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Do anyone in the morning after waking up experience low blood sugar? I wake up fine, then try to have something to eat, then a few minutes later I feel warm, sweating, feel like passing out. I read something about reactive hypoglycaemia, and before I had the sleeve I had low blood sugar moments. Now I been sleeved for almost 3 months now and its happened 3 times to me since. What do you do, anyone experience it?
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I have a thyroid condition(hypo) and although I am struggling to get to goal, these last twenty pounds are so difficult, I'm still pretty pleased w/my progress (75#). I was also borderline diabetic & my dr.was going to refer me to a specialist but I begged her to wait, as I was preparing for the surgery. Thankfully, my numbers are now perfect, I never needed meds. You'll find many people lose successfully w/a thyroid condition.
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This is going to be long, so I apologize. I'm just frustrated. I'm almost 2 years post VSG and have developed a significant case of GERD. It's so severe, and not controlled by medication, that my surgeon feels we can't just let it go. He has recommended that I undergo a procedure called stretta, which seems promising. We submitted for approval to my insurance company which promptly rejected the request (took them all of 3 business days) on the grounds that the procedure is experimental and there are well accepted alternatives, including pharmaceutical therapy and Nissen Fundoplication. Well, I'm not controlled by medication and the only combination that provides any relief Protonix/Dexilant was already rejected by the Company (they won't pay for the Dexilant and at almost $400 a month, the cost is almost prohibitive). Also, given that I no longer have a fundus, a fundoplication isn't available to me (nice going insurance co . . . way to review my medical records). My final option is conversion to bypass, which I really don't want to do. Other than my GERD, I LOVE my sleeve. It's allowed me to lose 130lbs and live an active lifestyle I've only dreamed about. I like having my pyloric valve and not having to worry about dumping, reactive hypoglycemia, etc. Also, the thought of another major surgery is not thrilling me. Anyway, my surgeon gave me the cost for both Stretta ($5,000) and conversion ($100,000). We decided to seek approval for conversion just to have it in our back pocket while we appeal the denial to my state Department of Insurance. Wouldn't you know it, they approved the $100,000 surgery. This is a prime example of what's wrong with the insurance industry. Why would you approve a $100,000 solution to a $5,000 problem???? Just frustrated beyond belief and knew this was a good place to get out my aggression . . . here and in my kickboxing class where I visualize the Ins. co's medical director's face as my target!
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WLS and hypothyroid, PCOS meds
Daisee68 replied to csawesome's topic in Gastric Sleeve Surgery Forums
I have Graves Disease and had my thyroid ablated with radiation about 4 years ago so I am what they call post-RAI hypo (I have no thyroid function at all on my own.). My endocrinologist said I will need to have it checked fairly often in the beginning because the med will not absorb the same as before (I had RNY). So I actually had to increase my dose twice at first and then have started reducing it slightly. I am able to tell from the symptoms when something isn't right (I get restless leg syndrome and muscle cramps in addition to hair loss when I am hypo). But I was able able to tell when it was a little too much med as I lost weight and had it checked. At 9 1/2 months post-op, I am still taking more Synthroid than I was pre-op. I can tell you it has not hindered my weight loss (I am down 100 pounds since surgery last June and 130 pounds total). My endocrinologist requires me to wait 8 weeks in between dosage changes before testing. He says at my age (48), it can take that long for the body to adjust and as you get older that time increases. It sounds like you know your symptoms pretty well and know when to get tested but I would say to treat it a bit like after your pregnancy for the first year at least until you get it stabilized. I haven't had mine tested since November but I adjusted it slightly on my own about 2 months ago and feel pretty good. I'm having it tested again in a few weeks. As for metformin, I was taking it pre-op for Type 2 Diabetes and was taken off of it by my endocrinologist during pre-op liquid diet with close monitoring of my blood sugars and then taken completely off by my bariatric surgeon in the hospital day after surgery and haven't taken it since and my blood sugars are perfectly normal and my diabetes is in remission! I know you are taking yours for PCOS but I would think you will need to go off of it at least in the early stages of taking in such little food given it can lower your blood sugar. I would definitely discuss with the prescribing Dr as well as your bariatric surgeon. Best wishes on your journey!! Sent from my HTC One M9 using the BariatricPal App -
Any other sleevers have PMR (Polymyalsia Rhuematica?
iwillbeachitagain replied to iwillbeachitagain's topic in PRE-Operation Weight Loss Surgery Q&A
Hello Mdawncooper, I am sorry for my delayed response! So, I almost didn't go through with the surgery because I was afraid the PMR flare pain would be too much on top of the sleeve recovery pain... The surgeon convinced me to go through with it and said that a week post op I could resume prednisone if needed. Well here's the miracle: severe bi-lateral leg pain is gone! It could have just been the prednisone withdrawal symptoms rather than a flare; but I am so happy to be on the other side of this surgery and OFF prednisone! The Doc told me they give all patients a dose of steroids in the O.R., so that could have helped as well. The tell-tale symptoms are bi-lateral pain (rather than one side only). The only way diagnosis can be confirmed is to try Prednisone. If the pain resolves within three days or less after beginning prednisone, then you know you have PMR. My pain was in my legs and lower back ; rather than in the shoulders and neck where it is more common. The prednisone worked and I felt great (but also gained weight). I am am hopeful that my symptoms will not return and when I have my C-reactive Protein levels tested that they are lower. It is so nice to be certain that I will lose weight and feel better as a result! Down 34 lbs. since I began this process in late November! -
Gastric Bypass Surgery Ruined My Life
James Marusek replied to acuri08's topic in Tell Your Weight Loss Surgery Story
Several people who underwent RNY gastric bypass surgery developed hypoglycemia. It is somewhat common. It doesn't seem to make any difference if they were diabetic prior to surgery or not. This is a specific type of hypoglycemia called "reactive hypoglycemia". These are a few links to this condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ http://www.weightlosssurgery.ca/before-after-surgery/reactive-hypoglycaemia-post-gastric-bypass/ http://www.todaysdietitian.com/newarchives/060415p48tip.shtml Probably the main point is that there are steps you can take to significantly minimize the effect of this condition on your body. -
Fainting, tremors and weakness can be signs of low blood sugar. Several individuals that underwent RNY gastric bypass surgery experience a type of hypoglycemia called "Reactive Hypoglycemia". Here is one link about this condition but you can search for other links on the internet. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/
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"But you're so young" and other things that piss me off.
jennah pennycuff replied to LeslesLosingIt's topic in Gastric Sleeve Surgery Forums
I am 27 I had mine done Jan 26 and I have no regrets at all I have hypo thyroidism I went from 125 pounds to 225 in like 2 months BC it was so out of whack then I had two kids and was married my highest weight was 261 I am now at 240 in only three weeks!! I've never been so happy w it my parents were very supportive and I even got into a gym because the excess skin I do not want that at all my surgery went great he said it was textbook I had a little reaction to the sturry strips but no infection nothing I missed for for about a week and then I got OK w it ! Im so glad y'all divided to do it it is so life changing ! I feel 100% better already @lesleslosinit ur surgery was two days after mine -
It is common for some patients that undergo gastric bypass to experience a condition called Reactive Hypoglycemia. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 So I do not know if this is common for gastric sleeve patients. But I would agree with GibbsGirl that this is the area that I would explore.
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Your experience eating sugar after bypass
Djmohr replied to MozzaWehsha's topic in Gastric Bypass Surgery Forums
I can eat both sugar and fat in small amounts with no problem. I have not heard of passing out from too much sugar, I have had episodes of reactive hypoglycemia and that can cause some serious symptoms. -
Your experience eating sugar after bypass
James Marusek replied to MozzaWehsha's topic in Gastric Bypass Surgery Forums
I am 33 months post-op from RNY gastric bypass surgery. After surgery, the part of your stomach that process fats and sugars has been cut away and your stomach no longer processes these. They pass into your intestines and if you consume too much of these it will leads to dumping syndrome. But after about a year, your intestines begin to take up the slack and learn how to process fats and sugars. I had Type 2 Diabetes prior to surgery and took 2 types of diabetic medicine to control my high blood sugar levels. When I left the hospital 2 days after surgery, my diabetes went into remission and stayed there. But I became resolved to never let diabetes return. Thus I control my sugar intake like a hawk. One of the conditions that occur to some RNY patients is that they develop low blood sugar. This is despite the fact that they never had diabetes prior to surgery. This condition is called reactive hypoglycemia. This link will help you understand this condition. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 -
I am post op four days from sleeve surgery I miss food!
jennah pennycuff replied to jennah pennycuff's topic in Tell Your Weight Loss Surgery Story
I have hypo thyroidism I went from weighing 130 to. 230 in a couple months no change in diet or excercise it was awful I trieeverything then two kids and a tubal preg made it even worse I'm so thankful I got to do it because maybe I can have the confidence I used to and be in shape like I was -
I found after the operation that I could only use sugar in forms of liquid for my hypo's as I couldn't eat sweet food quick enough and it would make me feel sick, so I have apple juice cartons and small glucose ( liquid) with me for my hypo's
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As a former diabetic, I would caution you against using chocolate to resolve it. We were told in diabetes education not to use chocolate as it takes too long to process and has too much other stuff. So, a glucose tablet is good or a peppermint candy or a very very small amount of juice, etc. Now I don't know if reactive hypoglycemia has different needs than hypoglycemia caused by diabetes but it seems to me that the same rules for increasing your sugar may apply though likely in smaller amounts so as not to lead to dumping.
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NO Thyroid and Impact on Balloon's Efficacy on a Weight Loss
Daisee68 replied to jansluv's topic in Gastric Balloon Forum
One of the other signs I get when my thyroid is off (either hypo or hyper) is Restless Leg. My calves start jumping around and creepy crawly. Yick! I hate it. Sometimes even though my labs don't show anything significant, I KNOW from symptoms that I am off. You will learn that eventually and what level you are most comfortable at. My PCP tested me (as part of another panel) and said my thyroid was fine. My TSH was 4.9. That is NOT fine for me. To feel ok I need to be between 1 - 2 TSH. My endocrinologist recognizes that my count should be lower and trusts me and my symptoms to know if I need to adjust. Keep track of some of the other things that seem off - dry skin, hair loss, joint pain, irritability, etc. And if you don't have an endocrinologist or feel like they don't give you the attention you need, find a new one. I went through 3 before I found one that I liked (mine also deals with kidney stones which I have and is somehow related to my thyroid issues and the different way I process calcium as well as my diabetes and now my Vitamin levels/metabolism). It may take a while to find a good endo but keep searching if you need to. Good luck! -
NO Thyroid and Impact on Balloon's Efficacy on a Weight Loss
jansluv replied to jansluv's topic in Gastric Balloon Forum
Now that you say it, perhaps I was hypo prior as my weight was escalating since November. I thought it was just holiday eating. Hopefully blood work shows this and Doc will up my meds. Thank you for the reminder about meds and calcium. I had been taking a multi Vitamin since my balloon with my synthroid...need to figure out a better routine. -
NO Thyroid and Impact on Balloon's Efficacy on a Weight Loss
Daisee68 replied to jansluv's topic in Gastric Balloon Forum
I had RNY so I know it is not the same, but I have Graves Disease so I had my thyroid ablated with radiation iodine in 2011 so I have no natural thyroid function and take Synthroid replacement every day. My med did not absorb properly post WLS (and my endocrinologist told me to expect it), so I was hypothyroid for a while and had to up my med. Synthroid can be particular so it would seem reasonable that the balloon could mess with absorption but it would seem odd that you would be enough hypo-thyroid in just 10 days. It could have occurred prior to your surgery and just now revealing itself? Also remember that you have to be consistent with taking your med and eating - i.e. at least an hour after the med, no Calcium within 4 hours of med (or if you do, just do It consistently), etc. Not sure if that helps, but I thought I would throw you what I knew... -
3+ years post op having lots of issues need feedback
James Marusek replied to marie110's topic in WLS Veteran's Forum
It is common to feel cold after WLS. Fat is a good insulator. As you lose fat, that insulation layer is gone and you will feel cold. Whenever I shovel snow, I now know how good hand warmers are. They are almost essential. When a person is overweight, many times they have existing hernias that they are unable to detect because they are overweight. So hernia operations are common for those undergoing WLS. Before I had WLS, I had two hernia operations. They were spread around 10 years apart. I do not remember pain being associated with these hernias. When I coughed, I could detect them. I suspect that if you are feeling pain, these are more severe and need to be corrected through surgery. If you are getting sleepy after meals, it may be due to low blood sugar, a condition called reactive hypoglycemia. Several individuals that underwent RNY surgery experienced this condition. I do not know if it is common for sleeve patients. -
Non-diabetic hypoglycemia after RNY
WildGrits replied to little_mrs's topic in Tell Your Weight Loss Surgery Story
I was surprised to find this thread is so current while I was searching Reactive hypoglycemia post–gastric bypass. I was having a few sugar drops recently so my GP had me do a two hour glucose test. My two hour blood draw was 36. To me the scariest thing was that the week before I had two incidents in one day where the room started to spin and I was sweating profusely. After driving myself home from my blood work I entered my kitchen and then the symptoms kicked in. So how low could I be getting before symptoms? I would have never driven if I had known I was that low. Tomorrow I go to an Endocrinologist. I have never been a diabetic so I am not very happy with this new issue. -
post surgery psoriasis patients questions
WalkOnWaking replied to Scott Myself's topic in POST-Operation Weight Loss Surgery Q&A
I would ask the surgeon for recommendations on that. As a side note, my psoriasis has cleared up a LOT since my surgery. Not cured by any means, but my skin is much less reactive and I've needed no treatments at all. -
Non-diabetic hypoglycemia after RNY
James Marusek replied to little_mrs's topic in Tell Your Weight Loss Surgery Story
Here is some more info on Reactive Hypoglycemia. http://www.mckinley.illinois.edu/Handouts/hypoglycemia_nutrition_reactive.html -
Non-diabetic hypoglycemia after RNY
catwoman7 replied to little_mrs's topic in Tell Your Weight Loss Surgery Story
supposedly it can be managed through diet. Hopefully your nutritionist will know. If it's what I think it is, it's called Reactive Hypoglycemia. I don't think it's super common, but on the other hand, I've seen it come up several times on forums -so I don't think it's necessarily *uncommon*, either... -
One of the problems that individuals that undergo RNY surgery sometimes experience is called "reactive hypoglycemia". Individuals experience low blood sugar within a few hours after eating. This link might help. http://www.mckinley.illinois.edu/Handouts/hypoglycemia_nutrition_reactive.html Also get back on your Vitamins. Your body, because of RNY gastric bypass surgery, no longer synthesizes vitamins from the foods that you eat. Therefore it is easy to become Vitamin deficient without taking supplements and thereby open the door to a slew of medical conditions that are caused by vitamin deficiencies. About a year after surgery I encountered a stomach flu. I didn't feel like eating and if I did, it generally led to diarrhea. I lost a pound a day for a week and then the flu was gone and life returned back to normal. I looked at the additional weight loss as a plus and tried to maintain this additional weight loss.
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Several individual on this site have reported the condition. It is officially called "reactive hypoglycemia". Here is a link to the condition and the recommended approaches to deal with it. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 For the majority of people, reactive hypoglycemia usually doesn't require medical treatment. It may help to pay attention to the timing and composition of your meals: * Eat several small meals and Snacks throughout the day, no more than three hours apart during the waking hours. * Eat a well-balanced diet, including lean and nonmeat sources of Protein, and high-Fiber foods, including whole grains, fruit and vegetables. * Avoid or limit sugary foods, especially on an empty stomach. * Be sure to eat food if you're consuming alcohol and avoid using sugary soft drinks as mixers.
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All labs have been great and have been read by my barbaric surgeon. Will look into it more. Will research additional vitamins and ask about the reactive hypoglycemia. Thanks for the input.
