and they were interesting. Fasting glucose was 82, 1 hour was 77, 2 hours was 67, and 3 hours was 78. They actually did a finger stick at hour 3 and said it was 58, i know the meters aren’t as accurate but I was surprised at the difference. Does anyone know if those are expected results from an RNY patient? I was surprised to see my blood sugar never really went up. I’m not sure what my doctor will have to say about it yet. It figures when I’m watching my diet and focusing more on exercise than I have I start having these issues. But I’m determined to keep going. I’ve been keeping a juice box and glucose tabs next to my bed. I’ve also been splitting my dinner up and eating a little later, so far i haven’t had another incident. I really hope that’s the end of it. I have a good friend that’s in the process of having the sleeve so I’ve been talking to her a lot lately and going to support group and it’s been such a great motivator. It’s funny people thing this surgery is an easy way out, at 4 years I’m working even harder on it now than I was at 4 months.

I have hypothyroidism/hashimoto as well as anemia and hypoglycemia. I was sleeved in December and really have to work on not bottoming out from the hypo and anemia. I am also allergic to iron tablets so I have to get my iron through foods. It is a struggle. Sent from my SM-J327T1 using BariatricPal mobile app

Also anyone else have hypo or is anemic ? Does it affect anything ?

The things I packed that I used the most were a pair of sweat pants (keeps you from mooning everyone when you walk around), an eye mask (lets you sleep even if your roommate has a light on all night) and ear plugs also for sleep. I used my phone and ipad a bit, but not a lot, most of the time I was asleep or walking. I was able to shower at the hospital and brining my own hypo allergenic shampoo and soap was important and useful.

I am 9 yrs out from RNY...have had reactive hypoglycemia for about 7 of those. It started when I stopped counting sugars. Dont go over 15 grams per sitting and see if that helps. I know RNY is differs from sleeve so this may be too many grams for you...just pay attention to your grams til u get it right. I am only treated with diet. 9 yrs. out

Several people have developed reactive hypoglycemia after bariatric surgery. This can affect individual even if they were not diabetic prior to surgery. I find it confusing that your doctor is treating the condition by prescribing Metformin. Metformin is generally used to treat high blood pressure but reactive hypoglycemia is a low blood sugar condition. Here are some links that describe the condition and how to minimize its affects. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf We had one individual in our bariatric surgery support groups who had developed this condition. It kind of through him for the first time he fainted, but then when he understood the condition he felt it was very manageable. He could detect when he was about to experience the condition and just took a little food or juice and he was good to go. He didn't need any prescription medicine to treat the condition - just awareness and the proper response.

I am a little over two years post surgery and now have developed reactive hypoglycemia and been put on Metformin and given a diet. Anyone else out there going through the same thing? Thanks.

It's up to you. I had the surgery because of my family history. I am perfectly healthy now, but being proactive is better than being reactive once something wrong happens. Plus the younger you are, I imagine, the easier it will be to bounce back after surgery. I'm in my 30s, good health, and bounced back quickly (I know it's not like that for everyone). BTW- This is *not* easy by any means. It's a hard decision, pre-op is hard, post-op is hard, changing habits is hard. But being obese is hard too, so choose your hard! good luck!

Hi Maryjo, I'm glad to hear from you. I had lap-band in 2006, did fairly well with it, but it got too tight and I had it removed last year. I tried life without it, but unfortunately gained a good portion of my weight back, so had a mini gastric bypass in September. I have PCOS and have had gestational diabetes 3 times. I'd been on metformin (long acting 1000mg) for several years to manage symptoms and as a preventative to DMII. All was going well and I was losing weight fairly steadily. However, about a month ago I started getting low readings (3.0) and was symptomatic. I went off the metformin about 3 weeks ago, but continue to have reactive lows (fasting is fine) about 2 hours after eating. I've cut out all simple sugars and am really trying hard with the protein, but still struggling. My GP thinks the metformin is still in my system. I'm trying to figure out if this is just big sensitivity to carbs and late dumping or something more significant. My GP isn't too concerned and the surgeon is across the country. I called the nurse and dietician at the surgeon's office, but they didn't seem to know much about the phenomenon. I'm thinking I'd like to discuss this with an endocrinologist. I'm pretty worried about this. Kerri MGB Sep 28/17

Hi forum... I am 13 years out from RNY and I am back into the cycle of insulin resistance and reactive hypo ... anyone else struggling with this? It all started about 7 years ago when I became allergic to wheat and had to switch to a rice based diet cause of my allergy... my body just pushes too much insulin out when I eat carbs... and rice really make a me spike... then crash and burn. Would love to hear from others who have struggled with this due to PCOS... that is what started he whole cycle for me. MaryJo RNY on 8/2/04 290/130/215 current