Post RNY ??? Dumping vs. Late Dumping???

I had RNY surgery back in 8/2007... long story short I never lost the weight I had hoped to. I'm awaiting word from Cleveland Clinic to their revision program. Meanwhile my insurance company's "Health Coach" referred me out to a dietician . If I do not eat carbohydrates I get EXTREMELY DIZZY... then by eating something the dizziness goes away. The feeling does not come over me until well after an hour of eating ...hence the dietician called this "LATE DUMPING".  I've heard of dumping and it's symptoms...but does anyone know... are there truly two forms of dumping syndrome after RNY?  

The dietician working with me is going to have me try a modified diabetic diet to see if I can lose any weight. She also is changing my vitamin regime from 4 optisource and 2 calcium citrate with vitamin D down to 1 Centrum per day. 

I'm nervous about this change but my weight keeps creeping up and I'm continually hungry. Could my dizziness attacks be what she referred to as "Late Dumping" only relieved by eating more food?

Your comments are appreciated.
Kathy

The body DOES NEED CARBS so this makes sense to me when you eat the dizzy goes away.

As far as dumping goes .... dumping is dumping sometimes it happens right away otheres it might take a while.

For the vitamines just go with what your labs and what your body tells you.
FOR ME I haven't taken any vitamins in almost 4 years.....NOW is this right maybe not I only know what WORKS FOR ME. I eat ok and I'm HEALTHY.

Good Luck,
Robin

Thanks for your reply Robin :-).

For me, dumping can happen at any time.  It has happened hours after or very shortly after.  You said they are doing a sugar screen?  I think that is good as it could be a diabetic problem. 
I myself watch the amount of carbs I eat.  I don't eat any  really right now.  I am on a no sugar no flour food plan and only eat oatmeal in the AM as a grain.  No pasta or sweets for me.  Eventually I will get to up grade to some brown rice and baked potato for lunch for or dinner.  This has helped me immensely.

Hi Denise,
Thanks for your reply. Why do you do the no sugar, flour, pasta or sweets? Sounds almost like an underlying celiac d. problem. (or willpower beyond my greatest imagination). I can't imagine ever having dumping with your fantastic food choices. You've truly cut out all the evils I struggle with. I appreciate your post. Thanks :-).

I do no sugar and no flour right now as I hve found I am a food addict and have joined a 12 step program called FAA (Food Addicts Anonymous) and their food plan is no sugar and no flour.  I have only recently joined this so I did have some issues with dumping previously.  Many to be honest.  I haven't always made good choices until I joined and started working the FAA program.

Hi Denise,
Thanks for sharing your comments about the FAA program. I have never heard of this program. IT makes perfect sense not to eat the sugars and white flour. Thanks again for sharing.
Kathy

Dumping can happen quickly or take a while depending on how quickly the sugar gets into your intestines.  If you drink something(or eat something with a higher liquid content)  with too much sugar (e.g., tomato soup), it will usually happen more quickly than if you have something sugary along with a dense protein (e.g. sweet potato with a little sugar along with some turkey)... because the sugar hits your intestinal system all at once.  How long ti takes can also vary based on how MUCH sugar you ingest.

What I do not understand is why the dietician would refer to your body's reaction to too few carbs as "dumping".  That reaction and dumping are two completely different processes.

Lora

Hi Lora,
First let me compliment you on your journey.... wow you look TERRIFIC!!! My surgery was 8/24/07 and I almost look like the day they rolled me into surgery. You're truly an inspiration.
The reason the dietician talked about dumping with to few carbs... was actually referring to a low blood sugar because of "too few carbs"... then by eating carbs... my body would utilize the carbs and then go into late stage dumping (potentially... again depending on the type of carbs I ingested as you pointed out).  My problem remains ...no matter how good I am at following my diet... high protien and low carb combination... journaling , watching caloric intake I cannot lose any weight after RNY after the first few months. I'm hopeful to soon find out via testing in Cleveland if there is something wrong that I can appropriately deal with. Thanks for your post.
Kathy

I hope they are able to find out if you have something physically that can be done.  How many calories a day are you taking in (some nutritionists suggest a caloric level that presumjes a lot more physical activity than many/most people get)? Are you exercising (even a little) on a regular basis to give your metabolism a boost?  (I confess that I am the "I-hate-to-exercise" queen... or at least the princess.  I am simply amazed at the people who become "gym rats" after their WLS, because my surgery did not change the fact that I find exercise to be boring/annoying and have never ONCE felt that "endorphin high".  I also know, though, that I *might* actually lose the extra 5 pounds that I would like to get off of my thighs if I *did* more exercise.) 

I hope you find an answer.

Lora