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I hear ya, Redmaxx. Avoiding/delaying the onset of DMII was also my main reason for having this surgery. I was on metformin for PCOS and prediabetes prior to surgery. I was able to come off the metformin briefly after surgery, but then started having significant issues with reactive hypoglycemia. Now I'm on two meds to help control this and my diet is even more restricted than if I had diabetes!! Very frustrated and leading me to question my choice. However, in your case it demonstrates that weight isn't the only factor in DMII. Hang in there!

I'm on Synthroid .075 daily. I got diagnosed officially about 5 months ago, although my level has been elevated for years but hadn't tipped over into the danger zone until recently. I take it every morning and literally count the minutes down until I can eat! I wake up starving! Glad to find a thread with hypo folks.

Why is that? Are you on insulin? Oral or injected with T2 you should not be hypo if you don't eat every 3 hours. Either way, I'm T2 and have been on the liquid diet for 13 days and everything is fine. I had to cut my meds drastically but doing great and lost 15 lbs in first 4 days. My surgery date is this coming wednesday the 6th. My first appointment was mid January. I got insurance approval in 5 days so no having diabetes will help not hinder. Best of luck. Let us know how it goes.

Hi, I am a Type II Diabetic and am getting started with the Lap band seminars and first appointments. Is anyone a Diabetic and have information and knowledge of the liquid pre op and post op diet and how to do this as a diabetic safely? I am worried as I go into a hypo very easily if I don't eat every three hours. I can't do liquid diets to prepare for procedures nevermind this 2 weeks. Nutritionists must have a way. Any thoughts?

Hi Everyone!! okay soooo. I wana get the LapBand. I have United Health Care. I have a few questions. I hope yall can help me. 1. If my BMI is over 40 will I automaticly get approved? 2. Has anyone used Dr. Steven Fass out of Austin TX and does he make you jump through all kinds of hoops? 3. Since my BMI is 41, I have hypo-thyroid and hyper-tension, depression and back pain do u think I will automaticly get approved with out needing to prove 5 years of weight history and do the 6 month pre-op diet? I was born over weight. It runs in the family. I have never ever been thin. I am almost 285 lbs today. I have never been able to keep up on my health due to a rocky life style and bad choices in life. At 28, I am ready and able to finally take care of myself and become healthy. I have come a long way, and ready to make more changes.Now I am able to with a good job and health benefits. I hope ya'll can help me by sending my your opinions and experiences. :smile2: Thanks so much! Always, Amber Xoxo

I am the same I have hypo thyroid and wondering how it is going to affect my weight loss! G

Good morning! I am feeling discouraged today . I see so many of you where you are having great success with losing weight and here I am and it's just slowly coming off! I know that I should not be comparing myself to anybody else. Since surgery Jan 20th I have lost a measly 12 lbs. most days I get all my fluids in and almost all of my required 60grs of protein. According to my NUT I can eat anything I want as long as I chew chew chew. I am keeping it to mostly soft foods. I have hypo thyroid/Graves disease which has always made it hard to lose weight . I was really hoping that with the surgery I would be able to lose faster. Maybe I am being to hard on myself after all 12 lbs in 3 weeks is still good better then WW or any other diet I ever tried!

The long term complications I've read about after gastric bypass and/or sleeve gastrectomy are nerve issues, dental problems (resulting in root canals, implants, dentures), reactive hypoglycemia, strictures, fibromyalgia, ulcers, fainting spells, chronic anemia, osteoporosis, etc. I don't know if MGB has the same issues as these other weight loss surgeries as there's a lot less info available online. One thought is the perception of risk could be skewed if more people that have issues post their experiences than people that don't have these issues. So I could be getting scared about possible outcomes that are very low risk. It's a conundrum I need to work through.

I've actually been a diagnosed reactive hypoglycemic since age 14. I have kept it at bay for 15 years through my diet... even when I was obese. The secret to RHG is to never eat sugary foods alone. You must pair it with a complex carb and/or Protein. If I was to eat a candy bar alone my blood sugar would be in the 50s within a two hour window. However, if I ate a balanced meal followed by a candy bar then I would typically be okay. When you have an RHG spell orange juice is the best thing to ingest to quickly right your blood sugar levels. You can also purchase glucose tablets for these incidents (I keep a pack in my car). This is a quick fix though and must be immediatly followed by protein and/or complex carbs to stop the cycle. To be properly diagnosed for RHG you would need to see your doctor and chart your blood sugar levels and symptoms. Further testing would include scheduling a 6 hour Glucose Tolerance Test and possibly a follow-up 72 hour Glucose Tolerance Test. RHG is not something to be taken lightly. True suffers can pass out from too low of blood sugar- it's terrible, trust me. While I have lived with this issue most of my life and gotten pretty used to it, I have noticed an upswing in "incidents" since surgery. I had attributed this to having to learn how to balance my eating differently than I need pre-surgery. It never occurred to me that surgery may have exacerbated the issue. Thanks for the heads up! Amanda

So, again with the bedtime hypoglycemia, although not as bad. It's 2:00am and first I was up with the shaky/wobbly feeling, which I dealt with with a small glass of skim milk. Now I have all kinds of aches and pains and bad gas. Almost feels like flu, but it's not. So instead of reactive hypoglycemia, maybe this is just nocturnal hypoglycemia? I don't have diabetes, so this is all really confusing. I can't wait till I can see a doc again...

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???

It's probably reactive hypoglycemia and they are discovering it's fairly common post-RNY. there are tons of articles and blogs about it if you google "bariatric reactive hypoglycemia". There are also studies currently being conducted to better understand and manage the disorder. One of them that is currently recruiting participants indicates "Reactive hypoglycemia is a late complication affecting up to 72% of RYGB patients although it seems to occur also after Sleeve Gastrectomy in about 3% of the cases. ". So check it out if you are having symptoms.

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!

It expands your stomach and since we have little room it can cause some serious issues. Also it is a big red flag as there is no nutritional value to it at all and pushes the need for artificial sugars or the refined sugar to the extreme. My nut told me that if she sees a patient who drinks soda of any kind it means they are doomed. I took that seriously. I do not drink soda of any kind. Others can handle it. Me nope, and now that I have hypoglycemia (reactive) It is no longer even a thought.

Hi Brandy, I originally had the lapband but it prolapsed three times before I gave up on the idea of having a forth surgery to have another lap band done so my doc sent me to a friend of his who does DS. with the DS I ended up having a lot of Vitamin and mineral deficiencies as well as bile reflux and gastroparesis as the surgeon severed my vegus nerve and the food was staying stagnant in my sleeve also the sleeve formed what they call an hourglass figure where the centre of the sleeve was very narrow and wouldn't allow the food to go through so I had to have yet another surgery which was the rny, I have since long suspected leaky guy syndrome as im experiencing fevers, hot and cold flushes, feeling ill when eating, no energy bloating, gassy, rashes, vomiting, dizziness and a host of other ailments. also my ferritin has been sitting very high in the 600 mark and the surgeon doesn't know why this is so but it is an indication of inflammation somewhere in the body. now leaky gut syndrome is associated with celiac, thyroid, colitis crohns and other diseases. I know am sensitive to foods and my thyroid is hypo mind you there is no one in our family who have either of these diseases and i have only been diagnosed since the RNY I have also gone to a naturopathic doctor who did some blood testes and diagnosed me with leaky gut. she even showed me on the slide machine how the contents of my stomach is seeping through the intestines and is going into the blood steam. at the moment I am taking zinc supplement 500mg a day along with glutamine powder mixed in Water to strengthen the intestines so as the food etc doesn't leak through into the blood stream to cause anymore immune responses. I am also waiting an appointment with my current surgeon to see what can be done as far as my ailments but have to wait till july to see him I don't think that my intestines can be lengthened in any way as the previouse surgeon removed and threw them away(which angers me because now should anything major happen I don't have anything to fall back on as far as reversals. in the below article it describes how rny patents develop bacterial overgrowth due to lack of stomach acid basically it is this that turns into leaky gut from my understanding from what the naturopath has told me which in turn has caused the other issues http://www.news-medical.net/health/Gastric-Bypass-Complications.aspx Many patients then experience a condition known as achlorhydia. Achlorhydia is a condition where there is not enough acid in stomach. Patients can develop an overgrowth of bacteria as a result of the low acidity levels in the stomach. A study conducted on 43 post operative patients revealed that almost all of the patients tested positive for a hydrogen breath test, which determined an overgrowth of bacteria in the small intestine. The overgrowth of bacteria will cause the gut ecology to change and will induce nausea and vomiting. Recurring nausea and vomiting will change the absorbance rate of food which contributes to the vitamin and nutrition deficiencies common in post operative gastric bypass patients. and here is another link on bacterial overgrowth http://digestivehealthinstitute.org/2012/08/17/sibo-diet-and-digestive-health/ here is a link about another rny patent who had problems and leaky gut syndrome sorry I don't have much time now to provide all my links for you but will try later http://arkansasunshine.tripod.com/testimony/testimony.html

What type of foods are you eating now? Are the gas pains gone? TIA Honestly I didn't have much gas pains. I stayed on water only for 2 days post op though. It was my choice to do so. I didn't feel hungry and water worked for me. I have bloating issues but I have had them since way before I had my surgery. I am Hashimoto's Hypothyroid and bloating, constipation and other gut issues are a norm for me. As far as gas, I get it on occasion but feel it is due to my hypo. As for food.....I am slowly introducing solids to my diet but only at night. I have a protein shake for lunch and breakfast and some type of solid soft food at night at home that way if my body doesn't like it I am where I need to be to deal with it. Protein drinks are a huge staple for me. Getting enough protein is pertinent and with just 2 a day, I am getting 86 grams of protein. . hey Chrissy, just wondering how you are doing? I'm thinking if switching to this clinic since I can't find many reviews on the Dr I have now. How is it going now that u are a few weeks out? Im a bit nervous about being lonely, (only one not eating etc) regretting etc afterward, I hear that can happen, though I know in the long run its going to be great! It's going to be a whole new relationship with food and I so need that!

Keep me posted on your date. What type of foods are you eating now? Are the gas pains gone? TIA Honestly I didn't have much gas pains. I stayed on water only for 2 days post op though. It was my choice to do so. I didn't feel hungry and water worked for me. I have bloating issues but I have had them since way before I had my surgery. I am Hashimoto's Hypothyroid and bloating, constipation and other gut issues are a norm for me. As far as gas, I get it on occasion but feel it is due to my hypo. As for food.....I am slowly introducing solids to my diet but only at night. I have a protein shake for lunch and breakfast and some type of solid soft food at night at home that way if my body doesn't like it I am where I need to be to deal with it. Protein drinks are a huge staple for me. Getting enough protein is pertinent and with just 2 a day, I am getting 86 grams of protein. What shakes are you using? http://www.amazon.com/MET-Rx-Protein-Plus-RTD-51/dp/B002XDRCX0/ref=sr_1_1?ie=UTF8&qid=1429767760&sr=8-1&keywords=met+rx+protein+shakes and http://www.amazon.com/gp/product/B002XULC9I/ref=oh_aui_detailpage_o02_s01?ie=UTF8&psc=1

It's Reactive Hypo or Hyper Gylcemia

If he is the kind of guy that shots you down before any real conversation gets underway, consider a letter. Write down all your feelings towards him first and why you are worried. Add statistics and anything you think may get through to him. End with how you would love to support him through the process (weight loss or bariatric surgery) towards a healthier him. Also, make sure he has sometime to read it and ponder about it. Not just an hour. Sometimes it's hard to get all your feelings out in a conversation before his reaction makes be reactive causing the whole thing to spiral into an unproductive conversation. Good luck, raising the issue is the right thing to do.

Revision is such an interesting topic! I'm hoping I can get the rest of my weight off on my own, but my Surgeon and Endo are talking about some sort of revision that might help my reactive hypoglycemia. I hope everyone does well with their revision and appointments! I would also love to hear how everyone is doing after!

Wow, I just looked at my license and it's 100 pounds over where I am now. When we came back to AZ 6 years ago they just reactivated the license from 25(?) years ago, when the weight was a terrible, terrible lie. Oddly enough, it still has my height from 25(?) years ago. I've since shrunk by a couple inches. I don't want to be shorter on my license so I'll live with the weight. Tek

These are some of the common abbreviations used on this website: ACL = Anterior cruciate ligament AGB = Adjustable gastric banding AMRAP = As Many Rounds As Possible (crossfit) AT = Aspiration Therapy BB = belly button bc = because BCBS = Blue Cross/Blue Shield BED = Binge Eating Disorder bf = best friend BM = bowel movement BMI = Body Mass Index bp = blood pressure BPD = Borderline Personality Disorder or Biliary Pancreatic Diversion bs = blood sugar btw = by the way C25K = Couch Potato to Running 5K CBT = cognitive-behavioral therapy CC = common channel c diff = clostridium difficile cos or cuz = because CPAP = continuous positive airway pressure CRNP = certified registered nurse practitioners CT = Computed Tomography (commonly called CAT Scan) cw = current weight CXR = Chest X-Ray DDD = degenerative disc disease Dr. = doctor DS = Dumping Syndrome or Duodenal Switch EBT = Endoscopic Bariatric Therapies EGD = Esophagogastroduodenoscopy EKG = Electrocardiography ER = emergency room ESG = Endoscopic Sleeve Gastroplasty ff = fat free f/u = follow up GB = gastric bypass GERD = gastroesophageal reflux disease GI = gastrointestinal GIF = Gastric Intrinsic Factor GNC = General Nutrition Corporation store GP = general practitioner or family doctor HBP = high blood pressure hr = heart rate hw = highest weight ICU = Intensive Care Unit Idk = I don’t know IGB = intragastric balloons IF = Intrinsic Factor IMHO = in my humble (honest) opinion IMO = in my opinion IUI = Intrauterine insemination LAP Band = Laparoscopic Adjustable Gastric Band LES = lower esophageal sphincter lol = laughing out loud LSG = Laparoscopic Sleeve Gastrectomy med = medicine MFP = my fitness pal MGB = Mini Gastric Bypass msg = message NAFLD = nonalcoholic fatty liver disease NASH = Nonalcoholic steatohepatitis nf = non fat NG = Nasogastric NP = nurse practitioner NSAIDS = Non-steroidal anti-inflammatory drug NSV = non-Scale victory (“scale” means “weight scale”) NUT = nutritionist OA = Overeaters Anonymous omw = on my way Onederland = a magical place or destination for those trying to lose weight. It might correspond to attaining a weight in the hundreds or losing a hundred pounds. op = operation OSA = Obstructive Sleep Apnea OTC = Over the counter Oz = Australia PB = Productive Burps PCOS = Polycystic Ovary Syndrome PCP = Primary Care Physician PICC= Peripherally Inserted Central Catheter PM = private message (email) PMS = premenstrual syndrome POSE = Primary Obesity Surgery Endolumenal postop or post–op = post-operation or post-surgery PPI = Proton Pump Inhibitors ppl = people preop or pre-op = pre-operation or pre-surgery PTSD = Post-Traumatic Stress Disorder PVC = Premature ventricular contractions RA = Rheumatoid arthritis RH = reactive hypoglycemia RN = registered nurse RNY = Roux-en-Y RTD = ready to drink Rx = Prescription medicine RYGB = Roux-en-Y gastric bypass SADI-S = single anastomosis duodeno–ileal bypass with sleeve gastrectomy s/f or sf = sugar free SG = Sleeve gastrectomy SIPS = stomach intestinal pylorus-sparing surgery smh = shaking my head, scratching my head SO = significant other SOB = shortness of breath sw = weight at surgery tmi = too much information TPN = total parenteral nutrition TT = tummy tuck TTC = trying to conceive Ty = Thank you. [but according to the urban dictionary “Ty” is also an abbreviation for “a total stud with a massive carrot”.] u = You UGI = Upper Gastrointestinal VSG = Vertical Sleeve Gastrectomy Vit = vitamin wks = weeks WLS = Weight Loss Surgery WOD = Workout of the Day w/o = without wt = weight

it may have to do with blood sugar. Starting about year 3, I started having occasional dizziness that I couldn't explain. Had a complete workup at the doctor's office. Nothing. Everything normal. The next time I noticed it, It was about two hours after I had a piece of cake. I mentioned it to my doctor - she thinks it was probably reactive hypoglycemia, which sometimes happens in RNY patients (not super common, but it does happen to some). She thought that my glucose level just happened to be normal at the time I had the workup, so it didn't jump out at them. She recommended I eat something every three hours - preferably a protein - but if I eat a carb, to be sure to at least pair it with a protein. That seemed to have done the trick. At least for me. That may not be going on with you, though - you might want to check with your doctor.

Hello, I was diagnosed with hypo-thyroidism in 1990...took SYNTHROID--not able to take generic --as it does NOT work for me.,,, I was diagnosed with Thyroid Cancer in 2005.....so.take SYNTHROID at a higher level and have been since and will always need to. The hair loss sucks....yet I do what I can...started taking Biotin and will post surgery as well...is supposed to help tremendously. In 2010 had Uterine Cancer, so no female part or hormones now, either.....this REALLY sucks.....and talk about being tired, weight gain, etc...HOLY CRAP!!! Anyway, this is my battle and I try to keep a positive attitude, am working with my PCP, my Nutritionist and Surgeon so my surgery is not only a medical success, yet I am a HEALTH success as well. I also have PCOS...yet now since I don't have ovaries....?????

Oh GingerSnaps, you are getting real close to your date! I cheer you on and cannot imagine your nerves right now. Thanks for the reply and my apologies for not logging on sooner. You are so right about the obscure symptoms... My biggest battle with the hypo is brain fog and complete exhaustion even after waking from 8 or 9 hour sleep. I feel like I have the worst hang over. Sometimes I get bursts of energy and I will literally dance around with joy. Then I get zapped. So I see my doc next week and def changing my dose. Good luck and I will follow your success!! )