Blood sugar results back.....not sure what to do now

For a couple of months now (every couple of weeks), I have had episodes of low blood sugar a couple of hours after I eat.  Or at least I thought it was low.  It would be like 110-120 before I ate and then a couple of hours later it would drop to 67-72.  A couple of weeks ago I felt HORRIBLE...very lightheaded, dizzy, just not right.  There wasn't pain or anything like that just felt very dizzy and bad in general.  I would drink 100% orange juice (no sugar) and would feel better for a little while.  Sometimes it would go back down, but sometimes would stay up. So I had blood work done at PCP so he could check for hypoglycemia or reactive hypoglycemia.  Today, they called back and said my sugars were between the normal range of 65 and 99.  So she said there's nothing to worry about. 

 Okay, I get that....but what about these episodes that I'm having?  What do I do?  How do I prevent them? These are all questions I asked and she said not to worry about any of them. Easy for her to say...she's not feeling like CRAP !!

 Any suggestions???

 Thanks

Did you do the fasting blood tests? I'd call the NUT in your surgeons office and talk to her. I'm sorry but Drs (unless a specialist) just don't know enough about nutrition and reactions as well as they do. Several folks have developed low blood sugar after surgery, maybe you have too.

Stand up and demand they find out! Normal isn't always good post-op!

Tammy is your PCP familiar with gastric bypass patients.  My suggestion initially is to keep checking your blood with a finger pick when you feel bad.  Also as many of us further out get the hypoglycemia symptoms it's imperative that we watch our carb intake and eat good balanced meals and snacks every 2 hours or so to keep our sugar levels regulated.  Because of years of obesity our pancreas is putting out insulin at rates not optimal to us today.

Tami, I could of written this post.  Let me tell you what happened to me the other night.  I awoke from a dead sleep and was soaking wet, foggy and trembling.  I KNEW I was having a hypoglycemia attack.  I barely made it to the kitchen where I grabbed my brand new BS monitor and checked it-160!!!!  (twice) WTH???  BUT I knew I needed sugar so I drank some OJ (fully loaded) and then ate some candy (I don't dump) and followed it with 2 peanut butter crackers.  Over the next 20 minutes I started to feel better so I checked it again-90.  So my question is...did my sugar start out really high like 300 and when it started dropping awaken me?  If I was uneducated  on the symptoms, I might of given myself insulin based on the number rather than eating the much needed sugar.  Let me tell you, it scared the crap out of me. 

I've been trying to do some research and found out that some of us (RNY'ers) produce too much insulin and some have actually had to have part of their pancreas removed.  My symptoms usually occur on a night where I've had fried foods, not necessarily carbs.  Too weird.  My FASTING labs were prefectly normal too.  I am going to really start checking it on a regular basis and logging my food so I can see if there's a pattern.  I did not have diabetes pre-op. 

Sorry, I don't have any answers, just thought you might be interested in my experience.

Hi All...

Well...I have raised a diabetic daughter for 10 years.  She's 16 now and jeezzz I've had lots of problems with her.  Another test that needs to be taken is an A1C.  It checks the AVERAGE blood sugar over a 3 month period.  It's a pretty accurate test.

Now...the best way to handle this all the way around is exactly what Dana said.  You MUST snack about every 2 hours.  The pancreas is a strange organ...as is the thyroid.  You have to give it what it needs or it freaks out.  Just  a couple of peanut butter crackers will work....something small.  Going overboard eating something because you don't immediately feel good isn't a good idea.

Good Luck....it's a rough thing to become accustomed too.

Hugs
Joni

I was a bad diabetic prior to surgery.  This is just my opinion but what was normal for most was too low for me right after surgery.  The day of surgery my fasting BS was 252 and that was after a week of liquids only.  So when my BS would go to 100 I was so weak.  Now at nearly 2 years out I still have low but those don't bother me until it hits into the 60's.  i was told it was ok but when I start feeling shakey and feel like I could eat everything in the kitchen I know I am too low.  I keep something in my purse at all times.  I snack throughout the day.  I know some doctors say dont' do that but I have to.  Listen to your body.  You know when you need something.