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I am 2.5 years out from gastric bypass. I had lost 100 lbs but have gained about 15 back. In November my blood sugar started dropping out of nowhere. I have seen my both my gastric doctor and my pcp and they both tell me to cut carbs and eat every two hours. Those are both ok but I have found that if I eat some carbs along with protein I have many less episodes which is great except I'm scared I'm going to gain. Anyone with experience or advice on this? I have an apt with a endocrinologist that specializes in bariatric patients but it is not until November. Sent from my SM-J700T using BariatricPal mobile app
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Correction: reactive hypoglycemia
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Look up RH reactivate hypoglycemia after gastric bypass
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Isn’t it really annoying when........
FluffyChix replied to bariutiful's topic in Gastric Bypass Surgery Forums
I choose to look at it a different way. I look at it like I have accountability partners to help me keep from rationalizing poor behaviors and dubious choices. It helps me stay firm and convicted. If I know all eyes (pretend--cuz most people aren't watching) are on me, then I'm not gonna allow the laxness of the moment to take control and allow me to slide. Or to slide "too much." And as for banana, sure your doc says you can eat it. And in limited amounts it's not too high in sugars for a lot of people. But we are each individual, and I'm extremely carb sensitive. So if it doesn't give me reactive hypoglycemia, or high blood sugars, it will absolutely make me hungry within an hour or two. So bananas are on my "no fly" list. I do use banana flavored protein powder though. -
Hypoglycemic Attacks?
James Marusek replied to holls88's topic in POST-Operation Weight Loss Surgery Q&A
Reactive hypoglycemia is low blood glucose (sugar) that occurs within four hours after eating. Symptoms of reactive hypoglycemiamay include anxiety, fast heartbeat, irritability (feeling very stressed or nervous), shaking, sweating, hunger, dizziness, blurred vision, difficulty thinking and faintness. But, reactive hypoglycemia post–gastric bypass generally can occur in patients one year or more after their bariatric surgery. ... The further out from surgery you are, the more tuned in to your body and reactions to food you become. Since you are 9 days post-op, I suspect this is not the problem. Another possible explanation is that you were diabetic prior to surgery. If that was the case and you were taking blood sugar medicine, it might be time to reduce the amount of medicine your were taking. So you might want to check with your doctor and reset your prescription. I was diabetic prior to surgery and I went off all my prescription medicine the day I left the hospital after surgery. Another possibility is that it is not a blood sugar problem but rather an electrolyte imbalance. Common electrolytes include sodium, calcium, magnesium, and potassium. ... When the amount of electrolytes in your body is too high or too low, you can develop dizziness, cramps, and problems with an irregular heart beat (heart rhythm) or symptoms of mental confusion. This may happen if you don't take in enough fluids daily. Another possibility is dizziness can be caused by a blood clot. Embolism can occur when an embolus, or blood clot, forms around a heart valve that is not working properly, or is released within the arteries to the brain, causing a stroke. The effects of a stroke may include temporary dizziness. However, if the embolus travels to the vestibular system, it can cause severe dizziness. This is a very serious condition. Or there are other possible causes for dizziness and fainting. I would refer to your hospital discharge directions. There should be a page that describes when to contact you surgeon's office. On my discharge directions it states: Chest pain, rapid heartbeat and/or dizziness. Better to be safe than sorry! -
I dont have a thyroid at all anymore, so im hypo. Its wht made me go for the gs. I couldn't budge it. My bmi was 35. 10/24/18 sw 219 Current weight 180 Goal is 150. I only had about 70 to lose at the start, maybe thts y its going slower. But its coming off n no skin sagging...just want to keep on Sent from my SM-G965U using BariatricPal mobile app
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Sorry I hadn't noticed this post sooner. Let me start by saying, I am a very lazy person, hence the reason I got fat. My time in the gym has been ZERO. I do walk a lot with my wife. I babysit a 3 years old 5-6 days a week 12 hour days. I love skateboarding again. But as far as exercise, workouts? Nope, not my cup of tea. 95% of my weight loss has come through the kitchen. I am blessed in as much, I am now reactive hypoglycemic. I cant cheat with sweets without paying a dear price. I have gone unconscious 3 times since surgery from low blood glucose below 50. Also my appetite has been a struggle. I have to force myself to eat. Trust me I could lose more if I wanted to. I am 6'3" and 163 lbs is already skinny enough. I was a very skinny young man, and I think post op my body went back to its natural state. I was about 145 lbs into my early mid 30's. So yeah I was quite skinny. Diet wise, I was probably stricter with myself than I needed to be. I eat eggs, cheeses, meats of all types, green vegetables. Very little fruit, sugars aren't my friend. I use TESPO liquid vitamins. I'm not a good example. I enjoy the occasional chili dog. I eat the occasional chip. My portions are obviously a fraction of what they were in the past. There are much wiser, better examples of peoples disciplines and diets on here than mine. Again, I am not typical in that I have to force myself to eat. I actually seek out fattier foods now just to maintain weight. Not necessarily junk food, but not the leans foods most of us have to eat. It has taken me many months to stop losing. My doctors were starting to get worried. for my health based on how rapidly I lost and my inability to maintain. I am doing much better now though.
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Oh lads, I had THE WORST DAY. It started off with a protein pancake. It was a sample from the chemist and it tasted so fake, so I put some canned whipped cream and sugar-free syrup on it and by breakfast end I'd used up over 300 calories without feeling satisfied so I ate a protein bar but then I felt sick. So I didn't eat lunch, got hungry and lost the battle that had been raging in me for over a week to buy junk (yeah, I crapped out on the challenge). So I'm stuffing my face with chickadees and Mars Bars knowing full well its going to make me as sick as a dog. Lads, the taste wasn't even good! The chocolate was sickly sweet and the chickadees were overly salt and processed nothingness. THEN came the dumping and reactive hypoglycaemia. After I recovered I ate a white bread roll with smashed banana and chicken nuggets. I literally don't know what happened to me. I have been SO GOOD for months with only a minor slip up now and again. What the heck??? Back in the saddle tomorrow and I'll assess the damage at next weigh-in, but I feel like an alcoholic that is on that naxalone drug and I couldn't even get "high" just sick and now I'm regretting everything. Sigh. Oh lads, just when I thought I was in control. Oh well, onwards and upwards. Sent from my SM-G930F using BariatricPal mobile app
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What to do when dumping?
KimTriesRNY replied to aferrenberg's topic in Gastric Bypass Surgery Forums
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 -
October 2018 Sleevers
aussiemomdinoaunt replied to kdiddle31's topic in Gastric Sleeve Surgery Forums
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 -
3 1/2 years old - new health challenges ... ugh.
Healthy_life replied to MrsKarenC2008's topic in POST-Operation Weight Loss Surgery Q&A
@MrsKarenC2008 I'm glad you came back to the site. I wish you the best and I hope you pop in more. Just found this this article. Hypoglycemia and reactive hypoglycemia. https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 I'm not sure what category I fit in *laughing at myself* My low blood sugars don't make sense to me or my Dr. Fasting or food, My low blood sugars have no pattern. At 140 pounds and year out from surgery, my pancreas started functioning but not correctly. Dr said its a RH is complication from surgery but it's also a blessing to know my pancreas is working. -
3 1/2 years old - new health challenges ... ugh.
KimTriesRNY replied to MrsKarenC2008's topic in POST-Operation Weight Loss Surgery Q&A
Yes. I have had three or four episodes of reactive hypoglycemia. I am NOT diabetic, never have been. My A1C has always been 5.2 or less. I have on hand at home my fairlife chocolate milk. It brings my sugar up quickly and is also high in protein. If you are prone to hypoglycemia you must prepare for it. Low blood sugar below 30 may result in becoming unconscious, it can result in seizures or death if no one finds you and you are alone. If you have warning symptoms...mine is a feeling of heat followed by horrible sweats...take some easy and Quick digesting sugar/glucose right away. You can manage this and stay within your diet goals! Best of luck! -
Thanks James those links are great. I have been looking for examples of what to eat to treat a hypo after rny. Most articles tell you how to avoid it but they don’t tell you what to do to treat it.
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3 1/2 years old - new health challenges ... ugh.
Healthy_life replied to MrsKarenC2008's topic in POST-Operation Weight Loss Surgery Q&A
Disclaimer - I don't give medical advice. I'm just sharing my experience with this. I have reactive hyperglycemia. It started a year out. I am four years out. I'm still managing lows. Reactive hypoglycemia is your pancreas over functioning. Your pancreas will periodically dump a larger amount of insulin into your system. This is what causes low blood sugar. Treating/managing low blood sugars is not much different than managing diabetes. For me, RH is life long. My pancreas function is not going to change. You said " cannot/will not eat carbs and sugar" Try to get out of the mind set of "bariatric rules" You are treating a health issue. This is doable and you still can work your healthy plan. Keeping blood sugars level : I had a consult with a dietician outside of the bariatric program. I have a blood glucose meter. I test often. I eat five to six small meals (all within my calorie and macro range). I add Low glycemic carbs in small amounts and not every day or every meal. Example - One day no carbs the next day I will have small amounts with lunch and diner. Low glycemic carbs don't spike your sugars. (sweet potato, lentil, beans, brown rice, whole wheat and plant based (fruits veggies) I am carb sensitive. Carbs make me gain weight. My preference is to alternate days and meals and eat sweet potato and plant based carbs. Managing the low sugars: You will not be eating sugar daily. Just like a diabetic, Serious lows will involve real sugar to bring low's back up. Glucose tablets work. I can tolerate watered down orange juice. (full strength upsets my stomach) It may be trial and error to figure out what sugar choice works for you. -
Low blood pressure after RYGB?
James Marusek replied to eudys3's topic in Gastric Bypass Surgery Forums
Being dizzy, lightheadedness, fainting can also be caused by low blood sugar. There is a condition that occurs in Gastric Bypass patients called Reactive Hypoglycemia. One man in our bariatric surgery support group developed that condition. After fainting one time, he figured out the cause and then learned how to control the condition. Here are a few links. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ https://www.stjoes.ca/patients-visitors/patient-education/f-j/PD 7972 Reactive Hypoglycemia after Bariatric Surgery.pdf -
3 1/2 years old - new health challenges ... ugh.
FluffyChix replied to MrsKarenC2008's topic in POST-Operation Weight Loss Surgery Q&A
Ok, so yes, I've had 1 episode of RH. Sorry you are dealing with this. But it's common. I would personally NOT add carbs. By keeping enough protein and fats in your diet to be truly keto, you will level and flatten out your blood sugar/insulin response. When you add carbs, you increase the amplitude of the blood sugar rollercoaster and the severity of the RH. The big thing to know is if you are truly hypo or if for some odd reason, you're turning into a T1 diabetic (not producing insulin) and that sometimes happens suddenly to adults. It's called LADA. But, if it were me (and it is), I'd buy a test meter and carry it with you at the first sign of symptoms. I'd buy packages of peanut butter you can squeeze into your mouth. And also carry glucose tablets in your purse. 5g of glucose tablets will raise blood glucose usually about 10points. So in an emergency you eat 2 of them and bam, emergency gone. Then you follow with a packet of peanut butter. Or nuts. Then you have to be on the lookout for the rollercoaster that "might" happen for the next day or two. I followed about two hours later wtih a very low carb, higher protein/fat mini meal. And had no other issues. -
3 1/2 years old - new health challenges ... ugh.
ummyasmin replied to MrsKarenC2008's topic in POST-Operation Weight Loss Surgery Q&A
The thing I've found with hypos as a diabetic is they happen if I have a long gap between eating. So I would recommend splitting your calories into 3 meals with 3 snacks spaced evenly. Try eating some cheese and/or nuts for your snack (something with a bit of protein), and a smaller meal to balance the calorie load. Eg Breakfast 7.30am, snack 10.30am, lunch 1pm, snack 3.30pm, dinner 6pm, snack 8.30pm. You should still carry some fast absorbing sugar (eg glucose tablets) just in case. And do healthy carbs for your meal eg veggies and beans, mixed with your protein of course. Sent from my SM-G930F using BariatricPal mobile app -
The general advice for a hypo ( non wls ) is to have something that is high in sugar and easy to absorb, liquid is better than solid. So orange juice, high sugar cordials etc ( avaoid carbonation). Alternatively foods such as honey or jam also wok quickly. Then once the person appears to be returning to normal it should be followed up with a good quality, low gi carb e.g a banana or whole meal bread sandwich. Obviously for wls patients i imagine the recommendations would be a little different . However it is still important to raise and stabilise the blood sugar.
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In the Diabetic world we call them hypos. The difference is usually a timing thing. If you're dumping pretty soon after eating, try and lie down and take it easy for a little bit. If it's more than an hour after eating, your blood sugar may have dropped too low (due to increased insulin response to the sugar you ate earlier). In those cases, I do a spoonful of honey or juice or if I'm out and about I've even done proper (not diet) Coke. You need a bit more sugar in your blood but not too much or you'll start the cycle all over again. Sent from my SM-G930F using BariatricPal mobile app
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I have reactive hypoglycemia (RH) (but not dumping - that is controlled by limiting your sugar intake). To control RH, my PCP suggested I eat some protein - or something along with protein - every 3-4 hours to keep my blood sugar stable. It seems to be working - it's really cut down on my "episodes".
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What to do when dumping?
KimTriesRNY replied to aferrenberg's topic in Gastric Bypass Surgery Forums
If you are getting late dumping...or reactive hypoglycemia, keep something quick on hand to raise your blood sugar. I keep fairlife chocolate milk in my fridge. It is higher in sugar and carbs but also has some protein in it. I drink it as soon as I start getting heavy sweats, which is my first sign of low blood sugar. Once I drink some I feel better in 15 minutes. -
Intermittent Fasting Daily Menu/Results/Accountability
FluffyChix replied to FluffyChix's topic in Post-op Diets and Questions
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. -
Intermittent Fasting Daily Menu/Results/Accountability
FluffyChix replied to FluffyChix's topic in Post-op Diets and Questions
Morning folks. Sorry - gone all day with my 6month check-ups! Good news is that I have another 6 months under my belt of "dating NED" and am good for another 6months. Yippee! Interesting news is that I have to wear an "event monitor" to see why I'm having skipped beats, and we're trying to figure out how to get rid of my last bp med. More scary news...we went to a new restaurant for lunch yesterday and I split a cup of chili and burger balls and came home, fell asleep, and woke with a 36bg! I have my first reactive hypoglycemia attack and it was so so so scary. Sweating profusely, heart racing and skipping, shaking so much I could barely navigate or use my arms/hands, could barely coordinate a thought to speak. And had to forceably make myself go get a can of pineapple juice (only juice in the house) that I keep for making a marinade and some unsweetened applesauce to try to get my bg back up to normal. I was successful in doing that (thank you God). But holy whackadoodle! It was scary larry for a while. Also before saying BS, you'd be dead at 36bg, we use a Fora brand bg meter which I "think" may read low by 10-15points from bgs measured with drawn blood. But it was still very dangerously low, I'd say at least in the mid-40s to low 50s judging on how discombobulated I was and how bad I felt the rest of the day. I also got my fasting insulin back and it's awesome! It went down from 14 to 2!!! So my IR is in remission right now it looks like! IF appears to really be working metabollically for me. My bg this morning was 76. I am planning on doing an 18-6 today but will watch it. @GreenTealael so MAN! I can relate to your posts now about your RH or dumping. I think it may be very similar? How are all of you doing? -
For me, sugar is sugar, my body doesn't care if it's from fruit or a packet. (I had VSG). Protein and fiber help slow down digestive emptying, so yes they might help. But higher protein/fiber shouldnt be justification to eat higher sugar. I have found the low glycemic foods to be "better". Once it starts, you just have to let it pass. For me, it's not consistent. It seems to happen with more liquid type foods and isnt always tied to grams of sugar. High carbs in general can do it, but high sugar always does. It sometimes seems random and I havent figured it all out yet. I can eat kit kats, but not drink a premier protein shake. I can't eat mashed potatoes or soup. Oatmeal is fine. I can eat dry cereal fine, but I cant eat it with milk. I also get late dumping/reactive hypoglycemia. Between 2 and 3 hours, my glucose crashes. It sucks. Sent from my SM-G965U using BariatricPal mobile app
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I wasn't nervous about my surgery until I found this site
KimTriesRNY replied to MikeIL's topic in PRE-Operation Weight Loss Surgery Q&A
Every person is different and everybody will have a different experience. I have never once vomited postoperatively, but I was never a person that was prone to having stomach issues pre op either. The only time I have experienced chest pain was after eating too quickly and you learn fast to slow down. Certain foods may cause discomfort at first...but you can try them again later if this is the case. As far as dumping goes, I mainly do not dump and can tolerate small amounts of ANY food so far. I have had several episodes of what I think may be reactive hypoglycemia but that’s another story. There are those of us out here that have had zero issues like myself. If you are close to surgery, avoid negative posts that discuss complications. Remember that people are more likely to complain about something than praise something. Go cruise Instagram for inspiration of those that have lost weight and share stories on there. Remain positive and remember that this procedure is a safe procedure with an overall low risk of complications.
