Reactive Hypoglycemia After RNY

[mrsto 2,925]

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.

[catwoman7 10,981]

I don't have it, but from all I've read, it can be managed through proper eating.

[catdaddy 232]

I have it and yes you just have to watch what you eat.

[mrsto 2,925]

I have it and yes you just have to watch what you eat.

Catdaddy, do you ever have bouts of it for no apparent reason?

[Redmaxx 740]

How can you tell if you have it?

[mrsto 2,925]

How can you tell if you have it?

It comes on anywhere from 2-4 hours after eating higher carb meals or Snacks. If I eat candy or other simple sugary sweets, I'm screwed......it's really bad. For me, it will start with a tremor and then a rapid drop in blood sugar; shaking, brain dead (literally) and sweating. Sometimes it will happen if I eat more crackers beyond what goes with a piece of string cheese. I started keeping chewable glucose tablets for when I feel the tremor, which shortens the episode. But that is only a bandaid until I can eat some Protein, fat and small amount of good carb. If I stay away from bad carbs and make sure I have balanced Snacks, I'm okay. But when I read about people who acquired this issue only after a bypass, I'm concerned that it will become worse and my life will become all about battling my blood sugar. I don't what to jump from the pot into the fire. I'm not as miserable with my body as I was before lapband surgery. But I also know how easy it is for my weight to climb all the way back up. Scary sh-t!

[Redmaxx 740]

YIKES! I am so sorry that you have that.

[Berry78 4,259]

It really sounds like dumping... in that negative reinforcement will help keep your diet in line.

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[Poku 14]

I have this and I'm not sleeved yet. It started a couple years ago and my BS will bottom out a few hours after sugary Snacks or meals. The lowest I recorded so far was 34 and I was incredibly incoherent.

I was under the impression that it was a prediabetic issue, like you make too much insulin for the sugar and it becomes overkill. But I also have issues very similar to dumping syndrome as well. I really hope these things won't become magnified with surgery, that's terrifying.

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[mrsto 2,925]

I have this and I'm not sleeved yet. It started a couple years ago and my BS will bottom out a few hours after sugary Snacks or meals. The lowest I recorded so far was 34 and I was incredibly incoherent.

I was under the impression that it was a prediabetic issue, like you make too much insulin for the sugar and it becomes overkill. But I also have issues very similar to dumping syndrome as well. I really hope these things won't become magnified with surgery, that's terrifying.

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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

[mrsto 2,925]

It really sounds like dumping... in that negative reinforcement will help keep your diet in line.

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I'm good with that, as long as it doesn't take on a life of its own; happen whether or not I eat high carb/sweet foods.

[Berry78 4,259]

Hypoglycemia IS scary and dangerous. I live with a diabetic that experiences it. I don't know if the bypass might make it worse, but seems like the mandatory protein/frequent meals might make it better!

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[Salee 24]

I have it but as long as I don't eat anything that contains sugar I'm fine. I also have to have a higher amount of Protein than carbs whenever I have carbs. I stupidly ate over a cup of regular banana pudding last weekend. No reaction right away. Then over 1/2 hour later I started getting real warm, a sign my sugars spiking. Then 45 mins. later I started sweating profusely & got extremely weak BC my sugar level was dropping. I asked my fiancée to get me a glass of milk which usually brings me out of it. I plummeted so fast I only had the strength to take 1 swallow of milk. My sugar level dropped to 43 faster than it ever did, needing sucrose asap, which u can purchase by the diabetic meters everywhere. Once I got my strength back, I immediately drank a 30g Protein Drink & was fine again. Except I had to take a shower & change my wringing wet sweaty clothes. Just avoid eating sugar laden anything & stick to low carbs & high Protein Snacks & meals so this will never happen. I knew better so it was my own fault.

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[Salee 24]

I forgot to mention in my previous post that I had my RNY in 1997 & my lapband revision in 2010. I do not regret getting my lapband whatsoever! I wish I got it sooner! Good luck & best wishes on your journey of improving yourself. Never give up trying!

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[mrsto 2,925]

I have it but as long as I don't eat anything that contains sugar I'm fine. I also have to have a higher amount of Protein than carbs whenever I have carbs. I stupidly ate over a cup of regular banana pudding last weekend. No reaction right away. Then over 1/2 hour later I started getting real warm, a sign my sugars spiking. Then 45 mins. later I started sweating profusely & got extremely weak BC my sugar level was dropping. I asked my fiancée to get me a glass of milk which usually brings me out of it. I plummeted so fast I only had the strength to take 1 swallow of milk. My sugar level dropped to 43 faster than it ever did, needing sucrose asap, which u can purchase by the diabetic meters everywhere. Once I got my strength back, I immediately drank a 30g Protein Drink & was fine again. Except I had to take a shower & change my wringing wet sweaty clothes. Just avoid eating sugar laden anything & stick to low carbs & high Protein Snacks & meals so this will never happen. I knew better so it was my own fault.

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Do you have any issues when eating fruit alone.....without nuts or protein? For me, it's not as bad as candy, but it's not great. Also, I would love to eat oatmeal for Breakfast, but it's a recipe for disaster within 2 hours. And I don't put sugar in it. Very frustrating.