Guest guest Posted January 18, 2008 Report Share Posted January 18, 2008 Please help! 1.Can patients have dumping syndrome after consuming sugar alcohols? 2.If patient experience reactive hypoglycemia what sugar sources should they consume?can they consume glucose tablets? 3. Can patients experience dumping after consuming fructose? Thank you! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2008 Report Share Posted January 18, 2008 sugar alcohols can cause great stomach upset and discomfort. Ranging from gas and bloating to severe diarrhea. This is not exlusive to the bariatric surgery population but may affect anybody who is sensitive. Tina Musselman RD, CCN Bariatric Program Coordinator (708) 747-4000 ext. 7444 or 679-2717 (708) 679-2418 (fax) tina.musselman@... From: [mailto: ] On Behalf Of Marina SavelyevaSent: Friday, January 18, 2008 12:50 PM Subject: dumping?/hypoglycemia Please help!1.Can patients have dumping syndrome after consuming sugar alcohols?2.If patient experience reactive hypoglycemia what sugar sources should they consume?can they consume glucose tablets?3. Can patients experience dumping after consuming fructose?Thank you! The information contained in this e-mail and any accompanying documents is intended for the sole use of the recipient to whom it is addressed, and may contain information that is privileged, confidential, and prohibited from disclosure under applicable law. If you are not the intended recipient, or authorized to receive this on behalf of the recipient, you are hereby notified that any review, use, disclosure, copying, or distribution is prohibited. If you are not the intended recipient(s), please contact the sender by e-mail and destroy all copies of the original message. Thank you. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2008 Report Share Posted January 18, 2008 I have been recently researching the issue of post-prandial hypoglycemia and glucose alterations in post op RNY patients. Hence, I am kind of green about the subject but here is something to be aware of... What you describe may not necessarily be dumping but it may be related to an insulinoma or nesidioblastosis. Nesidioblastosis is characterized by pancreatic cell hypertrophy and hyperplasia and is treated by a partial pancreatectomy. Incidence of this condition in post op RNY patients is 400 times that of the general population. While scientists don't know the cause , there is discussion that this condition of hyperinsulinemic hypoglycemia results from rapid transit of food into the distal ileum which triggers an increase in GLP1. GLP1 increases insulin secretion and insulin sensitivity thus enhancing insulin mediated glucose disposal. The cause of the hypertrophy and hyperplasia is unknown but may be related to chronic increase in GLP1 or some other mechanism. The botom line is that the patients symptoms may not be about reactive hypoglycemia or dumping syndrome but about something much more severe... Patient should get the following labs for evaluation: glucose level, insulin level, and c peptide (fasting). If anybody knows about nesidioblastosis, I would love to hear about your experience in its diagnosis and management. ******************************************** Darcie Ellyne, MS, RD, CDE Palo Alto Medical Foundation 795 El Camino Real Palo Alto, CA 94301 ******************************************** 650.853.2961 -----Original Message-----From: [mailto: ] On Behalf Of Marina SavelyevaSent: Friday, January 18, 2008 10:50 AM Subject: dumping?/hypoglycemia Please help!1.Can patients have dumping syndrome after consuming sugar alcohols?2.If patient experience reactive hypoglycemia what sugar sources should they consume?can they consume glucose tablets?3. Can patients experience dumping after consuming fructose?Thank you! Attachment: vcard [not shown] Quote Link to comment Share on other sites More sharing options...
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