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I usually get my K and Na from propel or Gatorade zero - no sugar but electrolytes. Mu Fe is normal, I had medical issues before surgery, so I have elevated RBC, C - reactive protein, and platelet count, but low Na and low K. I by no means have a high sodium diet, my average intake is less than 1,000 and average around 700 with the propel or Gatorade. Sent from my SM-N950U using BariatricPal mobile app

Yep the food = Happiness ratio, is pretty high. For me the lapband initially began as a desire to say a proper and final farewell to yo yo dieting, that was a good few years ago and I never thought I would be able to afford it. By the time I looked at it again, it was from sheer frustration and pain. For a whole year I had been eating all the good stuff, fruit, veg, fish, red meat rarely. Yet I was still puttingon weight. At first I put it down to quitting smoking, then finally spoke tot he doc about it and discovered I had an underactive thyroid. Hoped the pills would resolve the weight issue, must admit had been tempted to up my dosage so my thyroid would kick into Hyper instead of hypo, but knew that was too stupid, even for me. Then the reality hit me, I had been dancing sine I was 7 years of age, I only stopped when I had my son and all my other niggly ailments buggered up any exercise regime. So it wouldn't have mattered even if the thyroid tablets were able to reverse the damage already done, there was no way I would be able to exercise to get it off. So really in the end I'm not doing it so much for the fat I will lose, which I know I can't wait to get back into just a 16! But, my health, each pound is another pound off my joints and maybe, just maybe I will be able to take up some form of dance again without crippling myself Also act like a looneyw ith my son, instead of worrying about getting carried away. I just want to be able to live again. I truly believe that the band is going to help me do that, psychologically I already feel ten times better, than I have for years. I have taken back control of my life a nd the disability is finally going to be second fiddle! Yee Haw. Guess it is a day for rants. H, your OH may take a very long time to come around, but he will. Don't be afraid to go to Chimay on your own, in some ways it may be better. You will be spending a lot of the time in the hospital and Chimay isn't exactly a great tourist destination. There were two women who brought their partners and we really didn't get to know them but there were three of us who were going solo (well apart from Jane with Gemma, but she was counted as one of the girls lol) and we supported each other and I really do feel that time being with others who are sharing the same experience is priceless. It's not that long till you will be going either H and Pilko how is the yoghurt going? Luv Sx

Chelly, how do you manage your reactive hypoglycemia?

@Apple1 Actually, I don't mean to contradict you, but in my opinion, what you were experiencing from going from eating a low carb diet where you were in lipolysis (fat burning mode), to eating sugar or high carbs is a well-known phenomenon in the low carb world. Most of the low carb docs know of this. It is a benign blood sugar reaction--in many cases. That is why they will tell you that if you've been low carbing and are going to have a glucose tolerance test, then you must go back to being a carb burner (glycolysis) for a minimum of 3 days prior to the test--where you have to eat a minimum of 150g of carbs per day in order to have an accurate picture of what's happening in the GTT. It's almost in the nature of being a reactive hypoglycemic event where your sugars go super high, then crash. It can cause the same symptoms of dumping--fast heart rate, sweating, nausea, the big D, feeling super bad, etc. Happened to me once from having a margarita after years of low carbing. That doesn't necessarily indicate a persons diabetes 2 is out of control again--but it can.

If the doc doesn't call you back you REALLY need to consider going to an ER or urgent care. Really. Syncope can be a sign of many things, none of them should be ignored. There is a good possibility that your labs are off and you could be hypo/hyper on many levels. Be careful!!!!!!

Was banded yesterday. Everything went well with the exception of getting the damned IV's going. My veins are really tiny and they roll. After five tries I asked them to just put it in the crook of my arm. Other than that, pretty uneventful. They took me in at exactly 1pm but didn't get done with me till 4pm because of a "monster" hernia plus the doc dealt with a bunch of adhesions. Actually, when I woke up the only place that I had pain was in my chest. Felt like an elephant was sitting there. They gave me a hypo and sent me home. That shot lasted way into the night. Took some liquid Tylenol and slept really well. My DH wedged a pillow behind me so that I could somewhat lay on my side. (Stomach sleeper and have NEVER slept on my back). Swallowing is going good and have gotten in quite a bit of Water since I got home. I was told I could start with cream of wheat, Soups (non-chunky) tomato juice tomorrow. Thought that was quick but doc says with new band it's OK. Next Tuesday I can start with scrambled eggs, soft veggies, tuna, cottage cheese. July 1...onto real foods. Seems like a pretty fast transition to real foods but will test the waters as my doc gives me the OK. I am so excited to think that there may be a chance that I no longer need to take medication for acid reflux. I took nothing last night and it went well. Will have to see what today brings. That's it for now. Going for a walk and then back to the couch. Hope everyone else had as easy a day as I had yesterday.

Yes, stupid Graves ..... I saw my Endo 3-4 weeks post op, then blood tests every 6 weeks, next Endo appointment was 3 months later. Still have 6 weekly blood tests, and still see her every 3 months. She also communicates with me via phone and email. I finally sleep better, my blood pressure and heart rate has come down. Prior to that, I had to go back on beta blockers and sleeping tablets, as the hyper state kept me awake at nights for months! As Thyroxine is so very weight sensitive, each significant drop in weight was bringing hyper thyroid back for me. Now, even though I sleep much longer and much better, I am still tired, still have awful headaches and really bad allergies. All hypo symptoms. So, this next med adjustment may finally do the trick ...... I hope so! Got to keep an eye on the thyroid post op, that's for sure.

Controversies in Coverage for Obesity Treatment and prevention have seldom been emphasized by insurance providers, despite spiraling health care costs attributed to obesity. With more Americans overweight, obesity has become a leading cause of preventable death (65) . Direct costs associated with obesity represent 6% to 7% of the National Health Expenditure (66) (67) ; 99.2 billion dollars were attributed to obesity in 1995, of which 51.6 billion dollars were direct medical costs (67) . A study examining the 25-year health care costs for overweight women over age 40 years using an incidence-based analysis, predicted that 16 billion dollars will be spent in the next 25 years treating overweight middle-aged women alone (68) . Other investigations have suggested a relationship between BMI and health care expenditures. In one study, medical and health care use records of obese women (N = 83) belonging to a health maintenance organization were compared with records of non-obese women (69) . As BMI increased, so did the number of medical diagnoses and the use of health care resources. In another analysis of employees of 298 companies (N = 8822), obesity was directly and significantly related to higher health care costs (an 8% higher cost), even when adjusting for age, sex, and a number of chronic conditions (70) . A longitudinal observational of obese individuals (N = 383) covered by the same insurance plan reported that the probability of health care expenditures increased at BMI extremes (71) . A study of over 17,000 respondents to a 1993 health survey reported a strong association between BMI and total inpatient and outpatient costs (66) . Compared with individuals with a BMI of 20 to 24.9 kg/m2, there was a 25% to 44% increase in annual costs in moderately and severely overweight people, adjusted for age and sex. Wolf and Colditz (67) reported an 88% increase in the number of physician appointments attributed to obesity from 1988 to 1994, and a total of 62.6 million obesity-related physician visits in 1994. A recent review of the scant literature on access to and usage of health care services suggests that obese persons use medical care services more frequently than do non-obese people and that they tend to pay higher prices for these services (72) . Beliefs that obesity treatment is unsuccessful and too costly have been challenged (73) . Weight losses as small as 10% are associated with substantially reduced health care costs, reduced incidence of obesity-related comorbid conditions, and increased lifetime expectancy (73) (74) . Recent research has addressed the cost-effectiveness of drug treatments and surgery for obesity. In 1999 Greenway et al. (75) found that weight losses produced by medications (fenfluramine with mazindol or phentermine) reduced costs more than standard treatment of comorbid conditions. Gastric bypass surgery has demonstrated even more impressive effects, with lower costs and greater long-term weight loss maintenance in comparison to low-calorie diets and behavior modification (76) , as well as significant reductions in BMI, incidence of hypertension, hyperinsulinemia, hypertriglyceridemia, and hypo-high density lipoprotein cholesterolemia, and sick days from work compared with matched controls (77) (78) . Current Coverage Practices Even with some evidence of cost-savings for some weight-loss methods, medical coverage is inconsistent. Surgical treatment is often not reimbursed even though diseases with less supported treatments are compensated (79) . Some have explicitly pointed to prejudice against obesity surgery by insurance providers who are preventing its broader acceptance and use in practices (80) . As Frank (81) concludes, "... no claim to justify the denial of benefits for the treatment of obesity has any validity when held to the standards of health insurance otherwise available in the United States. It should be obvious that such a judgment is ethically unconscionable." It is typical for health insurance plans to explicitly exclude obesity treatment for coverage (82) . Physicians often have difficulties receiving reimbursement for their services (79) . Many reimbursement systems do not categorize obesity as a disease, leading physicians to report comorbid disorders as the reason for their services (79) . In 1998, the Internal Revenue Service excluded weight-loss programs as a medical deduction, even when prescribed by a doctor. In response, several organizations such as the American Obesity Association (83) filed petitions for a ruling to allow the costs of obesity treatment to be included as a medical deduction. As of 2000, the Internal Revenue Service policy changed its criteria, allowing costs for weight-loss treatments to be deducted by taxpayers for certain treatment programs under a physician’s direction to treat a specific disease (84) . The Social Security Administration has eliminated obesity from its list of impairments, which is used to determine eligibility for disability payments (65) . Because individuals who receive social security disability benefits are also eligible for Medicare after 2 years, those who are denied disability also forgo opportunities for medical coverage (65) . Although few studies have addressed this issue, a recent cross-sectional analysis of third-party payer reimbursement for weight management for obese children reported low reimbursement rates (85) . Despite the medical necessity of weight management for obese children in the study, no reimbursement was given to 35% of the children enrolled in weight-management programs, and no association existed between the severity of obesity and the reimbursement rate (85) . Although this article does not intend to examine all of the potential factors that may underlie these coverage policies, one likely contributor are perceptions that obesity is a problem of willful behavior and that treatment is unsuccessful and expensive (81) . Although health insurance typically covers treatment for substance abuse and sexually transmitted diseases, which are also considered to be problems of willful behavior, obese persons may not receive the services they need (81) . Denying obese people access to treatment may have medical consequences, but also denies people an opportunity to lose weight, which itself may reduce exposure to bias and discrimination. For example, Rand and MacGregor (58) assessed perceptions of discrimination among morbidly obese patients (N = 57) before and after weight-loss surgery. Before their operations, 87% of patients reported that their weight prevented them from being hired for a job, 90% reported anti-fat attitudes from co-workers, 84% avoided being in public because of their weight, and 77% felt depressed on a daily basis. Fourteen months after surgery, every patient reported reduced discrimination, 87% to 100% of patients reported that they rarely or never perceived prejudice or discrimination, and 90% reported feeling cheerful and confident almost daily. A further study indicated that 59% of patients requested surgery for social reasons such as embarrassment, and only 10% for medical reasons (86) . After the operation, patients reported improved interpersonal functioning (51%), improved occupational functioning (36%), and more positive changes in leisure activities (64%). Although these studies are based on self-reports from selected samples and, therefore, have limitations, it is interesting to note the dramatic reduction in postsurgical perceptions of prejudice and discrimination, and the power of social perceptions in motivating surgery decisions. Summary and Methodological Limitations A "fat is bad" stereotype exists in the medical field (87) . Further study is needed to test the degree to which this affects practice. It seems that obese persons as a group avoid seeking medical care because of their weight. One barrier to drawing further conclusions, however, is that much of the research relies on self-report measures of variable reliability and validity. There is a need to move beyond reports of attitudes to actual health care practices.

I consider myself an expert when it comes to autoimmune rheumatic diseases. First- let's talk your prednisone: See an endocrinologist. Pronto. I was taking 60 mg of pred a day for years. There was no weaning off, because any time I got down to 20-25mg, I literally could not function. In any capacity. Enter the endocrinologist. Because the prednisone does just as much (if not more!) damage than good, my adrenal function was gone, I had prednisone induced glaucoma as well as prednisone induced diabetes. I needed off the meds ASAP. She prescribed me ORAL hydrocortisone. It mimics- and tricks- your body into believing it is prednisone, and is MUCH easier to wean off of than the prednisone. It took a total of 2.5 months vs over a year or longer if it were the prednisone. Do this. Again, ASAP. Ask for it. Second- methotrexate, either by pill or injection: pills made me sick, puking, typical chemo side effects. The shots did not, and they actually work much more effectively than the pills, so if given a choice, it is a once a week teeny tiny needle. Side effects- don't bother paying attention to them. The benefits far outweigh any possible adverse effects. You will need regular blood work to monitor your liver enzymes. Again, I have been on a very high dosage, so mine were often screwy. Third: I can't imagine any surgeon doing WLS or ANY elective surgery while you are on either of these meds. I had to "wash out" before I could have my surgery, meaning get all traces of the meds out of my blood system and stored reserves. Both drugs make you more susceptible to infection and the prednisone especially makes healing hard. And keeps weight on. Again- seeing an endocrinologist will get you off the pred by using oral hydrocortisone pills. Usually PMR goes away after a year or so. I wonder if you don't have true rheumatoid arthritis? The tests- a sed rate and C-reactive Protein screen are used for PMR as well as other autoimmune arthritis diagnosis. Just a thought. So- don't worry about side effects of the methotrexate and get off the pred!!! Sent from my iPhone using the BariatricPal App

I have never seen a true "foreing body reaction" to drains. This is because the drains are veny inert and are designed not to be reactive. Also, they are in for too short a time (1-3 weeks) to really cause a problem. Sometimes people have a reacion at the skin, where the drain exits. This may become very sensitive and may bleed easily - but this gets better almost immediately after the drain is removed. The more likely cause of an internal FB reaction is the sutures - especially permanent sutures. This may be cause hard lumps and tenderness over the sutures.

Oh No Suzie!!! But at least it is a walker cast/boot. Crutches suck sooooo bad!!! Hope it heals quickly and quits hurting even sooner! Izzy and I just got back from our walk, I increased our distance, and made myself weak by the time I got home. We walk FAST! I am trying to wear her out and work me out! She is pretty good on the leash, better when Rick is with us. But she is learning our ways of what we want her to do. I am waiting for Kinsey to get home, then have to run into town, to get new meds for Rick, the new GERD meds are not working, and he is having problems swallowing. So off to buy his usual OTC kind. And he wants new socks! LOL, he actually, finally ask for them, he has some that are antiques I think! LOL My in laws left this morning for Texas. After telling us for the last few years they couldn't drive it, and dictating when Rick's vacation had to be taken, they suddenly left. Called me from the road. I called them several times yesterday to say happy anniversary, and no one would answer. They did not want us to know until they had already left. I hope they will be ok. It scares me so bad. She drives sooooo slow, not over 55 EVER. Not on the interstate, or anywhere. And he can't move well enough to look around and be reactive. Scary. But they are both well into their 80's now. They celebrated 65 years of marriage yesterday! Can you believe that!! The issue is that my DIL's parents are driving their motor home to TX to meet up with the kids when they come in, and my MIL is concerned about the farm house needing cleaned for them. They are not the kind who would care....but she does. I am finished working, I could have taken them and helped, but guess they preferred not. My dog is snoring....wore her out. Speaking of I need to go call the vet. She has an appointment tomorrow I need to reschedule.

Hi I've just been searching for this topic as I've recently realised I have just started showing symptoms of Reactive Hyplogylcemia. I'm exactly one year post-op sleeve surgery and I had no idea us sleevers could suffer these symptoms. I'm a vegetarian so trying to cut out carbs has been a huge challenge for me and must admit that recently they have come back into my diet and my weightloss has also stalled. I now find that if I try and exercise in the mornings I have a massive hypo attack, the shakes, sweating, low blood sugar, feel like I'm going to faint, need to sit down and then an urgency to eat something. I then continue to feel terrible for the rest of the day like I'm all washed out and very tired even though I've done almost nothing. This is a very worrying new complication of the sleeve surgery that I did not sign up for and I'm trying to find out as much as possible about the condition so I can learn how to manage it. I'm confused as to whether I need to cut the carbs or increase them? I've been eating about 1,000 calories a day but burning around 2,700 cals per day (I wear a BodyMedia monitor so I know exactly what I'm using). I'm now really worried about this new development.. I'm seeing my surgeon next week for my one year review, I will be asking about this as from what I've researched, it seems as though there are a lot of people post bariatric surgery complaining of the problem and not much can be done from what I know??. Mine so far has been manageable but I am very worried it might get worse and I've read some people having their Pancreases removed which seems very extreme!. Any help or advice would be gratefully received. Prior to surgery I had PCOS, under-active thyroid and had been told years ago that I was insulin resistent but I never had diabetes. I must say, had I known about this complication it would have made me consider very carefully whether I should do this? Please has anyone any advice as it is worrying me a lot??

I started this post yesterday under general post op, I suspect my lack of responses was because either it was in the wrong forum or no one else has personally experienced this. It goes like this. Hello folks... I am 23 months postoperative. I was 3.5 lbs from goal and decided to up the daily routine of exercise wanting to hit goal, I am a slow loser. More importantly the emotional victory was really all that I cared about, not the physical. So Instead of my normal 600 calorie a day burn on the elliptical I started burning 750 calories daily. I managed to lose 1.4 lbs in a month, but started to become ill. Having all the signs and at times severe, of hypoglycemia. After three weeks of fearing to drive at times, I finally went to see my Dr. My normally very nice blood pressure was extremely high and she followed up with lots of blood work, a kidney workup etc. I was asked to check my blood sugars randomly and especially when feeling ill . I'll call them spells. I would tremble, feel light headed, blurred vision, rapid heart rate and overall weakness with a strong desire to EAT. This at times woke me in the middle of the night accompanied with cold sweats, feeling much like a heart attack or my impression of one. There were times at work I'd have a project in my hand and not know why, my thought process was on "hold". I was lethargic and my memory would shut down. After googling hypoglycemia I was convinced that was what I had, yet my blood sugars were always within normal ranges, my A1C (three month average of blood sugars ) was great. So more testing was ordered, I do not have the results yet, of all the tests but one thing I do know is that I had a 2 hr fasting glucose tolerance test and that was not fun. The test is simple. They check your blood upon arrival, my number fasting was at 93, then they make you drink a bottle of sweet syrup within 5 minutes, then I was SICK. Many of the same symptoms were replicated, although not all, I was near passing out, blurred vision, not even being able to focus on my Ipad. I thought I was going to vomit, defecate in my pants and maybe even stroke out. I could barely speak. and actually didn't dare to in fear I'd throw up. This lasted nearly an hour. At hour two they draw your blood again and it is suppose to be 140 or less to be in normal ranges. Mine was 56. I have done further reading and honestly never read about this prior to my surgery, but this seems to be a delayed symptom of the Gastric Sleeve. It's called Reactive Hypoglycemia. http://en.wikipedia....ve_hypoglycemia I have not had any real symptoms since cutting my calorie burn back to 600 per day and trying to incorporate more complex carbs to my diet. I ate mainly protein and vegetables. I've added a slice of 15 grain bread or a whole wheat English muffin to my diet daily and overall do feel better. I've had a few spells, not nearly as bad as before, and no more night issues. My question is there anyone else here with the same problem? If so why had I NEVER heard of this? If someone has had this experience I have questions about whether this is temporary, will I end up gaining because i'm eating more carbs etc. Thank you in advance for your help!

Hi everyone.Well, I am on day one of the preop modified very low calorie diet and hoping that two Optifast meals a day won't give me a rash or violent tummy problems.(If anyone else here is interested I can post the modified preop diet for people who are reactive to the opti).My three year old curious son who always wants to eat what I do is very puzzled.He is slurping on a milo dessert he wanted because I was soldiering thru a optifast choc dessert for lunch-he is so cute Dr Mosse is still ordering urgent tests for me even tho the surgery date is in 2 weeks.I have to have an oesphageal manometry test now (to check for swallowing problems).So his final words to me on Mon were to start the diet, fill in the hospital paperwork and consent, but that he may not do the operation! He is so thorough I have already spent over $1000 on tests alone. Trying to stay positive and really appreciating reading this forum.

It could be mild reactive hypoglycemia. I get it with carb-heavy meals but more extreme and need to be careful. Try adding a bit more fat and protein to your meal and reducing carbs a bit. You can test your blood sugar using a tester you can get at the chemist. It shouldn't go much below 4. Test when you are feeling worst.

Hello, I had my first fill on the 19th. I have a total of 5.6 cc's and it's taking some getting used to. I didn't have a problem with any foods prior to the fill, now I'm hungry but can't eat much. I've done the whole Pb'ing etc..... even with mushies. Tuna was the only thing that worked today. I'm happy that the weight loss has been reactivated, but it's hard to keep enough proteins in me so that I don't feel light-headed.

Oh I am in for sure but have to figure out how to set up my PM. I need to update my account setting I will work on that this afternoon. YOu have Dr. Baggs everyone likes him and likes going in to see him. :-) I love talking to him because he really gets it. I always tell him things are easy when he sets goals (than don't make them) and he wants me to quit saying that!! LOL. He keeps telling me nothing about this is easy don't keep saying that!! I am registered over at Obesity.com but haven't checked in a year or so. I might need to reactivate my account again. WHat is going on over there?? SO Bella 25 is about 8 pounds a month........Maybe I should do that as well. It is probably more realistic than the 30 I would like!! I can't keep getting discouraged by setting outlandish goals it has been a whole 7 months of that. I need some successes to keep me moving! forward! :-) I think Pam is right small goals ......so if you instead of 25 pounds focus on the 8 X 3 or if you want to break it down more 2 pounds a week.................LOL. Yea Bella I will do the 25 pounds too that seems health and realistic..........and if I end up with more I won't complain! :-) That would still but me firmly under 200! I am lacto ovo vegetarian. And yep I am on top of the vitamins. Even when I was gaining weight I stuck with the vitamins......... Getting ready to watch Invitus and fold laundry.......trying to give myself an incentive to get the housework done!! LOL.

Hi everyone, it seems like this site has been very quiet for a few days... I don't feel so guilty about not getting to the computer to post.. Everyone must be out enjoying life and spring...........at least I hope that's what's happening!!!! I have been just trying to settle back into a sort of normal life... Was able to make it to church yesterday, but took my pillow for back support. My severe nerve pain is gone, but has been replaced with a plan old bachache that doesn't go away.. I know that will come with time. I did gain back 2 pounds....figured I would just from getting hydrated again.. I have a hard time drinking very much these days... But I'm working on it... I'm eating okay, not doing too much of the wrong things... What I haven't done is get back to my band routine.... Protein first... I haven't had the energy to cook, so have been going for what is handy and what someone else makes... I'm still at 293 and if I can hold there until my band gets reactivated I'll be very happy.... I hired a sitter for my granddaughter for the week.. Daughter is very nervous about it, but I just need another week without the strain of anything phsical with a 2 year old... I'm very close and can run to her if I'm needed.. It will be good for Mimi to have the interaction with other kids.. I think she'll be fine, but DD is a worrier like her mother!!!! I'm tring to work on my closet... Soooooo many clothes to move out and get rid of and try to find what I actually have for summer in the size I am now... It's a big job and will be doing it slowly.... At least it's finally warming up around here some and I can do capris and not worry about my too short pants!! DH left for work awhile ago and I should go do a little something now so I can rest again... Brother will be coming home from hospital today... He is divorced with 3 daughters... One grown with her own baby, who will be staying with him for a bit..... one, 17 who just had knee surgery on Friday, and one who is 11...... He has a semi-serious girlfriend, who will help with care, but lives in Bismarck and works.... And of course the ex, who causes all sorts of problems..... Anyway, they share custody and live about 2 blocks from each other... My mother, daughter and I went to his house yesterday and washed his bedding and straightened up a bit.... Will try to get some good, healthy food there for supper tonight if I can think of what to do... He is a smoker with bad eating habits who is going to have quiet a bunch of changes to make in his life... He and I are close, so will try to help as much as I can..... Hope everyone is refreshed from a good weekend... Have a good week...... Julie

I'm curious as to what are your symptoms. And did your physician diagnosis you with dumping syndrome. Because I in particular have reactive hypoglycemia. Mine is like an allergy to simple sugar. In the beginning I thought I had dumping syndrome. I have even once had Splenda in a tea then I ended up in the bathroom sweaty and in the bathroom. But now I get sweaty headache sometimes. Like my sugar drops. This to Carbs.

I had hypothyroid and found out three years ago it was actually Hashimotos. I'll be symptomatic when numbers are in range. Ask for an antibody test. As for sleep, the Vitamin Patches in the store of this app sell a sleep patch that is wonderful. Also my thyroid is super reactive to soy which is in a lot of the high Protein foods and also reactive to cruciferous veggies because of toxins. Try removing soy and going organic on veggies for a week. Sent from my iPad using the BariatricPal App

I don't have diabetes. I was sleeved on 4/4 and have lost 34 lbs (HW was 277). The last few days I've woken up shaky. I decided to test my blood sugars - this morn it was 58 - anything below 70 is considered hypoglycemic. My surgeon said its not unlikely for WLS to develop reactive hypoglycemia - but that is caused from eating carbs. I'm just now 5-6 days into my pureed food diet and I haven't been eating carbs. Yesterday I had 9g of carbs that came from my Protein shakes - ones that are approved by them. I also had 510 calories and like 68 g of protein. What is going on? Anyone else deal with this? It sucks, it's scary and it makes me feel like crap! Sent from my iPhone using the BariatricPal App

Hi, I have Type II Diabetes and am wondering how to manage my "hypos" (blood sugar drops) when you are preparing for surgery and post surgery on the liquid diets? I know when I have prepped for a colonoscopy before and had to be on a liquid diet for 24 hours, I had a very tough time managing my blood sugar on that diet! I am worried about this. I know many people who go through with the Lap-Band surgery have Diabetes. How does this work? Thank you for any advice/insight you have! Vacationgirl

Early on there is sometimes a concern that the pill will get passed through your system before your new tummy can break it down and absorb it. Eventually you'll be able to swallow them, but for right now you need to make sure you are getting the most benefit from them. Also notice what time of the day you seem to get acid and take your pills 2 -3 hours before that. Omeprazole is not a reactive pill so you need to take it consistently for it to be most effective.

What kind of issues has Anyone had that were discovered in pre op tests, and were not allowed to have your surgery? I'm 2 weeks away and wondering about my low Iron levels and hypo thyroidism. I'm so worried I'll b turned down. Please anyone give me any kind if positive feedback