RE: Treating Hypoglycemia PostOp

[Guest guest]

Janelle,

Our current protocol uses glucose

gel. Do you think this would be

acceptable for these patients? We

are trying to institute just one protocol throughout the Network. The reason I didn’t use juice was

because so many nurses put sugar in the juice.

Nadine

Re:

Treating Hypoglycemia PostOp

typically it is only a concentrated

sweet that causes the dumping reaction. Natural sugars do not seem to

cause the dumping reaction, or if they do, it is not significant, thus if

patients become hypoglycemic, a glass of milk or 100% juice should work nicely

to bring the sugars up.

Janelle D. McLeod, RD

Gastric Bypass Coordinator

Penn State Hershey Medical Center

717-531-6321

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>>> Nuplinger@... 2/9/2006 5:14 AM >>>

Hello,

I am

interested in finding out what, if any, protocols are used for treating

hypoglycemia post op gastric bypass.

We have a surgeon who only wants to use D50 instead of an oral gel or

glucose tabs. His concern is dumping syndrome which I understand, but if the

blood glucose is low, would 15 grams of oral CHO cause a dumping syndrome? I would really appreciate the expertise

of this group to explain this to me.

Thanks,

Nadine

Nadine

Uplinger, MS, MHA, RD, CDE, LDN

Director,

Gutman Diabetes Institute

Albert

Einstein Healthcare Network

Philadelphia, PA 19141

215-456-6865

uplingen@...