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I have reactive hypoglycemia, so I can relate! I'm so sorry you're going through this - my heart goes out to you..

The only time I don't have the whole 'body kicking it out' type thing, is when I eat grilled chicken. My surgeons nurse took blood multiple times and nothing came up unusual and said my symptoms were dumping syndrome. Although, in self research, I found I had the same symptoms as reactive hypoglycemia. I've had either extremely rare difficulties, even since I had surgery in the hospital, or I've had unheard of symptoms that no one can pinpoint with a sleever. It's awful and I feel lost to be honest. Sent from my moto g(7) supra using BariatricPal mobile app

if it's RH (reactive hypoglycemia), it wouldn't be that you drank it too fast - it's most likely the sugar in the whipped cream. Or some other sugar you ate within an hour or two before you had the symptoms. I'd run it by your surgeon or your PCP. It could be something else - but it does sound a lot like RH.

sounds like it might be reactive hypoglycemia (RH), which some people refer to as "late dumping". I used to get it about an hour or so after I ate too much sugar. It's not all that uncommon in RNY patients - and it usually starts a year or two after surgery. You can control it by limiting (or avoiding) sugar - and my PCP also suggested I try to eat something every 3-4 hours. It's helped a lot - I rarely get those episodes anymore. P.S. admittedly I'm not a healthcare worker, so I don't know for sure - but it does sound a lot like what I had/have. And again, it's not uncommon in bypass patients.

Have you had any medical evaluation of your GERD other than just what you are feeling - an upper GI or endoscopy to see whats going on in there to cause it? Self diagnosis is not a good start toward a revision. The VSG has a predisposition toward GERD owing to the stomach volume being cut down much more than the acid production potential along with its high pressure character (much like the RNY is predisposed toward marginal ulcers, dumping and reactive hypoglycemia owing to its specific quirks.) If your GERD is a simple result of the above VSG factors, then revising to a DS won't help the situation; an RNY is the more typical solution. However, if your GERD is caused by a hiatal hernia or a malformed sleeve (strictures and the like) then it is not unreasonable for surgery to correct that particular problem will do the trick; a DS in itself will not do anything for GERD as it will use your existing VSG as a starting point - a re-sleeve may be done at the same time depending upon need. Revising to the DS will help some with losing some regain but mostly will help avoid future regain, but revisions in general are typically only marginally successful in treating regain. I can't speak for your specific insurance, but generally insurance will cover any medically necessary revisions for treating complications.

Good luck to everyone having surgery this week! I saw my GP to check in last week and had her take me off my one extended release heart med. Pulse went from super low to more normal levels, but my BP is also more reactive so that could be fun. I have my endoscopy tomorrow... woohoo. Not. Fortunately my best friend is taking me, so I at least get some time with her to get me through the process while the rest of the family is at work/school. I've been doing protein shakes for breakfast and lunch with veggie snacks after school around 3 and protein/veggies for dinner for the last 2 weeks, and I can really tell how the hunger is diminishing if I stick to that and not "cheat". Helps me not feel as worried about the milk only diet starting on the 11th.

I start my pre-surgery diet in just over a week (one day before my 50th birthday). Blossom requires protein shakes for breakfast and lunch and a lean meat for dinner. My biggest fear is how to survive on that few calories for two weeks. First, I don’t sleep if my stomach is growling. Second, my blood sugar is going to tank which makes driving unsafe bc it makes me want to fall asleep at the wheel (I have reactive hypoglycemia). How on earth do people deal with these types of issues on so few calories?! If I could subsist on 600 calories a day I’d have been doing it a long time ago. 🤦‍♀️🤦‍♀️🤦‍♀️ So I’m more worried about the peripherals then anything. Forging ahead no matter what but a bit concerned about the pre-diet.

I read a book (or finished reading it) on Nov 1st. It's 'How to stop eating bad sugar' by Allen Carr. Since I stopped I've kicked my sugar habit which was wreaking havoc in my life. Not huge weight gain, but there was a slide upwards. It was just the mental nastiness - the feeling of constantly losing a battle and it made me sick and I'd started getting really bad reactive hypoglycaemia. So since then: no sugar, potatoes, sweeteners, honey, syrups and no processed food made with sugar. I still eat a lot of fruit but mainly apples (loads of fibre) and tangerines. Bananas are a slight problem - I note they increase sweet cravings and give me muscle cramps, but I'm recently bereaved and so allowing myself to skate that one for now. Dried fruit is also a big no. I eat meat, fish, veggies (often oven roasted), small amounts of organic proper wholewheat bread - have only found one brand - Cranks- which doesn't have a load of other nonsense in. I snack on nuts and fruit as above. I've lost 6lbs of my slide up from my lowest, but I think I might be at what is a healthy weight for me. (Need to get back to the gym really). I don't log or do macros but I aim to eat whole food, lots of veg and fibrous fruit. It's working in that I've only had the reactive hypoglycaemia a couple of times since Nov 1st (I think it was banana that did it!) and the cravings are generally gone. The evening hunger is fixed by eating a big apple very slowly and I sometimes have a bed time snack of a little fruit and cheese, or nuts, but the urge to do that is passing slowly. I do occasionally use Stevia in my posh hot milk and pure cacao/ashwaganda type drinks, but I try also to not make it a regular thing. I suppose my point will be, that having taken these steps, the obsession, and the compulsion have faded and now I'm free to deal with all my other problems!!! Good luck to you - your exercise regime is awesome. I so want exercise to be my next addiction!!

So, this is going to sound crazy, but I'm not so sure I'm looking forward to moving on to pureed foods on Thursday (day 17). I seem to finally be in my groove now with the liquids! Ha! I'm quite satisfied to drink a cup of soup or broth with protein powder, or drink some greek yogurt thinned with Fairlife milk. Will moving to pureed, then soft foods, then regular, reactivate my former appetite? I know, I know, I told you it was crazy. I'm just worried. I've only felt hungry once, and today, I had to make myself drink some soup. I'm reaching my protein and water goals. I read about all of you eating these itsy bitsy meals and I wonder how in the heck I'll get a minimum of 60g of protein and if I will feel satisfied as I do now. AND I've lost 14 pounds, so I'm a happy girl!

I've checked a few sites, and vomiting/nausea isn't listed for reactive hypoglycemia. It's more dizziness, weakness, palpitations... You should probably get that checked out regardless. I'm not sure what's going on - but even if they end up suspecting hypoglycemia after all, it'll still be a good idea to get it checked out. edited to add that I did just see a reference to nausea as a symptom, but that's to the hypoglycemia that diabetic patients sometimes get. Reactive hypoglycemia (RH), that some RNY patients get after the first year or two post-surgery (and it's usually NOT related to diabetes), sounds like it's a little different. Are you diabetic? I think you should probably contact your PCP so they can do a workup. Something isn't right. Plus the RH that RNY patients get is a reaction to sugar. It's sometimes called "late dumping", although it's actually reactive hypoglycemia rather than true dumping. But you said you don't eat sugar. That's why I'm thinking there's something else going on here...

I STILL eat snacks at 4.5 years out. I have to eat something every 3-4 hours to a) keep myself from overdoing it at meals and 2) keep my blood sugar stable. It's been known to crash & burn (reactive hypoglycemia).

No but I do have PCOS and endometriosis and I am insulin resistant. I used to be Hypo thyroid and right around surgery it was fine and I am due for my blood test because it changes often so I might have to go back on meds for that (my dr took me off ) if its out of balance now.

check with your PCP - could be a lot of things. Some patients have trouble with orthostatic hypotension when standing up suddenly - but it could be a number of things. I had some issues about two years out. Everything was normal the day of my workup (they pretty much checked EVERYTHING), but they think it might have been, for me at least, reactive hypoglycemia - and if so, my glucose level just happened to be normal at the time they checked it. They also checked me for inner ear issues (which controls balance), urinary-related issues, God knows what else in my blood, etc. Just telling you this because there could be a lot of causes for that.

I think that would be pretty rare. Some people develop reactive hypoglycemia (I emphasize SOME people - certainly nowhere near everyone!!), but you usually just get dizzy with that, and you can prevent that by eating something every 3-4 hours and really limiting (or avoiding) sugar. But totally passing out would be very unusual. Plus I'm not even sure her passing out is related to weight loss surgery in the first place. And like the above person said, it could be that she was dehydrated and eating way too few calories, too. Hard to say without a lot more info. edited to add that in answer to your question, no, it is not normal. If it were, we'd hear about that all the time on here. I don't even remember if I've ever heard that at all in the four (??) years I've been on this forum.

How elevated is your TSH? What medication are you taking? I have been both hypo and hyper, finally had half of my thyroid out in Oct. of 2010 and have not had an issue since. I would check with your surgeons and get his/her opinion.

3 meals per day and 2 or 3 planned healthy snacks so you are not going too long without food. Also avoid high carb and sugary foods as these cause reactive hypoglycaemia. If you do get a drop you need to manage it the same way as when you are diabetic. Something to bring your levels up quickly and yes that might be juice followed by something healthy to keep it stable. A small quantity of juice followed by something like a banana or whole meal crackers with protein should help.

I have what we think is RH (reactive hypoglycemia). My PCP suggested eating something every three hours or so. Seems to work for the most part.

Okay so awesome that you’ve identified the culprit, but I’m sad to know that’s why. I also have these syrups (I got the peppermint to add to my bariatric hot chocolate and the English toffee to add to coffee). I’ll have to start using these really sparingly, but it’s good info to have. I am pleased with myself, but I’m also aware that I don’t want to start patting myself too hard on the back cause then I might start to take it all for granted and that’s the top of a slippery slope. Still trying to keep on top of all the head stuff. I started a wonderful soup in the quick pot. Defrosted some frozen turkey, then added in carrots,celery,onion,garlic, collard greens and okra. The smell of this stuff cooking is driving me half crazy so it’s time to have some meat and cheese ASAP. I’m usually fine until I smell food. Then it doesn’t matter how full/hungry I am. Wish my brain wasn’t so reactive to the smell.

dumping usually happens pretty quickly after you eat. It happens when sugar hits your small intestine. Plus it's pretty rare in sleeve patients - it's a lot more common in bypass patients. Reactive hypoglycemia is sometimes referred to as "late dumping", but from what I understand, that typically happens a couple of hours after eating. And again, sugar is usually the culprit - it's caused by your blood sugar surging and then crashing. not sure what you had - maybe a bug? Or maybe some fluke? I guess I'd say just monitor it and let your surgeon know if it becomes a pattern.

As long as you have no symptoms of a hypo that is pretty good. Is it stable at that reading? If you are having hypo symptoms you want 15g carbs immediately, eventually the less high sugar or high carb foods you have the more stable your blood sugars will become.

Any of these procedures may predispose you to some kind of problem as a result of the anatomical changes that the surgery makes; this doesn't mean that you will have such a problem, just that the problem shows up in more often than in the general population. With the sleeve, the main predisposition is for GERD, as a result of cutting back the stomach volume more than its' acid producing potential - usually the body adapts and adjust things over time, but sometimes it doesn't. I have mild GERD which is well controlled with mild OTC medication; a few get it so severe that no med controls it and they have to get their sleeve revised to correct it, while others - most people - have no problem with it at all. GERD problems may also result from poor surgical technique, and was more common when the sleeve was new to the WLS world 8-10 years ago and most surgeons were still figuring it out (this is why I traveled to a practice that had already been doing them for some twenty years, so avoid this kind of "learning curve" problem. Most surgeons in the US today are experienced enough with it that this isn't much of a problem anymore, but it does seem to show up more in countries that are farther down that learning curve, such as Canada and Australia. People with the bypass will also sometimes develop GERD, though usually more in line with general population numbers, and seems to often be associated with chronic over eating, volumetrically if not calorically.. This may also be why some with the sleeve also develop GERD after some years. The bypass is predisposed to dumping and its close cousin, reactive hypoglycemia, as a result of rapid stomach emptying from the lack of the pyloric valve in the active GI system metering the stomach contents into the intestines. Some people with the sleeve, or even no stomach surgery at all, may dump as well, but it is rare. It is generally controlled with additional dietary restrictions. The bypass is also predisposed to marginal ulcers, typically around the anastomosis between the stomach pouch and intestine. This is a result of the section of intestine being used not being resistant to stomach acid like the duodenum is (the part of intestine immediately downstream of the stomach in the natural anatomy, which is bypassed along with the remnant stomach in the RNY), leaving a very sensitive suture line that is easily irritated. This is why NSAID pain relievers and other similar medications are a big NO-NO with the RNY, but are better tolerated with the sleeve based procedures; one still needs to be cautious with them, but they are more usable with a sleeve than a bypass. For the benefit of the OP, with no prior GERD history, but a history of orthopedic problems, I would be inclined to go with the sleeve, owing to its better tolerance for the various pain relievers that you are inclined to need at different times. Good luck - none of this is easy, as it is often a matter of trade offs, and sometimes it's less a matter of good vs. bad as it is bad vs. less bad, or bad vs. not-great.

Hi again everyone.. so my surgeon and I made a decision for me to go under sleeve-plus gasterectomy which I did 4 days ago.. phew...im not gonna lie cuz boy it hurts... ;-; 6 small incisions are on my tummy now... 😅 it's a sleeve surgery+ small surgery on my small intestine.. which my surgeon is happy about cuz he thinks that way is better for a woman in my age than a total mal-absorptive surgery like bypass.. mine is a hypo-absorptive I'm 4 days post OP. First 3 days were awful.. i was in the hospital, in a boring vip room with no help of my fam cuz they had work to do till 3 pm everyday.. staring blankly at the walls, falling asleep and waking up.. i even peed my self and couldn't even tell the nurse cuz I was so shy.. i cleaned up ; changed up all by my self.. stupid I know... well um I even rewatched a season of 'friends' series lol that helped me a bit but I'm not gonna recommend it till you get discharged because your tummy is gonna hurt when you laugh and watching friends you can't stop laughing lolol 😂😂 Day 0-3 : I was in a lot of pain cuz of laparoscopy gas. I felt numb on My legs ( and still do and get tired easily now) Now it's almost day 5 for me.. I'm on a liquid diet.. I feel better as days go on.. tbh I have regretted going under the surgery in first 4 days (well not currently cuz I recently got acetaminophen infusion and I'm in no pain lol) but overall I think I and maybe we; should look at what made us make such a decion.. ofcourse it's gonna cost us something like idk liquid diet (which sucks!) but it will be worth it.. we should keep looking at our goal.. we're doing this for our health.. no less♡😊 So how is everyone else doing?🤗

This is Reactive Hypoglycemia. I have the same experience as well with the same symptoms you have experienced. I have been dealing with this since the 18mo mark from my Sleeve surgery. I'm at the 5 yr mark and still experience it. Do some reading on this. I also spoke with the Diabetic Dietician about this as she was well versed on this issue. The solution is to eat 15 grams of carbohydrate that is easily digested and your symptoms will subside. After that, follow with protein. I now carry the glucose tablets with me just in case. Sometimes I feel like it comes out of no where now that I'm better at navigating this. Good luck, it can be very frustrating.

First and foremost you have to treat your lows being a T1! ((hugs)) I'm sure you know just how much you have to eat to bring your sugars up x amount? I have reactive hypo and wake with lows in the mid-30s to mid-40s. I now have a rescue packet beside my bed that includes: blood sugar meter glucose chewable tablets glucose gummies 6oz orange juice nut butter nuts I always follow what ever glucose I need with the nuts or nut butter once my bg starts to rise (after about 30minutes of the glucose dose). That way my spike is minimized to bringing glucose back into the 80s. I find that 1-2 wafers or 2-3 gummies will get it done. That way I minimize damage. Can you rig something like that up for the future? I wouldn't worry about what you've had to do to keep out of hypo-land. You're doing your very best and I am betting that you will be in good shape when you hit the OR. Just keep following the plan. I know it's scary dealing with all of this and I hope you see an improvement in your T1 with the surgery!!

hey you are human and it happens, i'm sure you will have lost enough. Being type 1 diabetic having a hypo you will need a high carb boost so you know....don't worry it'll be fine