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Typically with reactive hypoglycemia, or even hypoglycemia for that matter, you would feel very shaky, racing heartbeat, you may be sweaty, and nauseous all before passing out. Typically you do not just faint. That could be blood pressure. But also I would think you would feel dizzy or lightheaded from low blood pressure. I hope whatever is going on you find out what is going on and it is dealt with.

I know only what I've read -- this condition afflicts some RNY patients (as I recall, it was in the double digit percent of patients) and also to some but fewer sleeved patients (single digit percent). I don't recall the numbers - sorry. As I recall, when it appears, it seems to be a major pain in the ass and is addressed to some extent by eating certain food combinations throughout the day -- not at the "grazing" level, but just strategic snacking. I've read several research studies on this condition. Here are a couple I remember finding earlier: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3190577/ http://spectrum.diabetesjournals.org/content/25/4/217.full That's all I got. P.S. Of course, this may NOT be reactive hypoglycemia, but something else, including some kind of bug. But I knowyou'll let an M.D. diagnose what's going on with you. Best wishes.

Your TSH is something that is a routine test that is done with all your regular labs. I was thought to have hypo thyroid because my tsh was a little high and I had the classic symptoms. Let me tell you this, the medicine the Dr. gave me called levothyroxine was the worse meds I could have ever taken. It makes you gain weight terribly. Rashes on face,hairloss, isomnia (severe) and hot feeling all over our head. I am on the road for a bypass and even if you have a tyroid condition don't let that stop you from your surgery. The meds you get for the thyroid won't make you lose weight even if they regulate your thyroid. You may gain because of the meds. I have spoken to so many patients who gained weight and had bad side affects from those meds. Other people I spoke to had the by pass and their levels stabilized and got better. Those of us that have metabolic syndrome like I do or Diabetes like I do will run the risk of a slow thyroid because that is the natural corse of things when our bodies are fighting to stay alive in an obese state. So please, do not do what I did, become afraid and post pone the surgery or cancel it because you think you don't need it or some miracle thyroid pill willfis your issues and make you suddenly stop gaining weight or thin. Chances are if you are here, you need ths surgery. I needed and wanted this surgery for many years and would come on herer to read horror stories that scared me away. I regret that and will listen to facts and people who have been there done that. So go forward and stay positive. Our Thyroid is not our only problem and will not solve the bigger issues at hand. Good Luck.

Have you been tested for reactive hypoglycemia?

It has been a very long time since I've posted mainly because I couldn't log in with my password, but that is definitely not the point here. Just thought I should explain the absence!!! A little history of me! I started preop on Halloween last year and had my surgery on November 12, 2012. To date, I have lost 135 pounds!!!! I went from 327 to 192. I was a size 26 jeans, 4X shirt. I am now in a size 12 jeans and an XL shirt (the "girls" haven't shrunk hardly at all, unfortunately!!!). I've even had to get my wedding ring sized down two sizes and probably needed to go down one more. My feet are smaller too and I now wear my beloved "hooker heels" simply because I can!!! I had been working from home for the past 5 years because I couldn't physically handle my nursing job anymore. I am now in the process of getting my nursing license reactivated so I can get back out in the real world. I never knew life could be so good! When I met my husband when I was a senior in high school 13 years ago, I weighed 208 pounds. Even he has never known me this size! I made a surprise visit to my surgeon's office last week. Unfortunately he was not in hype office, but my coordinator was and she was thrilled with my progress! She asked me if I would be willing to come back to town (we've since moved 3 hours away) to be a guest speaker on my success at my surgeon's seminar he is hosting in December. I accepted and now am trying to write my journey down on paper. I sure wish I would have kept a journal. Fat the first time in my entire life, two people have told me that it was time for me to stop losing weight. If I keep losing too much, I won't look healthy. Never did I ever think I would hear those words. So, I present my latest progress pics!!!!

Good news is that I don't have any stitches or staples. I did have steri-strips. I've since changed to band aids and have begun itching 5 days later. Do they make hypo band aids?

Awesome @@Killian ! Glad you are doing well, and that your surgery will be at a convenient time for you. Must be great feeling to look forward to retirement next year This will be so beneficial for your recovery! So, best of luck for July 2017! I've had a pretty smooth recovery. I am almost 8 months post op, unbelievable how quickly the time flew! The only major issues I had were/are my thyroid disease, Graves. Because I was losing lot of weight, I had to keep having dose adjustments, as I ended up hyper-thyroid few times. Not pleasant ..... Recently my Thyroxine has been halved, 6 weeks ago, and I was told today that my TSH and labs are normal. Well, I have not been feeling well in the past 6 weeks, and had many hypo issues. TSH at 3.4 seems too high for me, so this now will be the 4th adjustment, to bring it to 1.0 One day, hopefully it will get stabilised. Good luck with your thyroid too, Killian. Thanks for the update! Cheers, Margo

I am hypo too... and it didn't hold me back at all. HOWEVER.... a friend of mine is going through the hoops of pre op and her PCP is giving her crap because they think she's hypo, even though she's had a blood test and an ultrasound on her thyroid, both of which were negative. Not sure how they have come to that, since everything is negative. My doc had no problems at all with it... she's the one that recommended it!

Being exhausted can be a sign of low blood sugar. I was diabetic prior to surgery. If I had not come off all my diabetic meds after surgery, these meds could have forced my blood sugar to go towards the low side. For the first month after surgery, your body is in a major heal mode. That might cause the exhaustion. Some meds may cause these symptoms. There is also a condition called reactive hypoglycemia that some people who underwent WLS encounter. But at 2 weeks, I think this is too soon for that condition.

I was diagnosed with hypoparathyroidism about 4 yrs ago when my kidneys stopped playing nice and went into renal failure because my blood serum calcium levels dropped off the chart. Any doctor worth his salt will not do a sestamibi scan because it's a 50/50 shot on being conclusive. An MRI or CT scan is the only certain way for a conclusive diagnosis. They say it is not hereditary yet 4 in my family have PT disease. Two of us are high, two are low. Mine is manageable by taking Calcitrol (Rx) and calcium (OTC) daily. My aunt on the other hand is hyper, had a thumb size tumor and 3 of the 4 PT glands removed. Your body can still function fine with one (sometimes even a half) PT gland. It hasn't been an issue for me but I have had to modify my lifestyle a bit. I drink almost all water now and have to manage my schedule. When I get super busy and stressed and do not rest like I should, my system acts up and I get a kidney infection every time. With it usually comes the tingling in the fingers and leg cramps...it's just part of the territory. But, as long as I take my medicine and get plenty of rest I'm fine. It's a strange disease because most people dont even know they have a PT gland until it acts up, but it's completely manageable regardless if your hyper or hypo. I wouldn't let it effect your decision to continue with WLS unless you surgeon specifies so.

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

Aussikiwi, sorry to hear about your thyroid or lack thereof. I have heard that before. That little "innocent" butterfly, called the thyroid gland is a very powerful organ with or without it. I think you're right re: exercising for people who have been diagnosed with any form of dysfunctional thyroid disease, CA, hypo/hyperactive,,,, etc. Sounds like you're on the right track and I'm 3 days away of finding out. Thank you.

That is interesting. Are you hypo? I've never heard of taking thyroid meds solely because of nodules. Nodules in and of themselves are not bad and they grow so slowly (years). If they get large enough, a fine needle biopsy is done and most of the time turn out benign. There is cardiovascular danger to taking too much thyroid medication...particularly if the person is not hypo.

I haven't eaten any of the Jello mousse either. Was just sharing the recipe. But I am equally terrified of dumping syndrome! Nothing is worth that feeling in my book! But, with this mousse being very low fat & sugar free it's a nice option. I have many diabetics in my family and instead of cakes for birthdays, we typically have fresh fruit and the jello mouse as options. I actually have low blood sugar - reactive hypoglycemia. So, I kind of know what dumping feels like. Don't ever want to do that to myself intentionally! I wish you luck with your surgery! I'm thrilled I had it done! Sent from my iPhone using the BariatricPal App

Oh GingerSnaps, you are getting real close to your date! I cheer you on and cannot imagine your nerves right now. Thanks for the reply and my apologies for not logging on sooner. You are so right about the obscure symptoms... My biggest battle with the hypo is brain fog and complete exhaustion even after waking from 8 or 9 hour sleep. I feel like I have the worst hang over. Sometimes I get bursts of energy and I will literally dance around with joy. Then I get zapped. So I see my doc next week and def changing my dose. Good luck and I will follow your success!! )

Hello, I was diagnosed with hypo-thyroidism in 1990...took SYNTHROID--not able to take generic --as it does NOT work for me.,,, I was diagnosed with Thyroid Cancer in 2005.....so.take SYNTHROID at a higher level and have been since and will always need to. The hair loss sucks....yet I do what I can...started taking Biotin and will post surgery as well...is supposed to help tremendously. In 2010 had Uterine Cancer, so no female part or hormones now, either.....this REALLY sucks.....and talk about being tired, weight gain, etc...HOLY CRAP!!! Anyway, this is my battle and I try to keep a positive attitude, am working with my PCP, my Nutritionist and Surgeon so my surgery is not only a medical success, yet I am a HEALTH success as well. I also have PCOS...yet now since I don't have ovaries....?????

I had the same question when I was thinking of getting the lapband surgery. I had thyroid cancer 8 yrs ago, no thyroid at all now, but just taking meds. My Endo keeps me hyperthyroid which is overactive, hypo IS underactive. {to keep the cancer at bay} on high doses of thyroid meds. I've lost 50lbs in 5 mths, I'm 57, not a young 'chick' but still young. My Endo has been decreasing my medication each month as I've been losing weight and so far so good. I've plateaued for the past month but I believe it's due to my not working out due to the heat. I am back working out and know I'll see the numbers on the scale going down. Besides making the right food choices, exercise is crucial with keeping on the program losiing weight and maintaining. Good luck.

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.

I was on Lactated Ringers IV fluids (contains some glucose) so no worries with going hypo. Then they monitored my blood sugar and gave me a small dose if insulin when it was too high. Post-op you may find that you have to decrease your dosages of diabetes meds. Check with you doctor and see what s/he says. I stopped taking one of my meds about a week pre-op with the intent of going back on it after surgery, but not only did I not ever get back on it, I was completely off ALL DM meds about three weeks post-op.

mother natures nature's miracle is a liquid vitamin that i have used for years. i really love using it before surgeries because it makes me heal faster. it is really great it has everything and then some in it, even protein. it is a small company and their site is not fancy but the product is really great. Mother Nature's Miracle? | Liquid Vitamins | Eden's Miracle of Mother Nature | natural vitamin program Vitamins Function & Symptoms of Deficiency Vitamin A; Beta Carotene 14,000 IU Cancer Prevention, Prevents Eye Problems, used for Acne, Ulcers, & Tissue maintenance repair. Enhances Immunity. Protects against Pollution. Vitamin B6 (As Pyridoxine Hydrochloride) 4 mg Maintains health nerves, Skin Eyes, Hair, Liver, Mouth, Muscle Tone, & G.I. Tract. Coenzyme, Energy Production, used for Depression, Anxiety, Metabolisrn / Stress & Prevents Anemia Vitamin B12 (Cyanocobalamin) 1000 mcg Skin, Eyesight, Fatigue, Abnormal Sleep Patterns Vitamin C 1200 mg Helps Wounds, Surgery, Stress, Allergies, Asthma, Immune System, Heart Disease, Cancer Prevention, Bleeding Gums, Protects against Pollution. Vitamin D 1 800 IU Osteoporosis, High blood pressure, increases the absorption of minerals. Vitamin E 1 180 IU Antioxidant, Cancer prevention, Tissue repair, improves circulation, Prevents Age Spots, & PMS Vitamin K 170 mcg Blood Clotting, Tissue repair, Bone formation, may prevent Osteoporosis. Sulfur** Degeneration of cartilage, ligaments & tendons Lupus, Sickle Anemia, & Collagen Diseases Copper 2mg White/Grey or Brittle hair, Hernias, Varicose Veins, Aneurysms, Anemia, Hypo or Hyper Thyroidism, Arthritis, Liver Cirrhosis, Violent Behavior, & Learning Disabilities. Coral Calcium 1100 mg Osteoporosis, Receding Gums, Arthritis, High Blood Pressure, Insomnia Kidney Stones, Bone Spurs, Calcium Deposits, Cramps, Twitches, & Bells Palsy Iodine 320 mcg Fatigue, Colds, Muscle Pains, Heavy Periods, Low Sex Drive, Brittle Nails, Weight Gains, Hair Loss, Muscle Cramps, Depression, Puffy Face, Dry Skin & Hair, Poor Memory. Magnesium 260 mg Asthma, Anorexia, Migraines, Growth Failures, Muscle Weakness, Tremors, Vertigo & Small Arteries Iron 10mg Hemoglobin, Pica, Fatigue, Heart Palpitations, Memory Deficits & Anemia Phosphorous 500 mcg Brittle Bone, Low Energy, Inability to break down proteins, fats and carbohydrates Potassium 300 mg Muscular Weakness, Mental Apathy, FACT: May lower Blood Pressure Zinc 30 mg Impaired ability to heal, hair loss, fatigue and acne Chromium 200 mcg Depressed Growth Rate, Glucose Intolerance in Diabetics CoQ10 3mg Anti Oxidant, Cancer, Heart Disease, Poor Immune System Herbs Function & Symptoms of Deficiency Gingko Biloba 100 mg Improves Memory, Brain Function, Blood Flow, Depression, Oxygenation, Asthma, Alzheimer's Disease, Heart & Kidney Disorders. Aloe Vera 6000 mg Restores Tissue, Anesthetic, Heals Burns, Itching, Regenerates with no Sear. Ginseng 500 mg Used for Impotence, Energy, Diabetes, Colds & Chest Problems. i Enhances Immune Functions & normalizes B.P. Enzymes Function & Symptoms of Deficiency Proprietary Formula Amylase Is the digestive enzyme used to digest carbohydrates Lipase Is the enzyme used to break down dietary fats Papian Helps improve skin and breakdown protein Pepsin Is the principle enzyme which helps aid gastric juices Ptyaln Helps in aiding digestion in the stomach for several hours Protein 3 G From vegetable sources is essential in building, repairing and maintaining body tissue Trace Minerals Function & Symptoms of Deficiency Sulfur Important mineral in several amino acids within the body involved in functions of Hemoglobin, Insulin, Hormone, Adrenal Hormones, Enzymes, and Antibodies. Deficiency: Degeneration of cartilage, ligaments and tendons, Lupus, Sickle cell anemia, Several collagen diseases Ten Animal studies show deficiencies cause: Poor growth and Poor feeding, Hearing loss, Male pattern baldness, Cancer prevention properties Chromium Deficiency: Low blood sugar (Vanadium& copper also) Prediabetes (Vanadium also), Diabetes (Vanadium also) Hyperactivity, Learning disabilities, ADD/ADHD Hyperirritability, Depression, Dr. Jekyll/Mr. Hyde rages Impaired growth, Peripheral neuropathy, Negative nitrogen balance (body lean mass/protein loss), Elevated blood triglycerides, Elevated blood cholesterol plaque, Infertility & decreased sperm count, Shortened life span Copper Deficiency: White or Gray hair, Dry brittle hair, Ptosis (sagging tissue-eye lids, skin, breast, stomach, etc.)Hernias, Varicose veins, Aneurysm (artery wall bulges) Kawasaki Disease, Anemia (common in vegans & high milk users), Hypo or Hyper thyroid, Arthritis (especially where growth plate are involved), Ruptured vertebral discs problems, Liver cirrhosis (Number 9 killer in US) Violent behavior, blind rage, explosive outbursts, Learning disabilities, Cerebral palsy & hypopasia (failure to form) of the cerebellum, High blood cholesterol, Reduced glucose tolerance (low blood sugar) Praseodymium Enhances normal cell growth. Doubles life span in laboratory animals Antimony Effective against blood flukes Strontium Strontium can replace calcium in many organisms including man, Essential trace element Thulium Enhances growth of normal cells Doubles the life span of laboratory animals Trace Minerals Function & Symptoms of Deficiency Gold Reduces active joint inflammation Molybdenium Essential as a metalloenzyme of several enzyme systems Iodine Needed by body for thyroid function (Thyroxin is thyroid Hormone), Copper needed to utilize iodine Deficiency: Under Active Thyroid, Fatigue, Cold intolerance Muscle Aches and pains, Heavy periods or less than 28 days cycles, Low sex drive, Brittle nails, Weight gains, Hair loss Muscle cramps, Depression, Constipation, Elevated blood cholesterol, Puffy face, Dry skin & hair, Inability to concentrate, Poor memory, Goiter (throat swelling) Over Active Thyroid, Insomnia, Heat Intolerance, Excessive sweating, Light periods or longer than 28 day cycles, Hand tremors, Rapid pulse, Bulging eyes, Weight loss, Increased appetite, Muscle weakness, Frequent bowel movements, Irritability, Nervousness Goiter (throat swelling) Lithium Deficiency: Depression, Manic depression, Lithium deficiency aggravated by high sugar consumption Reproductive failure, Infertility, Reduced growth rated Shortened life span, ADD, Rages & fits Manganese Deficiency: Congenital ataxia, Congenital deafness, Asthma, Chondromalacia, Chondrodystrophy, Poor cartilage formation problems, Repetitive Motion Syndromes (like TMJ, Carpal Tunnel Syndrome), Convulsions Infertility (failure to ovulate or testicle atrophy), Still births or spontaneous miscarriages, Loss of sex drive, Retarded growth rates, Shortened long bones Nickel Deficiency: Poor growth, Anemia (low hematocrit) Depressed oxidative ability of the liver, High newborn mortality, Rough/dry hair coat in animals, Dermatitis Delayed puberty, Poor zinc absorption Silver Kills over 650 disease causing organisms, Systemic disinfection & immune support, Subdues inflammation & promotes healing, Anti-bacterial, Anti-viral, Anti-fungal Boron Essential for bone metabolism, Aids efficient calcium & magnesium use, Proper endocrine function Reduces calcium loss from bones (Osteoporosis) Bismuth Ulcers result from lack of bismuth & a bacteria Heliobacter pylori Calcium High protein diets increase demands for calcium Deficiency: Osteoporosis (& Dowagers Hump fractures,) Receding gums (osteoporosis if facial bones & jaw bones) Osteomalacia (failure to mineralize the protein bone) Arthritis, Hypertension/High Blood Pressure, Insomnia, Kidney stones, Bone spurs, Calcium deposits, Cramps & twitches, PMS, Some low back pains (sciatica, muscle spasms), Bell?s Palsy, Osteofibrosis (enlargement of bones with scar tissue), Tetany, Panic attacks Cobalt Essential part of Vitamin B12 (Growth & nerve system) Emaciation, listless, starved look, pale mucus membranes, Anorexia, Anemia Cesium Cancer aid cesium enters cancer cell and produces alkaline condition Europium Doubles the life span of laboratory animals Fluoride In plant based colloidal form will aid bone strength & no toxicity Iron Deficiency: Hemoglobin (Oxygen carrier in red blood cells) Pica (mineral lack and eats dire and chews ice), Listlessness & fatigue, Heart palpitations, Memory deficits, Sore tongue, Anemia Gallium Reduces brain cancers Silica Increases collagen in growing bone by 100%, Deficiency: Dry brittle hair, Brittle fingernails, Poor skin quality, Poor calcium utilization & arterial wall strength problems Samarium Enhances normal cell proliferation, Doubles the life span of laboratory animals Selenium Effective anti-oxidant, Deficiency: Anemia (red blood cell fragility), Age spots or liver spots, Fatigue, HIV (AIDS), Myalgia, Scoliosis, Muscular Dystrophy, Cystic Fibrosis, Cardiomyopathy, Multiple Sclerosis, Heart palpitation, Irregular heart beat, Liver cirrhosis, Pancreatitis, AS (Lou Gehrig?t Disease), Parkinson?s Disease (associated lead poisoning), Alzheimer?s Disease (associated high vegetable oil consumption), Infertility, Low birth weight, High infant mortality, Sudden Infant Death Syndrome (SIDS), Cancer (associated with high vegetable oil intake) (Number 2 killer), Sickle cell anemia Germanium Highly efficient electrical impulse initiator, Aid in oxygen utilization, Enhances immune systems function, (Killer cells, interfering, macrophage and T-suppressor cells), Deficiency: Arthritis, Osteoporosis, Low energy, Cancer Yttrium Enhances normal cell growth, Doubles life span of laboratory animals Potassium Deficiency: Muscular weakness, Mental apathy Lanthanum Deficiency: Maybe involved in chronic fatigue diseases Magnesium Deficiency: Asthma, Anorexia, Menstrual migraines, Growth failures, Neuromuscular problems, Tetany-Convulsions, Depression, Muscular weakness, Tremors, Vertigo, Calcification of small arteries, Malignant calcification of soft tissue Vanadium Aids in glucose (blood sugar) oxidation and transport, Enhances insulin effectiveness (aids with blood sugar problems), Decreases cholesterol production, Increases effectiveness of heart muscle contraction, Anti-Cancer properties Deficiency: Slow growth, Increased infant mortality, Infertility, Elevated cholesterol & triglycerides, Hypoglycemia & Diabetes, Cardiovascular disease, Obesity Amino Acids Function & Symptoms of Deficiency - Proprietary Formula Alanine Important source of energy for muscle tissue, helps in the metabolization of sugars Arginine Improves immune responses to bacteria, crucial for optimal muscle growth Cystine Powerful antioxidant, aids recovery from burns and surgical operations Glysine Helps trigger release of oxygen to energy Leucine Used for production of energy to the upper brain Methionine Prevents disorders of hair, skin, and nails Phenylalanine Improves memory, reduces hunger pains Proline Helps maintain and strengthen heart muscles Serine Strengthens immune systems, synthesizes fatty acid Tyrosine Improves memory, helps overcome depression Valine Promotes mental vigor and muscle coordination Sea Nutrients Proprietary Formula Alaria Valida Rich in Vitamin A, vitamin B and calcium Costaria Costata Helps reduce blood cholesterol levels. Helps improve thyroid function. Agar Used for constipation Algin Ability to draw harmful pollutants like lead from the body Dulse Rich in protein, fluoride and iron Kelp Helps thyroid conditions Kombu High in Trace Minerals Kuzu Helps soothe the stomach and strengthen the intestines Nori Good for prostate and thyroid, high in protein __________________

Matt, thank you so much for taking the time to reply. My doctor told me about dumping syndrome before he did the surgery, but he emphasized that it would be caused if I ate sugary products (which I don't). I did a search of this site AFTER I wrote the hypoglycemia post (duh, I'm a new person here and didn't know I could search this site) and found almost 700 issues of people talking about "reactive" hypoglycemia (not fluctuating - which is what the doctor in the ER called it). With that new terminology I searched the web and found many scientific articles written since 2014 about this "new phenomena in gastric bypass patients." I'm really scared at this point, but I now see that I have got to find a gastroenterologist or endocrinologist to get some serious advice. I can't manage this on my own. I moved to a small town about three years after surgery and at that point was no longer followed by the physician who did my surgery. So, do you really think reactive hypoglycemia and dumping syndrome are the same thing?

there are different kinds of hypoglycemia. the only way to know what kind you have is to get a monitor and start checking your BGL and see how food and eating and not eating is affecting you. you might just need to adjust how and when you are eating, you may have reactive hypoglycemia, or something else. the only way to know is to track and get info.

Hi; I have not read about this topic on here and so I thought I would share my latest health issue. I found this article on it and thought others might find it interesting because it does happen to WLS patients more then you think! What is reactive hypoglycemia? After bariatric surgery you may experience reactive hypoglycemia: • Hypoglycemia means low blood sugar • Reactive hypoglycemia is having low blood sugar after eating a meal or snack This may happen after eating foods that are high in sugar or simple carbohydrates. It is thought to be related to dumping syndrome. How do I know if I have reactive hypoglycemia? You have reactive hypoglycemia if you have: • any symptoms listed below a few hours after having a meal or snack and • these symptoms go away after eating or drinking What are the symptoms of reactive hypoglycemia? You may feel one or more of these: • hungry • sweaty • shaky • anxious • dizzy • weak • sleepy • confused What should I do if I think I have reactive hypoglycemia after having a meal or snack? Having low blood sugar is not good for your overall health and can be life-threatening. • If you think you have reactive hypoglycemia, check your blood sugar. • If your blood sugar is less than 4 mmol/L, you need to treat it to bring your sugar above 4 mmol/LWhat is reactive hypoglycemia? After bariatric surgery you may experience reactive hypoglycemia: • Hypoglycemia means low blood sugar • Reactive hypoglycemia is having low blood sugar after eating a meal or snack This may happen after eating foods that are high in sugar or simple carbohydrates. It is thought to be related to dumping syndrome. How do I know if I have reactive hypoglycemia? You have reactive hypoglycemia if you have: • any symptoms listed below a few hours after having a meal or snack and • these symptoms go away after eating or drinking What are the symptoms of reactive hypoglycemia? You may feel one or more of these: • hungry • sweaty • shaky • anxious • dizzy • weak • sleepy • confused What should I do if I think I have reactive hypoglycemia after having a meal or snack? Having low blood sugar is not good for your overall health and can be life-threatening. • If you think you have reactive hypoglycemia, check your blood sugar. • If your blood sugar is less than 4 mmol/L, you need to treat it to bring your sugar above 4 mmol/L. Follow the steps on the next page. If you do not have a meter, talk to your family doctor, health care provider or the diabetes educator in the Bariatric Clinic to get a meter. When your blood sugar is less than 4 mmol/L: 1. Take 15 grams of a fast acting carbohydrate right away. This will raise your blood sugar quickly. Examples of fast acting carbohydrate include: • Chewing 3 to 4 dextrose or glucose tablets (read the label) or • Drinking ¾ cup (175 ml) of juice 2. Wait 15 minutes and check your blood sugar again. 3. If your blood sugar is still below 4 mmol/L treat again with one of the fast acting carbohydrates listed above. 4. Repeat these steps until your blood sugar is above 4 mmol/L. 5. If your next meal or snack is more than 1 hour away, you need to have a snack that contains carbohydrate and Protein that fits into the stage of diet you are at. Examples of Snacks are listed on the last page. You may feel like eating sweet foods like Cookies, cake and candy. Even though these foods are high in sugar and can raise your blood sugar, your blood sugar will go too high too fast which is not safe. This can then lead to another low blood sugar because too much insulin is released. 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 andsnacks • 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. Try putting any of these together when they fit the stage of bariatric diet you are at: Complex Carbohydrates • whole wheat crackers • whole wheat bread • whole wheat pita • whole grain rice • potatoes • cereal Protein • nuts • cheese • meat • lentils • peanut butter • eggs • yogurt Here are some snack ideas to have after treating a low blood sugar: • crackers and cheese • pita and hummus • nuts and yogurt • melba toast and Peanut Butter

Hi Everyone!! okay soooo. I wana get the LapBand. I have United Health Care. I have a few questions. I hope yall can help me. 1. If my BMI is over 40 will I automaticly get approved? 2. Has anyone used Dr. Steven Fass out of Austin TX and does he make you jump through all kinds of hoops? 3. Since my BMI is 41, I have hypo-thyroid and hyper-tension, depression and back pain do u think I will automaticly get approved with out needing to prove 5 years of weight history and do the 6 month pre-op diet? I was born over weight. It runs in the family. I have never ever been thin. I am almost 285 lbs today. I have never been able to keep up on my health due to a rocky life style and bad choices in life. At 28, I am ready and able to finally take care of myself and become healthy. I have come a long way, and ready to make more changes.Now I am able to with a good job and health benefits. I hope ya'll can help me by sending my your opinions and experiences. :smile2: Thanks so much! Always, Amber Xoxo

There are two types of dumping, and late dumping is usually also referred to as reactive hypoglycemia. I wouldn’t recommend riding out a blood sugar of 35 or so. https://www.mayoclinic.org/diseases-conditions/dumping-syndrome/symptoms-causes/syc-20371915