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Thank you all for the kind words. I generally try to avoid being reactive and angry on these kinds of threads, but I know I was a little extra raw here. This week....wasn't my best week. Has been a bit stressful. Sorry how much that showed. In addition to the car impound/salvage yard/doctor appointments added to my schedule, I'm also taking the kiddo to and from work.....and have my inlaws as house guests for the next two weeks. (grateful to be sharing a few days with other family and friends).....and trying to find and purchase another kid car. It's a lot. On the plus side, I'm averaging about 18,000 steps a day between cleaning and chasing a million errands...and now, entertaining family, cooking, doing activities, etc. Have my period now, but am bound to have a nice weight loss at the end. That's way too much information. But yeah....this whole mess should be helpful on the scale. I'm exhausted. I'd take tomorrow off....except that it's kiddo's birthday, and her new roommate at college is ALSO coming for a visit and plans to stay the night tomorrow. And all these visitors would have been great if not for having my prep time grossly cut by the tree accident. Hubby is chipping in, but has crazy unexpected issues at work to deal with, too. It's just been nuts. Won't say I'm sorry about how I feel.....but I will say I'm sorry about my lack of tact and extreme reaction. Was extremely honest, but perhaps not my finest moment.

OMG! I'm so sorry to hear of your kiddos both being T1!! So glad you knew how to manage it. It had to be so much tougher. And all the worrying about them! Jeeze!!! TY for the very useful advice!!! The frosting gel is a great idea! It's so weird about the "pee in your pants"! I woke up sweating profusely muttering about "so hot" and then I just sat there and couldn't move--like paralyzed and watching myself not do anything to help myself take clothes off. Then I had to pee SO BAD and almost thought I was gonna pee myself. It was that, that finally roused me enough to get up and move--cuz I didn't want to pee in the chair! OMG! That would have been terrible! So I stumbled to the bathroom and couldn't coordinate my hands enough to get my pants down. And I just had to start peeling layers off and I slung them all around the bathroom, just to get down to panties to pee! It was so weird, like I was trying to do stuff with mittens on or boxing gloves or something! That's why I think I was maybe in the 40s? Did not know of the convulsion thing. My mom had hypo. And when she bottomed out we knew to get OJ and peanut butter and follow the juice with the peanut butter. So once we had the bg reading, I stumbled into the kitchen and got out the pineapple juice and applesauce and drank the juice quickly and then the applesauce, then I followed with an ounce of cheddar and 1/2oz of almonds. Shoulda done the peanut butter but mine has sugar in it too...:( So I got some almond butter and will do that in future and also have a can of OJ beside me with my meter. I don't think I will be eating at that restaurant again soon! So sorry to hear of your scale woes! ((hugs)) It will move soon. I have great faith in you and your sticktoitiveness!!!! You rock!!! Thanks for posting that link. Will go check it out.

Whenever I go to see the surgeon's office, even though I am 27 months post-op, the word obesity appears on the forms. This threw me for a loop because I am no longer obese. It dawned on me that this is all about insurance. They have to code my visit for insurance billing purposes and since I had WLS, this is the best coding they can use. I was wondering about your hypoglycemia. There is one form that is tied to meals which is called reactive hypoglycemia. Reactive hypoglycemia (postprandial hypoglycemia) is low blood sugar that occurs after a meal — usually within four hours after eating. Low blood sugar (hypoglycemia) usually occurs while fasting. Signs and symptoms of reactive hypoglycemia may include hunger, weakness, shakiness, sleepiness, sweating, lightheadedness, anxiety and confusion. Someone told me that it is like a spike in blood sugar followed by a crash. If this is the type you have then you have a bit of control because you can time your meals.

Good Morning, Violets.. Up and showered and ready for Ethan to arrive for the day. Got my bills paid online and am good to go. We are going to go to Great Wolf Lodge tomorrow to meet up with DS Josh and his family. We get to see the grandkids!! We'll spend the day with them and then come back home as the Bobster is preaching at MY church Sunday. He's filling in for the "pastor" who is on vacation. (I use the term pastor loosely.. I really don't think much of the guy.) My fills are painless and quick. We drive 4 hours for a 5 minute appointment with the doctor. We spend more time with the nurses than the doctor, but I know if we had questions or concerns he'd spend more time with us. I hop up on the table, lift my legs up, he feels for the port sticks a little hypo in, pulls it out and we're done with a cotton pad on for a minute. Drink a glass of water and we're good for another month. The hypo in the picture on the home page was HUGE. It looked like it could hold a cup of liquid!! That's why I thought it might be photo shopped. I better go get dressed and get my hair dry and curled before the little guy arrives. Everyone have a great day!!

So over it---You are so right about the sissys, hypos, and the impatient. you said it best. In March, I was beating myself up over not getting closer to goal in the year after banding. Impatience.... Lately I have been just cruising with my band- not stressing- not really caring much about food and it has been wonderful. I realized I will take the time it takes and that's it. I'm thrilled for all those who can get the weight off quick but I guess it's not going to be me. Cruising feels wonderful and not caring much about food for the last few weeks is a very new feeling. I think this is how normal people are! I feel at peace about food (for once!) and am losing weight naturally. I still have to be sure to get in my exercise every day because my family has Type 2 diabetes but the exercise feels great and natural. So there you go- even after a year, you can discover new things about yourself and where you can go with the band. It's not easy but it's worth the trip. Love and success on your journey everyone Sadie

I've been an Insulin Dependent Type 1 Diabetic since I was 18 months old. Been taking insulin for 33.5 years. 30 yrs on syringes and the last 3.5 with the pump. Hypo-Thyroid since I was 7 yrs old. So excited...I just got my surgery date...July 18th. Any recommedations other than the cutting back insulin and running a little high the day of???

Boy am I glad that this thread was started, and I am thankful that I am not alone...I got into the dr tomorrow for my 3rd fill...I was banded 10/29 and have only lost 20 pounds...lately I feel hungry all of the time...did have my thyroid checked and found that I am hypo and started meds...hopefully with a new fill and thryoid meds, I will feel like exercising more...I am so tired some days that I could sleep from 4:00 in the afternoon until morning....I thought losing weight was to help with energy and instead I feel more emotionally tired and physically exhausted. Thanks everyone for posting, it gives me hope that I can start each day new.:thumbdown:

css95, You are doing well. some of us do not lose very fast. I think it is part of the reason we are heavy, we are hypo metabolic. I was told by a Dr when I was 18 that this is my metabolism, ultra slow. We would be the ones who would survive famine,Oh goodie. But we just are slow loosers.He also told me to stay thin I would have to eat 1 lettuce leaf a day. How depressing. I find that if I keep carbs really low I can lose weight and maintain a normal body weight, so if this applies to you then you pick protein at the buffet. You can tell your friends you are doing the Atkins diet, and since protein fills you up fast you will not have to eat as much as they. Shrimp and cheese, turkey or prime rib. There is always that kind of thing at buffets. If there are crab legs they take a long time to eat and you can fiddle with the shells to get the last drop of sweet crab. I hope you have a great time, and come back lighter and happier than your friends who will be guilty at all they ate at the buffet.

I was diagnosed hypo back in 2014 when my daughter turned 3 months old. I haven’t had my 100mcg of Levo since surgery 11/16/20. I struggled to eat and drink for the first 6 weeks or so, and adding ground up pills was even worse. It made me so sick. So when i asked my doctor for a thyroid panel around 9w post op (since my surgeon didn’t) they discovered that i most likely have hashimoto’s. I had an ultrasound done and it showed that i was riddled with nodules, goiters on both sides, and possibly an adenemoa on my left side. I’m finally seeing an endocrinologist but it will be the end of March before i get in. We are limited in specialists in my area so i have to wait or go to the bigger town 2 hours away. my TSH has gotten much better since surgery, though. So I’m just thankful for that because it could be way worse! I’m down exactly 40lbs today and an 12w post op. Hopefully things get better for me. Oddly i feel normal. I used to be so tired before surgery so I’m happy that I’m not exhausted 24/7. 🤣

I am hypo and have PCOS. So far I am 3 weeks post surgery and down a little over 27lb. Prior to surgery, the only way I was able to drop any weight at all was to starve myself to the point where I would fast for a day a week. The pre op diet my Nutritionist put me on made me GAIN weight despite my pleas that it was not working. Per my insurance I was not allowed to go over my starting weight for a 6 month period. The frustration and restriction for so long was horrible. Now, it feels like I am finally free! Keep in mind that everyone’s bodies react differently to surgery. If you are on thyroid meds, be sure not to take within two hours of iron or calcium supplements, and 4 hours of antacids, otherwise they will not be absorbed correctly. I would also highly recommend follow up labs for thyroid at 2 months post op to see how your hormones are responding.

"There comes a time when all that sh-- will hit the fan. You can't keep on spending and believe that it won't affect America. (Just what someone should have said in Bush's term but didn't. )Imagine you owe $200,000. in personal debt. You keep charging because you understand that your never going to be able to pay that off, so what's another $50.00 added to it. Then one day, they come and take the only place you have to live. Your house. That will be America." You still don't get it. The shit already hit the fan when Bush was in office. Not saying Bush did anything, but we started to see the effects under him. With your way of thinking, all this started when the more spending started under Obama. This spending is productive, reactive spending. Not the spending to get more and to be better. This is called recovery spending and I am all for a recovery. We can't keep spending but we can't not spend and let it all go to hell. Let all the banks fail, let all the auto industries fail, let all the people go under in their houses. We can't let it happen and thank God we can't. We would be in more trouble.

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?

I was on insulin for 30 years pre surgery. I was still on it after surgery for 3 1/2 months and while the initial weight loss was rapid, like you it slowed down way too soon. Then I talked my doc into letting me go off insulin and on to metformin plus foxigia (both of which have a side effect of some weight loss). Because I was no longer on insulin I was able to safely follow a low carb diet without worrying about hypos (metformin and forxigia don't usually cause hypos). In the 6 or 7 weeks since I stopped insulin the weight has fallen off me about 13 pounds) and last week I stopped taking Forxigia since I don't seem to need it on a low carb diet. I am also cutting down my metformin with the aim to be off it by the new year if not before. So to answer your question ... yes insulin does slow down weight loss. Talk to your endo about swapping it for metformin plus forxigia and a low carb diet ... just don't go too low carb whilst on insulin because of the risk of hypos. if your endo is anything like mine he will be more than happy to let you give it a try and see what happens.

Hi All. I'm preparing for gastric bypass reversal December 3. I had gastric bypass RNY in 2004. I had little to no complications the first 2 years. Then I started having extreme stomach pain. After several tests they found no cause and decided I had slow bowels that were causing painful constipation. After several years of on and off stomach pain, I ended up in the ER where they found an internal hernia that was strangulated between my liver and my kidneys. Apparently during the time of my original gastric bypass there was an area of the abdomen that was left vulnerable to internal hernias. They say that they no longer have that problem in current surgeries. Anyways, I died on the table that night. But they revived me, and corrected the hernia. My original rny was laparoscopic. With the internal hernia, I went into the ER with the severe stomach pain, then woke up with a long vertical scar on my stomach that looked like a large zipper, was a little shocking. 1 year later I ended up in the ER because the scar tissue from the open stomach surgery a year before, had given me a blocked bowel. Once again I woke up with the whole zipper down the front. This time they had to go around the other side of my belly button for some reason, so I now had "train tracks" down the lower part of my stomach. 2 years later, after I'd been working out quite a bit, they found that the seam line of my scar hadn't healed all the way properly. One surgeon said it was like Swiss cheese. So, they went back in and sewed in a mesh to protect my seam line from further hernias. After the first emergency surgery, I noticed I had hypoglycemia every 2 1/2 to 3 hours. Year by year, I started needing to eat more often. But I was able to keep the weight off. About a year ago, I got to where I need to eat every 40-50 minutes or I get "sick." And started gaining weight. I asked my primary care for help, but he told me he too has hypoglycemia and just make sure I eat properly. I finally researched severe reactive hypoglycemia, and severe dumping syndrome, printed out info from the NIH website, and took it with me. Finally I got sent to a bariatric surgeon for help. He sent me to an endocrinologist who implanted a Continuous blood glucose monitor for 6 days. (That thing was so cool! It takes your blood sugar reading every 5 minutes.) It was found that any time I ate even just 1 1/2 grams of carbs my blood sugar would drop by 60-80 points within 40-60 minutes...causing me to need to eat again, to keep from passing out. When I ate only Protein, my blood sugar would stay on the low side, which left me no energy at all. I could go for about 90 minutes before my blood sugar would drop...but even just eating protein would trigger the blood sugar drop. It was found that the hole between my stomach pouch, which is still quite small, and the attached intestine has become over large, so the food is dropping straight into my intestines, and triggering my pancreas to produce extra insulin. The hardest part is going to the store etc, and if I get involved and don't pay attention to the clock, I can suddenly feel a flushing feeling, and feel like I'm going to pass out immediately if I don't eat. It's become very difficult to go anywhere away from the house. Would I have gastric bypass if I knew all about this, NO. I have grown to appreciate Energy. Energy levels. I enjoy working with horses and being active, but have been unable to for the past 2 years. I cannot count on maintaining enough energy from hour to hour. My goal, to be able to eat something and maintain good stable energy for 3 hours or so. I didn't have the gastric bypass so I could need to lie down all the time. I envisioned being more active and having More energy as as a thinner person. If you have good energy, and you just don't like the way you look etc, Please don't have this surgery. I only recommend it for people who have immediate heart and serious medical issues due to their weight. I looked my new bariatric surgeon in the eye and told him I wouldn't mind gaining all my weight back, if it means I can have good consistent energy every day. Gastric bypass so drastically alters our anatomy. I may never have proper digestion again. I hope my story helps someone!

Yeah I thought it would be okay for the steamed vegetables because I love them but then the nutritionist is like no absolutely nothing so I feel like they don’t really understand the reactive hypoglycemia and the terrible nausea.

@@RJrocks Hmmm. there must be actual science but not sure of where to point you to reference info. My dr. said it, people here say it, etc. There is a window of time that is called the Honeymoon period where, no matter what you do, you seem to lose weight. You just have to make sure to keep following the program because you need to create good habits that will carry you through when the magic stops. And it stops. Not necessarily completely but, yes, the old struggle appears. The hunger hormone seems to get reactivated and, as my doctor says, it can be a real beast! Especially because we aren't all expecting it. But it does come back Big time!

I believe that there is a difference between beatings and spankings. Though I do not know whether I would personally be comfortable, notionally speaking, with spanking a child or any other creature, I also know that I have given my cats a smack when they have lovingly sunk their teeth into my flesh. Now, smacking a cat is not a good way to train it (it only engenders fear in the animal) but my actions were always purely a knee-jerk response. Fortunately the animals were sufficiently comfortable of my goodwill that they easily got over it. There was never any sign of a neurotic aftermath. In just such a way I can easily understand a terrified parent swatting a young child after the kid has broken a cardinal rule and has narrowly missed a major disaster. Under the new and Draconian legislation these parents can be and sometimes will be charged with child brutality. I believe that children, just like my cats - creatures which rank far, far lower in the arena of intelligence and sensibility - are also able to easily differentiate between the reactive smack of a terrified but loving parent and the blunt brutality which arises from family dysfunction. Beatings are wrong. Any display of brutality towards a child, be it physical or psychological, is wrong. A smack, well, that may well fall into another category. And as for my street cred, well, here it is: my father was beaten as a child. We were never, ever physically touched but we were psychologically beaten. This was, I feel, much worse. It leaves the child confused as to the nature and the extent of his or her injuries.

@@Killian - that's a pretty high dose. Have you ever tried taking it in the morning on empty stomach? Might be able to have a lower dose that way as I think food and other meds affect it. Having said that, as long as you are consistent, that is the key. I am same as you (graves, RAI in 2012, hypo by 6 weeks post-Rai). Good news is it hasn't hindered my weight loss at all. I am down about 115 pounds since surgery (11 months). I have had to increase my med as it doesn't absorb as easily post-op (at least with bypass). Good luck to you!! Sent from my HTC One M9 using the BariatricPal App

TL/DR: Worried about losing weight by not eating enough. | Looking for tips to reach protein/calorie goals when not hungry. | Looking for others' experiences with lack of hunger this far out in WL Journey. ------------------------- I meet with my nutritionist for check-ins about every 3 months. For this last one, my 9-month, she told me not to be upset if I hadn't lost, as a stall was expected. Yet, I had lost just as much as I had been. We went over what I had been eating & she wasn't concerned about content but suggested increasing variety. [I'm a meal repeater 🤷‍♀️] Though, she again warned me that it is now especially likely that I would stall since I hadn't yet. Since that appointment, I've still been losing weight. I know it might appear strange to worry about meeting the goals we are here to meet, but my nutritionist is big on trying to relearn the natural cues of the body. So, as they are absent, you can notice pressure in your stomach, sighing, or a runny nose as indications of fullness. As indications of hunger return, you can utilize them to increase portions within the parameters of slow eating and not exceeding controlled sizes. The thing is, I don't know that the initial increase after, you know, the literal wounds healed, I have really expanded much more. I don't really get hungry until 'early-bird dinner' time. So eating during the day is purely done out of obligation. [& if I'm being truthful, there are times when I forget entirely until after work.] So obviously, that leads me to try to have all of my calories in one 'meal' in the day, which I have to eat over a couple hours [even if it is small] if I don't want to get nauseous or actually regurgitate. [The regurgitation has improved slightly over the last couple of months. I had a very reactive stomach that required me to prolong my dependence on protein shakes. Pre-surgery, I don't think I came even close to needing to vomit since pre-school 🙁.] To be fully upfront, I have not counted a single macro or calorie or weighed a single food item during my entire journey. I've tried tracking before in my weight-loss journey, and it was not healthy mentally for me. I realize that I may be under goals rather than over them, but straightforward counting of calories is just not something that would be part of a successful journey for me. So, all of this is a longwinded way to say: - Is anyone else struggling to eat enough this far out? - What helps you to reach your protein/calorie goals when you don't really want to eat? - Any other tips/tricks/specific brand or meal suggestions?

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

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

I've had a few carby things here and there and I have reactive hypoglycemia. Not sure if I am dumping or just still suffering from the hypoglycemia.

I had my yearly physical with my pcp today. Great news, I am officially going off my blood pressure medicine. He wants me to try stopping the gout medicine too but I told him I'm scared intil I'm maintainingmy weiggt and not losing anymore. We're going to check again in 2 months but it was so good to hear all my labs were perfect except potassium. I had really high c reactive protein before surgery (close to 20) and I was 3.5 today. Yay!!!

Well, Girls, Today is my FOUR YEAR surgiversary! All in all, I'm pleased that I am at goal and was able to have this life changing surgery! I have found in the last few weeks, that I still have some work to do on making sure I make good choices. I tend to really work to ACHIEVE a goal, and then when I get there, somewhat relax and old habits/eating patterns creep back. I'm right at 148-150 - my goal from original and where my body really likes to be overall. I did get down to about 140 last year with 5:2 and I'm REALLY REALLY THIN at that weight (being 5'8") I like it for ME but my face looks OLD and others seem to think I look "sick". With that said, I need to "shape up" a bit - just with life itself, my energy level is low, my stress level - high and I'm tired, tired, tired! I've also been experiencing reactive hypoglycemia (I think due to increased carbs and sugar) where my blood sugar gets extremely low (to the point of faintness). I guess what I'm trying to say is - I'm very happy with what I have achieved, I'm thankful and grateful, and I realize AGAIN that it's a LIFELONG JOURNEY!!!

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.