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Has any one else been diagnosed with reactive hypoglycemia after bypass. Just got the diagnosis today. My blood sugar was dropping so low my symptoms made me appear drunk. It finally got to the point it went to low and I passed out. Just wondering if anyone else has gone through this and how they are doing. Thanks

Has anyone else developed this after surgery? I will be at three years in September and my symptoms are worsening. I wear a monitor but find that I am crashing more and more. Yesterday my glucose dropped to 301 They are sending me to Barnes Jewish Hospital in St Lewis to evaluate my pancreas and are saying I might have to have part of it removed.

I managed to lose my weight and keep it off, but about a year ago they diagnosed me with Reactive Hypoglycemia. I wear a monitor and eat very low carb. I recently spent the day in the ER due to being light headed and the only thing that showed up was my red blood counts were slightly low. Otherwise I feel pretty good, like the way I look (except some loose skin) Love wearing a size 4, but sometimes it is hard to find my size. Funny, that was an issue when I was in the 200's. Now I look at the larger sizes and wish they were in my size, lol. Picture of me on the right.

I’m four, nearly five years out and had out some weight on because I rediscovered sugar. I’m now involved in a running battle with sugar and eating. intermittent fasting really helps, low carb helps but I now have this intense reaction to carbs and I’m at a loss. the extra weight - just a few pounds now, goes if I fast. The obsession with food goes too. But I get cramps and am sure I’m not eating enough when I do fast. feel a bit stuck! Had chips last night and my blood sugar shot up to 20 just after then down to four within 3 hours. But, if I do intermittent fasting, blood sugar stays constant at around 6. anyone dealing with similar?

So I had plastic surgery 3 weeks ago tomorrow. My surgery included belt lipectomy/360 tummy tuck, and breast lift with augmentation. Recovery has been tougher than I expected due to fatigue. I went back to work (RN in a large clinic) last Monday. The fatigue was unreal. On Tuesday, one of the doctors I work with decided I should be checked for anemia. I popped over to our lab and had a quick blood draw. I had finished lunch about 45 prior to getting the blood drawn. The next day when I received my lab results, I was surprised to see my blood glucose was 59. 😲 I do not dump, so I have been eating more simple carbs and sugars to try to keep from losing more weight. I had been eating some candy on Tuesday prior to lunch. Apparently, I have reactive hypoglycemia. No more simple carbs and sugars for me, except small amounts with meals. The bummer part of this, (aside from feeling extra crappy with low blood sugars), is that I am really anxious about not losing any more weight and don’t know how I am going to keep the weight on without the extra calories. I guess I need to increase healthy fats to make sure I keep my calories up. With that said, I have lost about 3 pounds since my plastic surgery. I never thought I would be stressed about losing weight. 🙄🤷‍♀️ I have an appointment with my surgeon’s office in a week and I am looking forward to discussing this with them. My labs also show some iron deficient anemia. I was not iron deficient nor anemic prior to plastics, so this is directly related to blood loss in surgery, and fairly simple to correct with diet and iron supplements (I don’t normally take any iron supplements). Over all, I am doing very well post-plastics. My pain has really been minimal since about day 3 post-plastics. I have had a bit of trouble with my incisions separating (dehiscence) in a few small spots. My husband is a wound nurse, so we have been managing the wound care with pretty good results. I am thrilled to have breasts again after going from a 40 DD to a 34 A. 😬😬😬 Anyhow, here are bikini pics to show off my post-plastics body…swelling included. 😂

One of the major reasons I had VSG was to get off my diabetes meds. I haven't taken any since immediately post-op. Yay! Now I have the opposite problem. My fasting glucose yesterday was 71, which is approaching the danger zone. I'm shaky every morning and I can't exercise or I feel like absolute garbage. Three "meals" per day isn't an option - I have to snack or my levels tank. At only 6 weeks out, I'm not eating any carb-heavy foods or anything not on my plan, and I take in the appropriate number of calories for this stage. All water and protein goals met 99% of the time. It's too early to have "reactive hypoglycemia," so they're sending me to an endocrinologist to figure out why this is happening. They also suggested I eat some yogurt before bed and before exercising (I'm only taking the dogs for walks around the neighborhood at this point) and that actually seemed to help. Their reasoning is that it contains both protein and carbs. Anyone else have this issue? Is it our bodies trying to adjust to the new normal? Is it too few calories for too long a period? I had grand plans of taking up hiking with my Life Scout son, but at this rate I'll never be able to go anywhere I can't get medical attention.

Hi all! I am 18 months post gastric bypass. The experience has been great and I have not had any complications. My biggest issue is reactive hypoglycemia. When I eat too much sugar and/or carbs, my blood sugar tanks about an hour after. Does anyone else struggle with this? Any tips or tricks to better manage? I know it is completely diet related.

I am 2.5 years out from gastric bypass. I had lost 100 lbs but have gained about 15 back. In November my blood sugar started dropping out of nowhere. I have seen my both my gastric doctor and my pcp and they both tell me to cut carbs and eat every two hours. Those are both ok but I have found that if I eat some carbs along with protein I have many less episodes which is great except I'm scared I'm going to gain. Anyone with experience or advice on this? I have an apt with a endocrinologist that specializes in bariatric patients but it is not until November. Sent from my SM-J700T using BariatricPal mobile app

I am a little over two years post surgery and now have developed reactive hypoglycemia and been put on Metformin and given a diet. Anyone else out there going through the same thing? Thanks.

I'm considering a Lapband/plication to RNY revision and combing through the various posts online for info. I'm reading a lot about reactive hypoglycemia, and how many start having it anywhere from 6 months to several years post-op. I'm concerned because I already deal with RA, but I'm able to control it with diet. It sounds like it can become a runaway train and very tricky to control after this surgery. I think this scares me more than anything else because I've dealt with it for years; long before band/plication surgery. I'm interested to hear from anyone dealing with blood sugar issues since their bypass.

Hello!! I've had a few episodes of my blood sugar going as low as 45...I am guessing it is reactive hypoglycemia due to symptoms that happen alongside the low number. My questions: 1.anyone else dealing with this? I am almost 18mos out from bypass. 2. What do you eat when you are super low that brings sugars up but not too high, perpetuating the cycle? 3. Once there was a CLEAR reason: I sort of let myself get guilted into eating a slice of birthday cake; but the other times I really don't know what caused the low blood sugars. I am trying to get into a nutritionist but with my work schedule I am having difficulty. Any thoughts or inputs would be greatly appreciated! Thank you!! Sent from my LG-H900 using the BariatricPal App

I've read some posts about folks dealing with reactive hypoglycemia at about 1 year + out. Im a little over a year out and now struggling with it. Ive read several links explaining what it exactly is. What I'm asking with this post is what are some of your personal remedy foods and emergency Snacks? I could use some ideas. Protein pairing seems to be key.

Does this happen to you? I had my RNY in March of 2014 and some days the struggle to keep my blood sugar steady is a challenge. Sometimes it is because I eat too many carbs in a meal, but sometimes I can have a balanced Breakfast and I still get shaky after an hour or two. I'm getting much better about managing it. Here is the thing I can not figure out. I have a diagnosis of ADD. I take Adderall (which is a stimulant) but the side effects in combination with my dietary needs can be hard to manage so I do take days off. But the strangest side effect of all is that when I'm on it my blood sugar stays very steady. Initially I thought it was because I'm eating a lot less but I can eat the same thing for breakfast and my blood sugar will drop a few hours later if I haven't taken the Adderall. My other other hypothesis is that I'm much more active on weekend mornings than I am on work day mornings so maybe that's causing my blood sugar to drop faster. I really have no idea but I'm thankful for the unexpected side effect. So anyone else struggling with this? It's a pain, like when I blacked it at the gym or almost passed out getting tattooed, but I am slowly learning to manage it.

So, last night I was tired and went to bed early. I woke up about 3am to use the restroom and passed out while standing at the toilet... Bashed my face into the throne and then passed out again a couple minutes later while washing my hands. I was still feeling off this morning and went to the ER. I had eaten a fiber one protein bar and Greek yogurt before deciding to go in. They ran a few tests and have me fluids... My blood sugar was only 60 even after eating. I've never passed out or had problems with low blood sugar before. I had steak and baked potato for dinner and a pear for a snack before heading off to bed. Could the sugar in the pear have sent me into a hypoglycemic crash? Anyone have any experience with this 8 months after RNY surgery? From what I've read this seems like a problem people run into later after surgery (18-24 months) and usually from eating sugary foods.

I'm on day 3 of the pre-op diet and I just had a hypo ????. I'm using less insulin as directed, but obviously it is still too much. The only thing I had to hand was a nut/muesli bar. I had to eat it to stop myself passing out, but it feels like I cheated ????. What is worse though is that I am at work, an hour from home, and I am supposed to leave in an hour so I am there when my kids get home from school. But I'm not sure I will be able to drive by then ????. Tried ringing my husband, but his team went to a restaurant for lunch and he won't answer his phone. Feeling guilty I ate when I wasn't supposed to, and I don't know how to get home ????

About three months after surgery, I started experiencing episodes of low blood sugar, usually after eating something bad for me. I was never diabetic and I've learned to deal with this and have learned what triggers the episodes. I'm 17 months out from surgery, down 110 lbs (20lbs more than goal weight), and have had no other complications. Anyone else with this same issue? Just looking for someone to commiserate with!

Here is an web site on bariatrics and reactive hypoglycemia (reoccurring low blood sugar) http://pamtremble.blogspot.com/2010/10/reactive-hypoglycemia-after-bariatric.html. Since I have lost the majority of my weight. My blood sugars have been hitting mind numbing lows in the 50's. I found some resources that have information on diet to manage blood sugar levels. Examples of meals and snacks that work well for stabilizing blood sugar include: lowfat cheese and whole grain crackers slice of whole grain toast with peanut butter sandwich made with whole grain bread fat free plain Greek yogurt with a small piece of fruit or 1/2 cup berries large salad with abundant veggies and a source of protein (chicken, tuna, beans, egg) Keeping a food and lifestyle diary may help you determine which foods and other factors lead up to a blood sugar crash. First and foremost, you want to follow a diet designed to regulate your blood sugar level. This generally includes eating small, frequent meals spaced evenly throughout the day, such as every 2-3 hours. Meals should consist of moderate portions of high-fiber whole grains (such as 100% whole grain cereal or bread, brown rice, whole wheat pasta, quinoa, sweet potato), some lean protein (such as turkey, ham, fish, egg, beans, lowfat yogurt or cheese), and healthy fat (such as nuts, nut butters, olive oil, avocado). Sugars, especially in the form of beverages (juice, soda, etc.) and sweets (candy, jelly, table sugar, syrup, honey, cookies, cakes), should be avoided as much as possible, as they stimulate the pancreas the most because the sugar rushes into your bloodstream rapidly. Starchy carbohydrates digest down into sugar as well, so it is important to eat these in moderate amounts Starchy carbohydrates digest down into sugar as well, so it is important to eat these in moderate amounts (such as 1/2-1 cup), and choose whole grains over refined flours. White pasta, rices, breads, and cereals are more or less guaranteed to make you feel lousy after eating them as they are digested quickly and raise insulin levels. Fruits also need to be consumed in small amounts, as they contain the natural sugar, fructose, and are best consumed with a source of protein, such as cottage cheese or nuts. Even though fruits are an excellent source of fiber, the sugar content is enough to cause your pancreas to over-react if eaten on an empty stomach. The goal is essentially to not eat carbohydrate foods without including a source of protein or fat at the same time. Proteins and fat help stabilize blood sugars by making the carbohydrate digest more slowly, as proteins and fats take longer to digest and do not convert into significant amounts of sugar. Strenuous exercise burns sugar out of your muscles and bloodstream quickly, so you may be more prone to low blood sugar during extended periods of activity as well. Eating a snack contain a small amount of carbohydrate and protein (such as yogurt or trail mix) within 1 hour of strenuous activity may be enough to keep you going strong. Developing a habit of eating small, frequent meals and taking healthy foods with you for work, school, and when on-the-go, is your best weapon against suffering the symptoms of low blood sugar. If you find incorporating the above suggestions is still not improving your symptoms, you may need to sit down with a dietitian to develop a personalized meal plan to meet your schedule, food preferences, and overall lifestyle needs. Contact your dietician for more information. There is no point in living day-in and day-out with symptoms of hypoglycemia when there is a common sense way to tackle the issue and regain your quality of life!

All hail its power! Three months after having my band unfilled, this morning was the day! It could not get here fast enough. All my old behaviors around food were circling the wagon, just waiting for my willpower to break. Three months, while not long in the scheme of things, felt so very long for me. But what a reminder of how powerful the band is--three months without any restriction and my mindset was right back to that of a non-surgical weight loss patient: always thinking about food, counting hours between meals, ability to eat anything in any amount and trying desperately not too...and sometimes failing and feeling horrible at being so weak-willed. The radiologist told me before he filled me that there was no way I'd go back to my sweet spot---6 cc in a 10cc band--in one fill, as three months with an unfilled band means my stomach organ had a chance to relax and expand and I'd be too tight if he filled me back to my prior level. But when he got in there, and filled to 5 cc, I didn't have enough restriction when I drank the barium so he did top me up to 6 cc. This means that I didn't do too badly during my hiatus; had I eaten whatever I had wanted to eat, I surely would have stretched out my stomach to pre-band size. So hooray for the little self-restraint I did show! (I gained 5 pounds over the three months, but that easily could've been much, much more.) I cannot overempathize how WONDERFUL it feels to have restriction again. My appetite was instantly turned off! As I walked back home from the radiologist's office, all the gorgeous displays in the bakeries didn't call to me. (Unfilled, I had to avert my eyes...this stuff is so very triggering to me.) In a very perverse way, I have to say that this three-month period was a gift. It really drove home how powerful my band is. I will never be someone who will say "I did this all myself, with my good choices and discipline." Being unfilled turned me right back into a [failing] dieter. I am SO grateful that I made the decision to get a lapband, and not keep trying to find weight loss success on my own. It's crazy evident that making those good choices in foods/portions is only possible because the band turns way way down the part of my brain that drives me to eat compulsively. I truly am a different eater when banded, through the power of this little piece of plastic, So happy to be back in the game. It is so very freeing to go through the day without fighting my cravings. Sipping a coffee---very slowly and carefully, because I'm so tight that it backs up into my throat--and looking forward to the next drop in weight. Here we go!

I'm 42 with Celiac. Had Lap Band in 2005. Had acid reflux and couldn't eat with the band. Had Fluid removed 2 years ago. Just wanting to know if anyone has celiac, solution to not loosing chunks of hair, how soon you can go back to a desk job, drive to work etc. I"m in the approval process right now. Hope to know a date soon.

Hello, I'm 42 and had the lap band surgery back in Jan. of 2005. Recently had issues with reflux and not being able to eat. I had the fill removed from the band. Gained lots of weight. I have celiac, thyroid issues and I'm worried about of all things with gastric bypass surgery is the hair loss. I have beautiful thick hair. I'm in the approval process right now. Wanting to know what anyone knows about hair loss and if there is anything to prevent this from happening. Anything prior to surgery I can stock up on Biotin in my system. Just thought I'd ask this crazy question. Also, want to know how soon a person can drive/go to work after this surgery. I will have the lap band removed and the gastric bypass done in one surgery.

Hi guys, i have a quick question and I will keep it short to save you time. Does anyone have hypothyroid and chose to get the bypass? I was on my path to the r n y and suddenly got diagnosed with hypothyroid which is horrible (slow thyroid). Makes you feel weak, can't lose weight, super fatigued, brain fog, joint pain, headaches and hair loss and dry skin. Oh Joy! I'm also insulin dependent diabetic. Icing on cake here.... So I'm wondering will I have a double dose of what everyone else expects while recovering from r n y surgery? Any advice is welcomed as I have become you tube obsessed and online research gonna make me bonkers. Thanks in advance.

Post op 3 days. Need to loose 40 pounds very realistic since i am. 57. And have hypothyroid.

Hi; I have not read about this topic on here and so I thought I would share my latest health issue. I found this article on it and thought others might find it interesting because it does happen to WLS patients more then you think! What is reactive hypoglycemia? After bariatric surgery you may experience reactive hypoglycemia: • Hypoglycemia means low blood sugar • Reactive hypoglycemia is having low blood sugar after eating a meal or snack This may happen after eating foods that are high in sugar or simple carbohydrates. It is thought to be related to dumping syndrome. How do I know if I have reactive hypoglycemia? You have reactive hypoglycemia if you have: • any symptoms listed below a few hours after having a meal or snack and • these symptoms go away after eating or drinking What are the symptoms of reactive hypoglycemia? You may feel one or more of these: • hungry • sweaty • shaky • anxious • dizzy • weak • sleepy • confused What should I do if I think I have reactive hypoglycemia after having a meal or snack? Having low blood sugar is not good for your overall health and can be life-threatening. • If you think you have reactive hypoglycemia, check your blood sugar. • If your blood sugar is less than 4 mmol/L, you need to treat it to bring your sugar above 4 mmol/LWhat is reactive hypoglycemia? After bariatric surgery you may experience reactive hypoglycemia: • Hypoglycemia means low blood sugar • Reactive hypoglycemia is having low blood sugar after eating a meal or snack This may happen after eating foods that are high in sugar or simple carbohydrates. It is thought to be related to dumping syndrome. How do I know if I have reactive hypoglycemia? You have reactive hypoglycemia if you have: • any symptoms listed below a few hours after having a meal or snack and • these symptoms go away after eating or drinking What are the symptoms of reactive hypoglycemia? You may feel one or more of these: • hungry • sweaty • shaky • anxious • dizzy • weak • sleepy • confused What should I do if I think I have reactive hypoglycemia after having a meal or snack? Having low blood sugar is not good for your overall health and can be life-threatening. • If you think you have reactive hypoglycemia, check your blood sugar. • If your blood sugar is less than 4 mmol/L, you need to treat it to bring your sugar above 4 mmol/L. Follow the steps on the next page. If you do not have a meter, talk to your family doctor, health care provider or the diabetes educator in the Bariatric Clinic to get a meter. When your blood sugar is less than 4 mmol/L: 1. Take 15 grams of a fast acting carbohydrate right away. This will raise your blood sugar quickly. Examples of fast acting carbohydrate include: • Chewing 3 to 4 dextrose or glucose tablets (read the label) or • Drinking ¾ cup (175 ml) of juice 2. Wait 15 minutes and check your blood sugar again. 3. If your blood sugar is still below 4 mmol/L treat again with one of the fast acting carbohydrates listed above. 4. Repeat these steps until your blood sugar is above 4 mmol/L. 5. If your next meal or snack is more than 1 hour away, you need to have a snack that contains carbohydrate and Protein that fits into the stage of diet you are at. Examples of Snacks are listed on the last page. You may feel like eating sweet foods like Cookies, cake and candy. Even though these foods are high in sugar and can raise your blood sugar, your blood sugar will go too high too fast which is not safe. This can then lead to another low blood sugar because too much insulin is released. How can I prevent reactive hypoglycemia? You can help prevent reactive hypoglycemia by following your diet guidelines for bariatric surgery. • eat 3 healthy meals and 2 healthy snacks each day • space meals and snacks 2 to 3 hours apart • eat protein at each meal and snack time • avoid skipping meals andsnacks • avoid or limit alcohol depending on what stage of diet your are at • avoid or limit caffeine depending on what stage of diet your are at • avoid sweets like cookies, cakes, candy, pop, juice and sweet drinks Instead of sugars and simple carbohydrates, eat complex carbohydrates because they release less sugar over a longer period of time. Having a complex carbohydrate with protein will slow this release even more. Try putting any of these together when they fit the stage of bariatric diet you are at: Complex Carbohydrates • whole wheat crackers • whole wheat bread • whole wheat pita • whole grain rice • potatoes • cereal Protein • nuts • cheese • meat • lentils • peanut butter • eggs • yogurt Here are some snack ideas to have after treating a low blood sugar: • crackers and cheese • pita and hummus • nuts and yogurt • melba toast and Peanut Butter

Here is the run down... Had vsg 2 years ago. Lost 180 pounds. Pre-vsg I had a slew of health issues. PCOS, high lipids, high blood pressure, diabetes...you name it, I had it. Now...I am 10 weeks pregnant. I see a high risk ob with consultation from my Bari surgeon. However, I now have to eat every hour or two and for the first time in my life, I am constantly hypo! Docs are ok with 1 hour post meal bs at 70. My body is not. I also had two miscarriages pre-vsg and was constantly hyper with them. I am struggling to keep weight gain at a minimum but loading carbs is zapping me! Any advice?

I started this post yesterday under general post op, I suspect my lack of responses was because either it was in the wrong forum or no one else has personally experienced this. It goes like this. Hello folks... I am 23 months postoperative. I was 3.5 lbs from goal and decided to up the daily routine of exercise wanting to hit goal, I am a slow loser. More importantly the emotional victory was really all that I cared about, not the physical. So Instead of my normal 600 calorie a day burn on the elliptical I started burning 750 calories daily. I managed to lose 1.4 lbs in a month, but started to become ill. Having all the signs and at times severe, of hypoglycemia. After three weeks of fearing to drive at times, I finally went to see my Dr. My normally very nice blood pressure was extremely high and she followed up with lots of blood work, a kidney workup etc. I was asked to check my blood sugars randomly and especially when feeling ill . I'll call them spells. I would tremble, feel light headed, blurred vision, rapid heart rate and overall weakness with a strong desire to EAT. This at times woke me in the middle of the night accompanied with cold sweats, feeling much like a heart attack or my impression of one. There were times at work I'd have a project in my hand and not know why, my thought process was on "hold". I was lethargic and my memory would shut down. After googling hypoglycemia I was convinced that was what I had, yet my blood sugars were always within normal ranges, my A1C (three month average of blood sugars ) was great. So more testing was ordered, I do not have the results yet, of all the tests but one thing I do know is that I had a 2 hr fasting glucose tolerance test and that was not fun. The test is simple. They check your blood upon arrival, my number fasting was at 93, then they make you drink a bottle of sweet syrup within 5 minutes, then I was SICK. Many of the same symptoms were replicated, although not all, I was near passing out, blurred vision, not even being able to focus on my Ipad. I thought I was going to vomit, defecate in my pants and maybe even stroke out. I could barely speak. and actually didn't dare to in fear I'd throw up. This lasted nearly an hour. At hour two they draw your blood again and it is suppose to be 140 or less to be in normal ranges. Mine was 56. I have done further reading and honestly never read about this prior to my surgery, but this seems to be a delayed symptom of the Gastric Sleeve. It's called Reactive Hypoglycemia. http://en.wikipedia....ve_hypoglycemia I have not had any real symptoms since cutting my calorie burn back to 600 per day and trying to incorporate more complex carbs to my diet. I ate mainly protein and vegetables. I've added a slice of 15 grain bread or a whole wheat English muffin to my diet daily and overall do feel better. I've had a few spells, not nearly as bad as before, and no more night issues. My question is there anyone else here with the same problem? If so why had I NEVER heard of this? If someone has had this experience I have questions about whether this is temporary, will I end up gaining because i'm eating more carbs etc. Thank you in advance for your help!