Re: Re: PLEASE HELP...Questions about hypoglycemia, l...

December 8, 2008

Also although it is rare, remember that some people have dumping type

symptoms post op DS. The DS fixed my dumping symptoms. I have heard several

people

having these type reactions especially in the active weight loss phase and on

occasion have had a few " spells " since my revision. Mostly after drinking a

part of a Milkshake, and almost always on an empty stomach. Hypoglycemics

react to sugar much like a diabetic and the diets are almost identical. Probably

because they both restrict concentrated sweets. The liver likely is part of

the culprit and could stabilize when the losses stabilize due to the glucagon

and the livers part in glucose regulation. My biggest suggestion is to watch

what she is eating in the 30 minutes to one or so hours before the

occurrence. I had bad symptoms from both simple sugars but also carbs. Because

carbs

are easily converted to glucose. Eating your protein rich diet and limiting

carbs and avoiding sugars sometimes helps but it is no guarantee. In the

hospital we taught people to carry the decorator icing in their purse because

that was a quick absorbed high glucose fix. It can be squeezed between the

tongue and cheek if someone is unconscious. We also kept cheese and crackers

or

peanut butter and crackers for stabilizing them after the spell. If you eat

something like pie, that will send insulin levels higher and if there is rapid

gastric emptying then another drop. It can be a horrible cycle. I would feel

exhausted and slept after meals because of the sugar problems. I completely

understand the reasons that someone would be upset. Oh, and it is possible the

emptying of the stomach is too fast, especially if they didn't do the sleeve

gastrectomy. Some ds surgeons make the stomach more like a RNY, and lack of

stoma can cause symptoms. I hope this all makes sense.

Mel

In a message dated 12/8/2008 1:25:58 P.M. Central Standard Time,

plwboy1@... writes:

However if your friend

finds herself in a situation where her blood sugar is crashing a

quick sugar source, like candy or juice may prevent a total crash.

Just follow the sugar with something high fiber or protein as soon as

she is feeling a bit better. Keeping things handy like nuts to snack

on between meals can prevent a crash.

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