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Showing results for 'reactive hypo'.
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help!, my date is set for feb 26 and im still waiting on my apporval from cigna they have had it almost 2 weeks is this normal?
Sadtosaygoodbye replied to MzRobin's topic in Insurance & Financing
I would for sure take the initiative and call. You are having the surgery and you are paying the premiums. Had I not continually called I would have never known that, the office sent my claim to BCBS of Texas and not BCBS of CA. Be proactive not reactive. -
I'm not in agreement with your doc's logic about doing nothing now then repeat the tests. If you're hypo new it won't magically change to normal. And since getting the dosage right to get your level back to normal can be tricky, waiting makes no sense. I'm hypo thyroid due to a total thyroidectomy. It took a year to get my dosage correct to bring me back to normal.
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This is common even for those who were not diabetic prior to surgery. It is called Reactive Hypoglycemia. Here is a link. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass
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Absolutely. When I had my VSG ten years ago, most bariatric surgeons were just learning how to do them - while they are in concept simple and straightforward to perform, like anything else technical, there are subtleties and techniques in doing them correctly - "twenty years of doing bypasses and they think they know how to do a sleeve..." was the refrain from one prominent surgeon at the time. While the sleeve does have some predisposition toward GERD (much like the RNY is predisposed toward dumping, reactive hypoglycemia and marginal ulcers,) this was compounded in the early days by surgeons who hadn't yet figured out the technique to consistently get them right to minimize that predisposition, and to some extent continues today in areas that were slower to adopt the sleeve and are behind the learning curve. This is a good part of the reason that I travelled 400 miles to a practice that had been doing them for twenty years (at that time) rather than a local practice that had been doing something else for twenty years. Talk to your doctor on interpreting this. Hiatal hernias are common with morbidly obese people, and a common cause of heartburn. They can easily be fixed during the WLS procedure, so if that is the cause of your heartburn, things look better for you. A hiatal hernia can be described as a diaphragmatic hernia, but not all diaphragmatic hernias are necessarily a hiatal hernia - so get some clarification on that.
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Hey girls, I have a hypo active thyroid and diabetes as well. Between those two and the required meds weight loss is a struggle but I keep at it. I take 200 mcg of synthroid daily.
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HELP! WHAT IS THE CARB LIMIT?
VSGAnn2014 replied to tiarowley's topic in POST-Operation Weight Loss Surgery Q&A
There is no universal carb limit prescribed by surgeons after WLS that I know of. My surgeon / NUT / bariatric PA never mentioned any carb limits at all. Just Protein limits. Therefore, I never, ever focused on low-carb during all my weight losing phases. Also, I read early on posts by the very small percentage of folks who developed post-bariatric reactive hypoglycemia. It seemed to me (just a theory here, no serious research about it done that I can find) that these posts were all made by people who'd gone significantly low-carb for most of their weight-losing phases. So I decided I didn't need to lose weight super-fast anyway and would just eat plenty of healthy, unprocessed carbs. And I did. Coincidentally, I wound up matching my protein and carb levels. Early on, my Proteins / carbs were around 60, with daily cals around 800. Then in Month Five I ramped up to 1000 cals, and proteins and carbs went up to 80. Then in Month Seven I ramped up to 1200 calories, and my proteins and carbs went up to around 100. I reached my weight goal (150 pounds) 8.3 months post-op. I've lost another 6 pounds since then (in the last 3+ months), but I think I'm now stabilized. By now, my daily maintenance calories range from 1300 - 2000, and my weekly averages are over 1600 cals. I think my final maintenance calorie budget will be 1700-1750. Honestly, looking back, I think I lucked out by not going super low-carb or super low-cal during my weight losing days. I have online friends who ate a lot less during the weight-losing phases, and some of them (not all) are struggling to maintain their goal weights at 1200 cals/day. And who knows what I'll deal with in the coming years as I work to maintain this weight. So that's been my experience. Take from it what you will. And realize that our bodies don't all respond the same to food. If we were all alike, this whole weight loss / weight maintenance business would be a helluva lot less mysterious. -
Has anyone gotten Hypoglycemia from having Bypass surgery and if so how do you control it food wise?
RJ'S/beginning replied to Chelly's topic in POST-Operation Weight Loss Surgery Q&A
I have too. ( Reactive Hypoglycemia ) But it was after the sleeve. And only a few months ago! I eat 6 times a day and very little refined sugar. I eat complex Protein. That means a carb with a protein and it seems to be working better for me...... -
New Here & 4 Yrs Rny Post Op
Lilitu replied to veronicav75's topic in Tell Your Weight Loss Surgery Story
I have to say I am surprised your dietitian would recommend regular rice. Like bread, rice is used as a "filler" in past years when families had a lot less money and food, adding a cheap filler like rice and bread to meal made the meat and other items go further. I also have found that to much rice can affect my RH (reactive hypoglycemia). I know at 4 months I was still eating about 3 oz at a meal, so I went for stuff that I knew would keep me sated longer. -
From a past post it appeared that you had surgery on September 26, almost a week ago. The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. In part not meeting these requirements can cause you to be tired. Tiredness can also be a side effect of some medication. It might also be due to low blood sugar. If you were diabetic prior to surgery and took prescription medicine for the condition, it might be time to reduce your medication. Also some people who had no signs of diabetes prior to surgery also developed reactive hypoglycemia after surgery. But all in all, you are only one week out and your body may need a little extra time to mend.
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Heavy lifting, blood sugar issues and Reset 3 yrs post VSG
PrayingForWeightLoss replied to mi75's topic in Fitness & Exercise
As a clinician I would suggest a referral to an endocrinologist if you have a history of hypos during intense workout. Maybe he/she can work out peak times of your insulin levels and possibly have you work out during those times. -
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
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. -
Any other sleevers have PMR (Polymyalsia Rhuematica?
iwillbeachitagain replied to iwillbeachitagain's topic in PRE-Operation Weight Loss Surgery Q&A
Hello Mdawncooper, I am sorry for my delayed response! So, I almost didn't go through with the surgery because I was afraid the PMR flare pain would be too much on top of the sleeve recovery pain... The surgeon convinced me to go through with it and said that a week post op I could resume prednisone if needed. Well here's the miracle: severe bi-lateral leg pain is gone! It could have just been the prednisone withdrawal symptoms rather than a flare; but I am so happy to be on the other side of this surgery and OFF prednisone! The Doc told me they give all patients a dose of steroids in the O.R., so that could have helped as well. The tell-tale symptoms are bi-lateral pain (rather than one side only). The only way diagnosis can be confirmed is to try Prednisone. If the pain resolves within three days or less after beginning prednisone, then you know you have PMR. My pain was in my legs and lower back ; rather than in the shoulders and neck where it is more common. The prednisone worked and I felt great (but also gained weight). I am am hopeful that my symptoms will not return and when I have my C-reactive Protein levels tested that they are lower. It is so nice to be certain that I will lose weight and feel better as a result! Down 34 lbs. since I began this process in late November! -
I have a wonderful recipe for crab cakes. I don't know how it stacks up nutritionally but it doesn't use a lot of breadcrumbs for filler so it is better than most. I 'fry' them on a pancake griddle with just a little oil so it's not a diet-buster. I'm happy to share it. I made these when my husband and I had a food truck. Big seller! Cajun-Style Crab Cakes 6 Slices white bread 1 tsp garlic, minced 2 eggs 1lb crab meat ¼ c heavy cream 4 green onions 1 tbsp fresh lemon juice 5 slices bacon, cooked & crumbled ½ tsp dry mustard 1 tsp Cajun spice mix Salt, to taste Tear up bread slices and grind in a blender or food processor. Add eggs, cream and lemon juice to form a heavy batter, then remove to a bowl and add all the remaining ingredients. Fry in oil or on oiled grill. Serve with Creole Honey-Mustard Sauce. Creole Honey-Mustard Sauce 1 tbsp vegetable oil 6 tbsp mayonnaise 1 tbsp green peppercorns, crushed 6 tbsp sour cream 1 tsp freshly ground black pepper 1 tbsp honey 1 shallot, minced ½ c dry white wine 2 tbsp Dijon mustard In a small, non-reactive saucepan over medium heat, heat the oil and sauté the peppercorns, pepper, and shallots for about 3 minutes or until the shallots are translucent. Add the white wine and simmer until the wine has almost completely evaporated. Let cool. Add the remaining ingredients and check the seasoning. Oh, the sauce is DIVINE!! Enjoy.
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I've had this for many years, but it's gotten worse with age. But it is manageable and I don't have extreme issues if I eat properly. Before LB surgery I was pre-diabetic; my sugar was a bit out of the normal range. After I dropped weight the numbers normalized. Though I still have RA, my tested sugar and A1C is totally normal. Here is some info I found online. http://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778
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Fluctuating Hypoglycemia post gastric bypass surgery
mallory0405 replied to mallory0405's topic in Gastric Bypass Surgery Forums
It's so good to find someone with a similar problem (though I am really sorry you are experiencing this). A friend gave me a glucometer but I drove myself crazy with it and finally gave it back. I can tell by my symptoms that I am about to have an "attack." I have discovered that the correct term is "reactive hypoglycemia" and it first started showing up around 2005. Then it started being reported at scientific conferences and being written up in peer-reviewed scientific journals starting about 2012 (all this discovered from a search on the web under "reactive hypoglycemia post gastric bypass surgery"). It's can also be called "late dumping" although diarrhea and stomach cramps don't seem to be associated with it. It is most prevalent in gastric bypass patients. I think I mentioned earlier in a post that I only had these episodes once or twice a year until this year. Then, after shopping with a girlfriend all day, we stopped at McDonald's and got a large mocha frappucinno. At her house my lips started going numb and then I didn't really know who I was and could not talk straight. Her husband was a diabetic and for some reason she decided to check my blood sugar which came in at a whopping 34. Off to the ER where the physician on call told me it was "fluctuating hypoglycemia." I am searching for an endocrinologist or gastroenterologist now to see if I can get some help for this. In the meantime I am reading everything I can about what foods to eat. "Protein first," all the articles say coupled with a food that has a low glycemic index (I still don't know what that means). Searching for the sweet spot in the management of this condition!! We can journey together. Thanks for sharing. -
Well I'm up late for a terrible reason. But I thought I should leave record of this because you don't see it on the boards often. I had VSG but I have the unfortunate side effects of dumping and late dumping possibly even reactive hypoglycemia. I need to confirm the later with my doctor the next episode. The very first time it happened or that I can remember, I was 4 months post of in Naples. I was taking a coffee and felt a wave of flush wash over me but it disappeared immediately. Thought nothing of it. The next time I was in Paris, Nothing out of the ordinary lol. I had a pettit croissant and then a spoonful of panna cotta and I thought I was dying. Not exaggerating. Room spinning, heart racing, sight failing all in french subtitles. Took an hour to pass in a highly ornate turn of the (17th) century bathroom. The next few times I was on home soil eating (safely/properly cooked) homemade curried chicken breast. Then roasted lamb, next a tossed salad , then means and even once Greek yogurt! But not dessert/pastries again? Whatever...I'm sure it will happen again Absolutely no rhyme or reason. Every time it happens now I can't predict why, when or what foods will cause it. Just tonight peanuts and salmon pate. My usual suspects. I nearly went to The ER, it was that bad but I passed out in bed. Well now I'm awake to tell the tale. So I maybe a unicorn, who knows, but if you are banking on VSG not causing dumping syndrome, you may be surprised...
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Light headed & dizzy after exercise activity
James Marusek replied to tmarie8842's topic in Gastric Bypass Surgery Forums
In general, the three most important elements after RNY gastric bypass surgery are to meet your daily protein, fluid and vitamin requirements. So a problem in any of these areas could cause your symptoms. For example, a lack of B12 can cause this. But since you got your labs back and they were good, that indicates that this may not be the problem area. Another type of problem that could cause this is reactive hypoglycemia. Here is a link that describes this condition. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ -
VSG /Dumping/Late Dumping
Creekimp13 replied to GreenTealael's topic in Gastric Sleeve Surgery Forums
If it truly is reactive hypoglycemia, eating small meals and snacks more frequently will help. Eat a little something every three hours you're awake. Fasting would be contraindicated. A gall bladder issue would be an extremely common reason for the symptoms you are describing. Reactive hypoglycemia is possible, but is very rare and would surprise me. 25-30% of weight loss surgery patients who have their gallbladders develop issues requiring treatment. Gallbladder attacks are often set off by high fat, high protein foods. Sensitivity to eggs is often reported. Nuts, too. Spicy foods and fatty processed carbs can set off attacks as well. Talk to your doc. If it's gallbladder....it's a horse in a field of horses. If it's reactive hypoglycemia it's a unicorn. -
Reactive Hypoglycemia?
James Marusek replied to axlr8n's topic in General Weight Loss Surgery Discussions
Here is a short article on reactive hypoglycemia (RH) after gastric bypass surgery. https://www.ridgeviewmedical.org/services/bariatric-weight-loss/enewsletter-articles/reactive-hypoglycemia-postgastric-bypass/ The individual that I know who had this problem did not have diabetes prior to surgery. I believe the first time he encountered the condition he fainted. But ever since then he learned to detect the signs and took immediate steps to preclude the onset. So after the first incident, he never repeated it. It seems that RH occurs between 1 1/2 to 3 hours after a meal. Since you woke up at 3 A.M. this might not be RH. Since your blood sugar when you had it check the next day was 60, that is on the low side. So the condition might be related to low blood sugar (hypoglycemia) or something else. Another possibility is orthostatic or postural hypotension. Here is a link to that condition. http://www.merckmanuals.com/home/heart-and-blood-vessel-disorders/symptoms-of-heart-and-blood-vessel-disorders/dizziness-or-light-headedness-when-standing-up This is one of those problems that you will need to discuss with your medical professionals. -
Feeling sick here and there.
tarotcardreader replied to Rolltide87's topic in Post-op Diets and Questions
If its happening after eating it could be the reactive hypoglycemia, one lady who had it was put on a zero carb diet and that helped her. I recommend getting a referral to an endocrinologist from you primary doctor. Let them run the labs they are specialized in it and will know better than anyone here. 😬 -
question about calorie restrictive only methods like lap band
cduval04 replied to cduval04's topic in LAP-BAND Surgery Forums
Betsy its really interesting that you pointed that out I actually copied and pasted that from the hospital web site, lahey clinic but I am sure it was just mis-wording on the part of whoever typed it, I know lahey is very well respected world-wide and they were willing to do brain surgery on me that had never been done before and they have given be a second chance at living a normal life, so I would put my life, stomach, or whatever it may be in their hands any day. You are correct about that statement though, I do beleive it is worded wrong, but I also don't beleive the surgeon himself is sitting at the computer typing that lol. Cocoabean, ditto on that, same goes with rare side effects. But my pounding headaches/migranes have been almost absent after 2 weeks on it. Good to hear about the diabetes thing, since I am not diabetic either. I think I might be in that small population too, although I dont know what the heck is going on with my thryoid, my TSH and T4 levels have been wacko all over the place the past 2 years even though I am on synthroid. I seem to have hyper-hypo phases......I swear to god I have hashimotos but I have had my antibodies tested twice and they were neg....I also likely have a pituitary tumor that is causing some hormone dysfunction....but I just cant wait for them to come up with a diagnosis and just watch myself BLOW up to over 400lbs....that is why I really want the band....b/c I do believe they will eventually find something....and if they do...all of us will be happy that I chose the band....its a really tough descision...and I guess I hadnt mentioned it on here before b/c you guys might think it is a weird reason for seeking a band....but if they are willing to band me (which costs a lot more than running tests to dx me) I have to go along with it...... I dont know, what would you do...just sit and wait for an abnormal test while you battle with hungry every day and watch the scale continue to go up....or do something if you were offered it...??? -
LAST FEW DAYS BEFORE SURGERY---AM I TOTALLY READY?
Orchids&Dragons replied to Frustr8's topic in PRE-Operation Weight Loss Surgery Q&A
You have forgotten to relax and trust your team! Don't pack a ton of stuff. In between walks, try to sleep. You're going to be loopy as all get-out anyway. Don't buy anything new like a phone charger for one night. You're overthinking - big time. Buying more stuff might make you feel like you're getting prepared, but it's not necessary. No regular socks, they won't let you wear them. Bring a hairbrush, toothbrush. Don't bother with makeup. I wore the hospital gown for my entire stay. I didn't want to bleed all over my clothing. You might bring a shawl for your shoulders. Any type of garment with sleeves is a pain because you'll have an IV. If you use hypo-allergenic wipes, I'd bring those. Just take a deep breath, you're going to be fine. We're all in your corner! -
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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Hey folks, I will be following here. I have had reactive hypoglycemia in my past, pancreatitis in 2015 and am the adult child of 2 diabetics, not diabetic yet another reason why I have an upcoming RnY b.s. instead letting my faulty sugar heredity catch up with me So this subject resonates with. me so hard even you can feel the vibration.
