'Revision to DS approved!!! No need for EBAY now.' Thread

 My understanding is that bypassing the duodenum, where in natural anatomy most of the gut's insulin receptors (actually glucose receptors....they react to glucose and send a signal to the pancreas to secrete insulin) are located we lose the primed part of our anatomy that was designed to signal for insulin secretion.  That can be helpful in reversing diabetes because signaling is interrupted......if low levels of glucose are ingested in the diet.   The carbohydrate that is converted into glucose in our altered anatomy hits insulin receptors that are further down the pike in our small intestine.   If we were unaltered....and glucose made it that far....it would be a signal to the body to get out bigger guns because the initial secretion of insulin will be insufficient. So more insulin is secreted.  In our altered anatomy - those receptors are thought to be responsible for overshooting.....hence we dump.  Dumping is the dumping of insulin into the bloodstream.   Our normal anatomy has been replaced with a far less sensitive and accurate signaling system basically.  Our only control is to limit the amount of food that is easily converted into glucose (refined carbohydrate) to avoid triggering those not terribly accurate receptors.   Does that make any sense?    Lifelong obesity does screw up our insulin metabolism in many ways......including lacking enzymes that are necessary for insulin binding.....(insulin resistence) but those factors are largely genetically controlled....and linked to a whole set of outcomes...including obesity.   I'm babbling now.....so Ill stop.  Hope it makes some sense.   Susan

Susan thank you, that is the best explanation I've read. I always appreciate it when you medical types put it into english!

That's a great explaination, but if that was all that was going on, wouldn't EVERYONE with a bypassed duodenum dump?

It probably has a lot to do with an idividuals insulin response and the fact that the stomach has been altered than anything being bypassed because some sleevers dump.

I dump and diabetes runs rampant in my family although I have not developed it YET.

 (Giggles) You know, a couple of hundred years ago, you would have been stoned for heresy. You're not staying with the DS party line . . .  

After my first surgery I had something that I thought was like dumping except that it wasn't in reaction to anything that I ate that I could tell. In fact it woke me up in the middle of the night sometimes. I would just feel awful, like I had to puke and have diarrhea at the same time. I felt like I wanted to die. I couldn't connect it to anything, there was no consistency. It happened a few time a month. Now that I have, unfortunately, experienced dumping I can say it was similar but not the same thing. I last had it a few days before my last surgery and haven't had it since. When I dumped it was right after I had something that turned out to have sugar in it so I know for sure what that was.

Here's the thing that SO MANY people here at OH seem to forget about---people who have never had ANY sort of stomach surgery CAN experience dumping---it's just VERY RARE. I don't think anyone disputes the idea that removal of the pylorus makes dumping significantly more likely, but it obviously doesn't cause it in everyone. And it's also true that having any sort of stomach surgery, whether related to weight-loss or not, increases the likelihood of experiencing dumping from time to time.

I'm a sleever and I dump occasionally with sugar. Many sleevers don't identify it as dumping, they will call it other names, but it sounds like dumping. Anyhow my Tammers, thanks for posting. Hugs baby!

P.S. I have discussed this with my surgeon - yes, sleeved & DS folk can dump. Then he gave me this card (j/k).

 

Oh, I love that card!!!!

I seem to remember seeing the post you made when you were disgnosed with RH---didn't you say you'd just been dx'd, but that you'd had the symptoms for years, long before your DS? I have a couple of friends who have RH, and  neither of them have had any sort of WLS, or even any abdominal surgery. RH is some of the **** that "just happens", y'know. (*grin*)