I too am experiencing severe episodes of reactive hypoglycemia. I’ve been hospitalized 3 times in the last 2 months. My sugar drops rapidly. It’ll go from 60 to 37 in minutes. Assigned to an endocrinologist team my last hospitalization and have now been prescribed Acarbose & a told to eat 6 small meals, high protein some fat & no more than 30 grams of carbs each meal. Just started med yesterday and concentrating very hard on following diet. It’s basically the keto & I could stand to loose about 10-15 lbs so I’m eager to try this. I’m wearing a freestyle glucosemeter (no pricking) to help track sugar & bump it up before I start feeling the symptoms. I’m also carrying glucose tablets to bump it up quickly. I have an appointment next week with endo to discuss progress & decide if anything additional or different needs to be done. I pray that something can be done because living with this has turned my life upside down. I’m afraid to drive long distances; lots of confusion; no interest in usual activities and also depression has set in. I feel awful that I’ve put my family through this worry simply because I chose to have the surgery. But I would have it all over again if given the choice of being very unhealthy & obese and my life as it is now. I just have to remember that and I’ll get through this! Sorry for being long winded. I just felt if anyone would understand my feelings it would be my fellow bypass friends. Take care, I’ll keep all posted as I go thru this. ?