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As a former diabetic, I would caution you against using chocolate to resolve it. We were told in diabetes education not to use chocolate as it takes too long to process and has too much other stuff. So, a glucose tablet is good or a peppermint candy or a very very small amount of juice, etc. Now I don't know if reactive hypoglycemia has different needs than hypoglycemia caused by diabetes but it seems to me that the same rules for increasing your sugar may apply though likely in smaller amounts so as not to lead to dumping.
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NO Thyroid and Impact on Balloon's Efficacy on a Weight Loss
Daisee68 replied to jansluv's topic in Gastric Balloon Forum
One of the other signs I get when my thyroid is off (either hypo or hyper) is Restless Leg. My calves start jumping around and creepy crawly. Yick! I hate it. Sometimes even though my labs don't show anything significant, I KNOW from symptoms that I am off. You will learn that eventually and what level you are most comfortable at. My PCP tested me (as part of another panel) and said my thyroid was fine. My TSH was 4.9. That is NOT fine for me. To feel ok I need to be between 1 - 2 TSH. My endocrinologist recognizes that my count should be lower and trusts me and my symptoms to know if I need to adjust. Keep track of some of the other things that seem off - dry skin, hair loss, joint pain, irritability, etc. And if you don't have an endocrinologist or feel like they don't give you the attention you need, find a new one. I went through 3 before I found one that I liked (mine also deals with kidney stones which I have and is somehow related to my thyroid issues and the different way I process calcium as well as my diabetes and now my Vitamin levels/metabolism). It may take a while to find a good endo but keep searching if you need to. Good luck! -
NO Thyroid and Impact on Balloon's Efficacy on a Weight Loss
jansluv replied to jansluv's topic in Gastric Balloon Forum
Now that you say it, perhaps I was hypo prior as my weight was escalating since November. I thought it was just holiday eating. Hopefully blood work shows this and Doc will up my meds. Thank you for the reminder about meds and calcium. I had been taking a multi Vitamin since my balloon with my synthroid...need to figure out a better routine. -
NO Thyroid and Impact on Balloon's Efficacy on a Weight Loss
Daisee68 replied to jansluv's topic in Gastric Balloon Forum
I had RNY so I know it is not the same, but I have Graves Disease so I had my thyroid ablated with radiation iodine in 2011 so I have no natural thyroid function and take Synthroid replacement every day. My med did not absorb properly post WLS (and my endocrinologist told me to expect it), so I was hypothyroid for a while and had to up my med. Synthroid can be particular so it would seem reasonable that the balloon could mess with absorption but it would seem odd that you would be enough hypo-thyroid in just 10 days. It could have occurred prior to your surgery and just now revealing itself? Also remember that you have to be consistent with taking your med and eating - i.e. at least an hour after the med, no Calcium within 4 hours of med (or if you do, just do It consistently), etc. Not sure if that helps, but I thought I would throw you what I knew... -
3+ years post op having lots of issues need feedback
James Marusek replied to marie110's topic in WLS Veteran's Forum
It is common to feel cold after WLS. Fat is a good insulator. As you lose fat, that insulation layer is gone and you will feel cold. Whenever I shovel snow, I now know how good hand warmers are. They are almost essential. When a person is overweight, many times they have existing hernias that they are unable to detect because they are overweight. So hernia operations are common for those undergoing WLS. Before I had WLS, I had two hernia operations. They were spread around 10 years apart. I do not remember pain being associated with these hernias. When I coughed, I could detect them. I suspect that if you are feeling pain, these are more severe and need to be corrected through surgery. If you are getting sleepy after meals, it may be due to low blood sugar, a condition called reactive hypoglycemia. Several individuals that underwent RNY surgery experienced this condition. I do not know if it is common for sleeve patients. -
Non-diabetic hypoglycemia after RNY
WildGrits replied to little_mrs's topic in Tell Your Weight Loss Surgery Story
I was surprised to find this thread is so current while I was searching Reactive hypoglycemia post–gastric bypass. I was having a few sugar drops recently so my GP had me do a two hour glucose test. My two hour blood draw was 36. To me the scariest thing was that the week before I had two incidents in one day where the room started to spin and I was sweating profusely. After driving myself home from my blood work I entered my kitchen and then the symptoms kicked in. So how low could I be getting before symptoms? I would have never driven if I had known I was that low. Tomorrow I go to an Endocrinologist. I have never been a diabetic so I am not very happy with this new issue. -
post surgery psoriasis patients questions
WalkOnWaking replied to Scott Myself's topic in POST-Operation Weight Loss Surgery Q&A
I would ask the surgeon for recommendations on that. As a side note, my psoriasis has cleared up a LOT since my surgery. Not cured by any means, but my skin is much less reactive and I've needed no treatments at all. -
Non-diabetic hypoglycemia after RNY
James Marusek replied to little_mrs's topic in Tell Your Weight Loss Surgery Story
Here is some more info on Reactive Hypoglycemia. http://www.mckinley.illinois.edu/Handouts/hypoglycemia_nutrition_reactive.html -
Non-diabetic hypoglycemia after RNY
catwoman7 replied to little_mrs's topic in Tell Your Weight Loss Surgery Story
supposedly it can be managed through diet. Hopefully your nutritionist will know. If it's what I think it is, it's called Reactive Hypoglycemia. I don't think it's super common, but on the other hand, I've seen it come up several times on forums -so I don't think it's necessarily *uncommon*, either... -
One of the problems that individuals that undergo RNY surgery sometimes experience is called "reactive hypoglycemia". Individuals experience low blood sugar within a few hours after eating. This link might help. http://www.mckinley.illinois.edu/Handouts/hypoglycemia_nutrition_reactive.html Also get back on your Vitamins. Your body, because of RNY gastric bypass surgery, no longer synthesizes vitamins from the foods that you eat. Therefore it is easy to become Vitamin deficient without taking supplements and thereby open the door to a slew of medical conditions that are caused by vitamin deficiencies. About a year after surgery I encountered a stomach flu. I didn't feel like eating and if I did, it generally led to diarrhea. I lost a pound a day for a week and then the flu was gone and life returned back to normal. I looked at the additional weight loss as a plus and tried to maintain this additional weight loss.
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Several individual on this site have reported the condition. It is officially called "reactive hypoglycemia". Here is a link to the condition and the recommended approaches to deal with it. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 For the majority of people, reactive hypoglycemia usually doesn't require medical treatment. It may help to pay attention to the timing and composition of your meals: * Eat several small meals and Snacks throughout the day, no more than three hours apart during the waking hours. * Eat a well-balanced diet, including lean and nonmeat sources of Protein, and high-Fiber foods, including whole grains, fruit and vegetables. * Avoid or limit sugary foods, especially on an empty stomach. * Be sure to eat food if you're consuming alcohol and avoid using sugary soft drinks as mixers.
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All labs have been great and have been read by my barbaric surgeon. Will look into it more. Will research additional vitamins and ask about the reactive hypoglycemia. Thanks for the input.
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There is a condition called "reactive hypoglycemia" which is low blood sugar that occurs after a meal - usually within 4 hours after eating. Several individuals who underwent gastric bypass developed this condition even though they never had diabetes prior to surgery. Signs and symptoms of reactive hypoglycemia may include hunger, weakness, shakiness, sleepiness, sweating, lightheadedness, anxiety and confusion.
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Hey I had the same procedure hernia n sleeve. I am 2 weeks post op n I feel horrible. No energy I can not drink those premier proteins nor insopure liquid protein all taste disgusting to me. I also have hypo thyroid & I feel like I need to do lab work soon. I'm just not in the best of spirits ... Idk what to do . Going to try in making my own shakes adding fruits etc. I guess this is gonna last for the next 3 months ?
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Anyone with hyper/hypothyroidism?
RellaBelle posted a topic in POST-Operation Weight Loss Surgery Q&A
Hey y'all! So I'm scheduled for vsg March 14th and went in for blood work on Monday to make sure all my levels were ok. The results came back saying my cholesterol was a little bit high and my thyroid levels were low. The nurse then called me back to say the Dr told her to tell me that I may have hyperthyroidism... which is od because I thought low levels meant your thyroid was under active and hyper meant it was over active, yes? I'm assuming she just got it backwards and meant to say I may have hypothyroidism. ANYWAY! The Doctor wants me to come back in 6 weeks for more blood work... why he wants to wait 6 weeks is beyond me, I guess to see if the levels change and maybe it was just a one time thing? I don't know. Either way, for those who have either hypo or hyperthyroidism... how has it affected [effected? lol] your journey? Did you find you lost slower than others? Thanks in advance! TLDR: How has hyper or hypothyroidism impacted your vsg journey? -
Always hungry.... i think something is wrong.... Please help!
lauraellen80 replied to msreaina's topic in Gastric Sleeve Surgery Forums
I'm not a medical professional, but what you're describing sounds like reactive hypoglycemia. I know there are others on this forum who have dealt with it--try doing a search. Are you hitting your Protein and Fluid goals? Are you limiting starchy foods? If not, that's a place to start. -
Any Oregon members that had VSG in Mexico?
WorldTraveler replied to nmorgan45's topic in Mexico & Self-Pay Weight Loss Surgery
Hello, I am from OR and had a vsg in Mexico as a self-pay patient in May 2014. I am still doing very well. The sleeve still prevents me from overeating and magically controls hunger as well as limits my sweet intake (i get reactive low blood sugar when I eat anything too sweet now and it is bad enough to avoid most times). I do not regret my surgery and in fact wish I had done it sooner. I run now, can do yoga poses easily and am enjoying the freedom of life-long portion control. I am still 12 pounds from my original goal, mainly because I stopped low-carb dieting and can eat more than when I first had surgery, but I love my figure and my energy level and am taking my time reaching my goal. I wear between size 4-6 dress/tops/pants and may just maintain here as I feel really good. Research the right doctor for you. I am sorry to say the brilliant surgeon I went to tragically died in a plane crash about a month after I left his hospital. His team was fantastic, so I imagine they are still working and operating at Almater Hospital. Check into them. There was another surgeon I considered in Texas, named Dr. Guillermo Alvarez, I only ended up going with the one I did based on timing. Be prepared to pay at least $12,000 for the procedure, stay and aftercare, but it is worth it. It's still more reasonable than self-pay in the US. I would make sure you are in a clean hospital NOT A CLINIC for the procedure and that there is an actual medical team and nurses there for aftercare. I had mandatory counseling before the surgery in Mexico, which was important for maintaining, I had solid pre-op tests run as well as solid post-op tests. My only complaint was my doctor refused to give opiates so my pain was not well managed and I ended up in the ER when I got home for pain control. The US ER docs were shocked that a doctor in Mexico didn't provide pain meds. I was shocked as well. So, be sure to have someone with you to advocate for pain management. Other than that, I healed quickly and now it is a distant memory. Good luck, you will do well, just be prepared to pay over $10K for a good surgeon, do your research, reach out to people who used the surgeon you are selecting and make sure it is in a clean hospital. There are no short cuts or dollar savings worth your health and life. -
Many people who undergo bariatric surgery suffer from a type of hypoglycemia (low blood sugar) called Reactive Hypoglycemia. This article will explain the condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/
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CHOKING ON A HAIRBALL?
BLERDgirl replied to Glogyal's topic in PRE-Operation Weight Loss Surgery Q&A
That's acid. Unlike heartburn the acid build up that comes with this surgery can feel exactly like you are describing. Call your doctor and get a PPI. Prilosec is not a reactive drug. You can take it whenever you have an acid attack. It needs to be in your system which is why taking the prescribe dosage daily is important. Typically it take 3 -5 days to effectively make a difference. -
There was an interesting study done by Dr. Guenther Boden of the Temple University Medical School in Philadelphia and colleagues recently. They confined six normal-weight men to hospital beds for a week, encouraging them to stuff themselves with food — to the tune of 6,000 calories per day. Their objective was to investigate the genesis of obesity-associated insulin resistance. This study seemed to show that increased oxidative stress was related to acute obesity onset. And the researchers suggested that a Protein, the GLUT4 glucose transporter, was affected by the excess of reactive oxygen species. This protein is produced by fat cells after insulin stimulation, and provides the means by which glucose is taken up from the blood. Obviously, if GLUT4 isn’t functioning properly, blood glucose levels will be adversely affected. Refer to http://acsh.org/2015/11/6000-calorie-diet-yields-clues-to-insulin-resistance/ Maybe, I'm a little off here but it seems to me that an interesting follow-on study should look at the opposite state. There is a large pool of individuals undergoing RNY surgery. They drop a lot of weight, they halt the progression of obesity and in many cases their diabetes goes into remission and it does so within days. Maybe tracking the GLUT4 levels in these patients might give the researchers a large pool of data to put a nail into this research.
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http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778 Talk to your surgeon, I've heard this can happen to a lot of us after surgery.
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Sorry you are going through this - I get hypos quite regularly, but am diabetic - although off all meds now. I had the sleeve 3 years ago now - I would have thought things would have evened themselves out, but as you say, we eat so little now, it isn't surprising really.
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I cannot tolerate foods that are high in carbs and I have to eat frequent small meals to combat the reactive hypoglycemia. It helps keep me in check but it's not a good feeling if I eat something high in carbs. I get really shaky and tired. If I try to counter the reactive hypoglycemia by eating more carbs it makes things worse. I've learned to plan my meals ahead if possible.
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I could have sworn I saw a post this morning about post-sleeve diabetes management. When I got to my office to post something, it was gone. So, I thought I'd start a thread - would love to hear from other diabetics in the group. Before my sleeve surgery, I was on 1.8 mcg of victoza, 2000 mg of metformin, 60 units of lantus and 60+ (sliding scale) of apidra daily. My surgeon reduced my meds immediately after surgery - no victoza, half the metformin and 10 units of each of the insulins. Unfortunately my blood sugars, particularly my fasting sugars, were not where I wanted them after I began solid food, so I consulted with my GP and we went back to 2000 mg of metformin (less chance of hypo), 25 units of lantus and 5-10 units of apidra. That's just freaking amazing. We also developed a plan to begin backing me off the medicines as the blood sugars come down. Both my surgeon and GP agree that if all continues to go well, I should be off the meds in a few months. I'm limiting myself to around 30 grams of carbs a day (my surgeon's plan allows for 60) and getting daily exercise. So, how's everyone else doing? Anyone off meds altogether? CJ
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Yes you can take an OTC PPI like nexium or prilosec (omeprazole). Keep in mind it's not a reactive drug, it needs to be n your system to work effectively. It may take up to 5 days before you really feel any relief. Start with 40mgs and see how that works. Pay attention to the time of day you feel the acid the most and take the meds 2 -3 hours before hand. If after 2 weeks you don;t feel any relief, call your doctor.
