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Well I'm up late for a terrible reason. But I thought I should leave record of this because you don't see it on the boards often. I had VSG but I have the unfortunate side effects of dumping and late dumping possibly even reactive hypoglycemia. I need to confirm the later with my doctor the next episode. The very first time it happened or that I can remember, I was 4 months post of in Naples. I was taking a coffee and felt a wave of flush wash over me but it disappeared immediately. Thought nothing of it. The next time I was in Paris, Nothing out of the ordinary lol. I had a pettit croissant and then a spoonful of panna cotta and I thought I was dying. Not exaggerating. Room spinning, heart racing, sight failing all in french subtitles. Took an hour to pass in a highly ornate turn of the (17th) century bathroom. The next few times I was on home soil eating (safely/properly cooked) homemade curried chicken breast. Then roasted lamb, next a tossed salad , then means and even once Greek yogurt! But not dessert/pastries again? Whatever...I'm sure it will happen again Absolutely no rhyme or reason. Every time it happens now I can't predict why, when or what foods will cause it. Just tonight peanuts and salmon pate. My usual suspects. I nearly went to The ER, it was that bad but I passed out in bed. Well now I'm awake to tell the tale. So I maybe a unicorn, who knows, but if you are banking on VSG not causing dumping syndrome, you may be surprised...

If it truly is reactive hypoglycemia, eating small meals and snacks more frequently will help. Eat a little something every three hours you're awake. Fasting would be contraindicated. A gall bladder issue would be an extremely common reason for the symptoms you are describing. Reactive hypoglycemia is possible, but is very rare and would surprise me. 25-30% of weight loss surgery patients who have their gallbladders develop issues requiring treatment. Gallbladder attacks are often set off by high fat, high protein foods. Sensitivity to eggs is often reported. Nuts, too. Spicy foods and fatty processed carbs can set off attacks as well. Talk to your doc. If it's gallbladder....it's a horse in a field of horses. If it's reactive hypoglycemia it's a unicorn.

I saw my ENDO today and, according to them, I have lost 20 lbs sincy my last visit there (in DEC). I got some other info about HYPO and lab band. They said that we need to be on the lookout for the jittery, anxious, fast hear beat, palpatations feeling because it is very easy to fall into the HYPER range for every 15-20 lbs lost. Make sure that you are seeing your endo regularly. Mine won't let me go past 3 months on regulated meds and 1 month on changed meds! I will have the official and post the weight loss count on Wednesday when I see my WLS!

As a clinician I would suggest a referral to an endocrinologist if you have a history of hypos during intense workout. Maybe he/she can work out peak times of your insulin levels and possibly have you work out during those times.

There was an interesting study done by Dr. Guenther Boden of the Temple University Medical School in Philadelphia and colleagues recently. They confined six normal-weight men to hospital beds for a week, encouraging them to stuff themselves with food — to the tune of 6,000 calories per day. Their objective was to investigate the genesis of obesity-associated insulin resistance. This study seemed to show that increased oxidative stress was related to acute obesity onset. And the researchers suggested that a Protein, the GLUT4 glucose transporter, was affected by the excess of reactive oxygen species. This protein is produced by fat cells after insulin stimulation, and provides the means by which glucose is taken up from the blood. Obviously, if GLUT4 isn’t functioning properly, blood glucose levels will be adversely affected. Refer to http://acsh.org/2015/11/6000-calorie-diet-yields-clues-to-insulin-resistance/ Maybe, I'm a little off here but it seems to me that an interesting follow-on study should look at the opposite state. There is a large pool of individuals undergoing RNY surgery. They drop a lot of weight, they halt the progression of obesity and in many cases their diabetes goes into remission and it does so within days. Maybe tracking the GLUT4 levels in these patients might give the researchers a large pool of data to put a nail into this research.

I played heavily when my hubby and I first were dating and quit right after cataclysm to plan the wedding. My husband reactivated my account and got me the lvl 90 boost 2 weeks before my surgery so I would have something to do while at home recovering. It was AWESOME spending all day horsing around in MoP for the first time, flying high on pain meds. I'm now 2 weeks out and he's all like "you sure do spend a lot of time playing wow, why don't you come to bed at a normal time?" You know how that convo goes... Good news is I'll make up for of with an awesome bod here shortly.

I'm hypo and actually had to have my meds increased since my levels TSH levels were rising instead of falling. It is now under control - but I didn't noticed any particular problems due to the fluctuation. Doc monitored it every 3 months and now every 6 to make sure it is in range.

Banded 11/24/2009. Weight loss only 22lbs. Just now (today) have good restriction after 6 fills. I take 75 mcg of Synthroid for Hypo. I believe the restriction has been what held up my weight loss; not the Hypo.

I'm a Type2 and had a lapband back in 2009, starting at 153.5 kilos. I lost 20 kgs. However I had a lot of problems (sprung a leak in the tubing in the beginning and it never really worked for me) so I'm having a revision to mini gastric bypass. The thing with my diabetes is I get hypos if I eat high carbs (sugar) and then nothing else for ages. So eg. a croissant for breakfast and then by 1pm I'm having a hypo. My theory is that the body overshoots the insulin for the croissant so I have too much floating around that has nothing to do but send my blood sugar crashing. When I go keto, eg keep carbs to between 20 and 50 grams a day, I simply don't get hypos. So you may find the problem for you is too many high sugary carbs and surgery and limiting your carbs will really help re: hypos. My doc says they perform this surgery specifically to send diabetes into to remission, so it's definitely something to consider. Many blessings Sent from my SM-G930F using BariatricPal mobile app

As long as you have no symptoms of a hypo that is pretty good. Is it stable at that reading? If you are having hypo symptoms you want 15g carbs immediately, eventually the less high sugar or high carb foods you have the more stable your blood sugars will become.

Hi happy to read your story. I'm a 47 year old "thick girl" also and have been proud of it. Never had a weight problem until I had my daughter in 2004. After that I found out I was hypo thyroid and the weight keep piling on. I kept eating feeling lonely, depressed that nothing I ever did I could lose. Then my meds were finally working for me & my hypothyroidism became "controlled"... I lost 65 pounds on my own but within 6mos to a year, new boyfriend who loves to take me out, cook, and have a good time I gained it all bac plus some... That was 3yrs ago & the scale keeps climbing... Same boyfriend though whose 6'4, 160 pounds lol... Anyway I'm now Type II diabetic, high cholesterol, sleep apnea (on C-pap) machine and high blood pressure because of my weight. I looked into weigh loss surgery a few years ago before I developed medical issues but it terrified me at the informational session. I ran for the hills. I tried my hardest to lose the weight. After yo-yo diet after yo-yo diet, I made another appointment with the bariatric team back in March and now my surgery is June 5th. Next Friday!!! I am so grateful & nerves all over the place. But can't wait to get this weight off and keep it off & off these meds. I'm doing preop diet until my surgery next week but I'm READY!!! Congrats and I'm so happy that you are here. Keep in touch & add me as a friend!

this isnt dumping, its reactive hypoglycemia. you need to go see your nut to reevaluate your eating plan.

A year ago today I got a voicemail that changed my life. In the months before, I was having issues with my thyroid. I had scans and biopsies done and I was referred to an endocrinologist. She had me do all sorts of blood work. Her voicemail a year ago said that I had thyroiditis. It when your levels go up and down and you go from having hypo- thyroid to hyper thyroid. She was more concerned with my sugar levels and told me that my Ac1 was at 6.4 which is onset diabetes. I made up my mind after that voicemail that I was having the lap band done. I had my surgery 6/6/11. I have a little less than 3 mos to go for my banniversary. So far I'm down 67 lbs. I'm not weighing myself during lent and I'm ok with that. I was never a morning person and now I wake up at 4:45 am very weekday to go to he gym before I go to work. I'm so grateful for the band. My thyroid issues are gone and my sugar levels are fine now. I still listen to hat voicemail every now and then to remind me of how unhealthy i was. I can't wait to post my 1year stats.

I am dealing with tjis too. My dr dx it as RHG its called Reactive Hypoglycemia. It comes on from losing weight and malabsorption. Whenever eating a carb i have to have protein to balance it out. An by carbs i mean even in fruits veggies an such. If you gpogle RHG it gives tons of info HTH

I had that too. I figured it was either from the steristrip adhesive or contrast used in a CAT scan. Benadryl gel applied topically didn't help. I pulled the strips off, replaced with non reactive band aids, and got approval from my doc to take liquid Benadryl. Two doses later, it faded considerably. Good luck!

Weeks out, on soft foods, I totally wanted crunch berries, so I let em soak and get soggy and ate every bite....they were delightful. They my reactive hypoglycemia kicked in and I ended up laying on the bathroom floor shaking with a horrible headache, feeling like I was gonna puke,

When I click on Journal Index, it says module deactivated. I really hope it is eventually REactivated. :nervous

I am a type 1.5. Can any type 1’s comment on what WLS you are getting? I’m afraid if I get the bypass that I’ll get dumping syndrome if I go hypo and need to ingest sugar to get my bg back to normal again. I’m using the tandem x2 / dexcom g6 / controlIQ closed loop system and it is da bomb! But I do still have occasional very low lows.

I take hypo thyroid meds and also antidepressant. I got sleeved on Dec. 5th. I have noticed absolutely no changes...everything is fine. My doc has ordered a blood test to make sure all my levels are good.

You indicted that you are shaky and weak after consuming food (your Protein shake). After surgery a few individual's experience reactive hypoglycemia. Here is a link. http://www.weightlosssurgery.ca/before-after-surgery/reactive-hypoglycaemia-post-gastric-bypass/ But generally this condition shows up several months after surgery. If you were diabetic prior to surgery and taking prescription medicine for this condition. And you still are taking medicine to reduce your blood sugar, it might be important to reassess your medicine with your doctor and reduce the level.

I'm diabetic already and it's drastically improved sine surgery two weeks ago... Lows are common but some ppl do develop hypoglycemia after sleeve as a complication Definitely talk to your NUT about it but eating a few light carbs can help or slow burning carbs like Beans and peas etc. I'm using Melba toast or wasa crackers with My tuna and hummus, fills me up, keeps me satisfied and not feeling so dizzy and hypo like I was when I was doing Protein only. Definitely check your blood sugar especially if you feel symptoms and if you're scared of oh they have these not so great tasting glucose tablet chewables you can buy at the drug store for a few bucks in different flavors and they boost your glucose up quickly

I have had the same thing happen to me after surgery. I have an appointment with my Physician this week to have a glucose tolerance test done. Being in the medical field as a Paramedic, I have done a bit of my own research. I believe what we might be experiencing is Reactive Hypoglycemia. Here a a link from Mayo Clinic explaining Reactive Hypoglycemia http://www.mayoclinic.com/health/reactive-hypoglycemia/AN00934 . I think that you should see your doctor to find out exactly is going on in your body. When you eat or drink something with sugar in it, lets say a protein drink with added sugar! This causes your body to release insulin to breakdown the sugar and use it for energy. Your body is use to releasing a lot of insulin from when we were indulging in sweets before the surgery. So, your body continues to release a lot of insulin. Once that little bit of sugar is consumed by the insulin and used as energy, the body continues to dump out insulin looking for sugar that you ate. However, there is no more sugar there. Your blood sugars begin to fall below normal limits, your pancreas creates glucogon and tells your liver to break down the glycogen which releases glucose into your blood stream. This will cause your blood sugars to begin to rise to a normal level. Your body then releases epinephrine (adrenalin) into your blood stream this is what makes you shaky. Most people would eat or drink sugar to make their blood sugar rise. This will only make it worse in someone with Reactive Hypoglycemia the cycle continues. It is recommended for persons with Reactive hypoglycemia, to eat small meals throughout the day including lean proteins and foods that are high in fiber. Make sure that you are limiting simple carbs and sugary substances. This will prevent your body from dumping too much insulin when you eat. If you are experiencing these symptoms make sure you see your doctor. I am not a doctor, nor do I play one on television. This is research I have done on my own that I am sharing with you. I have experienced many of these symptoms myself, and I have contacted my Physician for testing. Good luck, let me know what you find out!

kimaly, I think that you were just being "reactive" as it was my post and it was a post about me and my band issues. I have no problem with people not agreeing with me as that's what the world of forums are for but as you've been banded for a month and I've been banded for just over a year now I think I know a bit more about my body than you might. Plus feel free to add all you know to the "Life After Lap-Band Removal" forum as I'm sure you're an expert. As you were not in my situation you cannot relate or obviously understand what impact being under-filled was for the first three month was like as I trusted my tech to be a professional. I know now to question all professionals. She also was the same tech that did not read how much fill I had a third time and put in an extra cc in that sent me to an emergency visit with an on-call surgeon after midnight and also blew off my daughter who had been vomiting for days after 3 months post-op RNY and was then that night in the ER getting IV fluids and then the following day admitted to the hospital for an endoscopy and a dilation of her stoma. So though you think I'm not taking credit for my "failure" of the band I think I have the right to vent a bit about a tech who has made four mistakes so far and the one that was made on my daughter ranks to be the worse in my book anyway. We now avoid her at all costs! I think anyone would. Basically I was responding to a poster who asked me why I had problems with the band and was trying to give her information without "bashing" the band as that was not my intent. I do not know the statistics of those who do not do well on the band and as one can see who does not just "react" to my posts but actually reads them and understands them people who have issues with the band are individuals with circumstances that add to their failures, it's normally not as simple as just doing A or B. Although I have read posts of people who just freak out that they have a foreign object in their body and want it removed fairly soon post-surgery, that would be a different situation. I had to analyze why I was eating the wrong foods while banded and why it wasn't working for me, doesn't mean to say that I've never taken credit for my part to me that's obvious. I had the intention in the beginning like everyone else here does and did the five week liquid diet and was able to lose the 25 pounds that they expected but it just wasn't working out as I had expected it to. As someone who has been dieting since they were young, also knows what it's like to drop 100 pounds twice only to gain it back again I know a bit about losing weight and it got tougher and tougher as I got older and also while on my antidepressants and anti-anxiety meds. I don't know if you have a difficult time understanding that part of the picture or maybe you do but once off those meds I can lose weight but I tent do have a major breakdown during that time which is not worth it to me. I really thought the band would over-ride some of these stumbling blocks for me which it did not. It wasn't something that I would have known prior to banding, it was trial and error and after a year of trial and error and also working with my endocrinologist to get my meds right again I'm hoping to now get to a healthier me. You don't have to feel sorry for me and I don't see where I'm "giving" up on the band, to me that's just silly! It doesn't take a rocket scientist to tell me that the band was not the right solution for me. It maybe the right solution for 99% of all people but I'm that one lone 1%. I'm being generous with this percentage as I have no idea of the actual one. Anyway being straight forward can be a wonderful way to communicate at times and in the right situation but not always taken in the "spirit" as it was intended. I know there is a group out there that believes in "tough love" and that their posts are only there to inspire and help those of us who are not in touch with reality but they need to really think about how they come across as it is not really that helpful and they end up looking pompous. Oh and I accept your apology, thanks Nancy.

I am kind of confused as to why you would tell people your weightloss was due to being "diagnosed" wth hypothyroidism? I have hypothyroidism and that is exactly why I chose to get this surgery. Neither hypo or hyperthyroidism make you lose weight, and not drastically; I have been treated for both for over six years now. I just found that interesting that you would say that since the disease makes you do the exact opposite.

Wow, thank you, I think this is truly what I need to hear. I am already looking into therapists because while Ive never had an ED, I think it's better to be proactive then reactive, and I actually found one who uses food as healing which I think will be great for me! I definitely am giving myself credit - I've lost 34 lbs from my first visit, and 10 post-op. I just am a "nip it in the bud" kinda gal when problems arise. Overall, I think aiming for perfection, as most of you said, right now is a good goal - but knowing it wont be perfect everytime is something I have to be mindful of!