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Type 1 Diabetic Wondering How to Survive Low Blood Sugars after RNY



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I am scheduled to have RNY on February 13. I'm a Type 1 diabetic who has experienced some scary low blood sugars and I have a lot of anxiety about how to manage them post-surgery. I usually drink a lot of juice or have candy when my blood sugar drops and I know that I will not be able to do that after the surgery. I had a good visit with my Endocrinologist today and we discussed how to manage avoiding blood sugar drops, but I don't think she really gets how long (and how much I need to eat or drink) to get my blood sugars up when I'm crashing. She says just take in 15 grams of sugar/carbs and then wait 15 minutes. Sometimes it takes me an hour to get out of the 40s and it's a long, terrifying hour. I am not a fan of the glucose tablets, but I think that will be my best bet at getting my sugars up without being able to eat or drink much post surgery. I just purchased some glucose gel too (not a fan of the consistency though, and 15gs is a lot of gel). I'm wondering if any Type 1's out there encountered really low blood sugars after surgery and what they did to bring the sugars up. From what I read, dumping syndrome symptoms sound a lot like low blood sugar symptoms so it almost sounds like a lose-lose situation (having to chew on a lot of tablets to raise sugars, then getting dumping syndrome after that!). This really makes be nervous and anxious. Advice please? Thanks!

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You can try drinking some skim milk just a thought good luck to you

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I am hypoglycemic. But I have found that if I keep sipping on my protien shake I never have a problem with my blood sugar slipping to low. I do not take insulin but My sister does. She adjusts her dose according to her readings. She finds that her sugar does not jump to a high level anymore because after RNY sugar and sugary foods are a huge NO. NO. And we are taught to get our Proteins in first

If you keep your sugars at an even level using consistent Protein shake/ protien liquid intake you will be fine. In the beginning you may may have to check your blood sugar levels often, but keep sipping that protien any liquid ( accept caffeinated drinks) goes toward your daily liquid intake.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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