Recent Posts
Topic: RE: NESIDIOBLASTOSIS hyperinsulinemic hypoglycemia?RYGB
Hi iwantbuttons, Wow, I just found out about this potential diagnosis today at my doc's appointment. I'm now struggling with high/low blood sugars starting about a year ago (@1yr postop). He mentioned nesidioblastosis diagnosis after gastric bypass surgery in some patients. I stumbled upon my blood sugar issues using my husband's glucometer. If I eat ANY white carbs, my blood sugar spikes to around 220-250 and then I crash to the 60's - just sluggish and tired, no loss of conciousness. Did your blood sugar spike then fall? Any suggestions would be appreciated.
Topic: RE: NESIDIOBLASTOSIS hyperinsulinemic hypoglycemia?RYGB
I was diagnosed with Nesidioblastosis this past Oct. and subsequently had 3/4 of my pancreas removed. I was told at the time that I was the ninth person diagnosed with this in the US as having been caused by gastric bypass surgery. (In my case, a gastric resection - I had the majority of my stomach removed because of precancerous growths in my stomach and a strong family history of stomach/ colon cancer.)
After the resection, I spent over a year getting almost every cardiac test in the book because of my fainting episodes. Because my brother is a diabetic, I suggested a blood sugar test after nothing was discovered during cardiac testing. It showed that I was hypoglycemic - my blood sugar fell every time I ate. My general practioner wasn't concerned - "just live with it". Lucky for me, I had a great surgeon who was concerned. (Of course, it didn't hurt that when they checked my blood glucose level in the hospital it was 28 - and I was walking around and talking. Most people are unconscious when their sugar falls that low.) My surgeon sent me to an endiocronologist who luckily kept up with his reading; ie, the article in the New England Journal of Medicine about Nesidioblastosis. After some nasty hospital tests, it was confirmed- because I was basically non-functional for the majority of the day and because I had 3 episodes of convulsions in the 30 days before surgery was suggested, I went ahead with the operation.
It hasn't exactly been smooth sailing. I developed Wikie's syndrome after the surgery from losing weight too fast. (Intermittent obstruction of the bowel) I've been told that I need to gain weight - NO!!!! - so that the artery that is blocking my bowel will regain its "fat pad". (So far, I haven't had much success with gaining weight.) I'm also likely in the pre-diabetic stage. I won't know for sure until 3 months have passed since the surgery. However, I'm not sorry that I had the pancreatectomy. My mind is functional again. My sugar dropped so low before the operation that I was really confused most of the time. I also should say that I still slightly reactive hypoglycemic but it can be controled by diet.
I think many people are reactive hypoglycemic after bypass surgery- but not many people (hopefully) develop Nesidioblastosis (which is when the beta cells that produce insulin enlarge.)
My gastric resection was on March 5, 2007. I started developing symptoms within 4 months of surgery. I currently weigh 120 pounds - down from 269.
By the way, I do not regret the initial surgery, either. I didn't do it for cosmetic reasons. I did it to save my life -- and it did.
After the resection, I spent over a year getting almost every cardiac test in the book because of my fainting episodes. Because my brother is a diabetic, I suggested a blood sugar test after nothing was discovered during cardiac testing. It showed that I was hypoglycemic - my blood sugar fell every time I ate. My general practioner wasn't concerned - "just live with it". Lucky for me, I had a great surgeon who was concerned. (Of course, it didn't hurt that when they checked my blood glucose level in the hospital it was 28 - and I was walking around and talking. Most people are unconscious when their sugar falls that low.) My surgeon sent me to an endiocronologist who luckily kept up with his reading; ie, the article in the New England Journal of Medicine about Nesidioblastosis. After some nasty hospital tests, it was confirmed- because I was basically non-functional for the majority of the day and because I had 3 episodes of convulsions in the 30 days before surgery was suggested, I went ahead with the operation.
It hasn't exactly been smooth sailing. I developed Wikie's syndrome after the surgery from losing weight too fast. (Intermittent obstruction of the bowel) I've been told that I need to gain weight - NO!!!! - so that the artery that is blocking my bowel will regain its "fat pad". (So far, I haven't had much success with gaining weight.) I'm also likely in the pre-diabetic stage. I won't know for sure until 3 months have passed since the surgery. However, I'm not sorry that I had the pancreatectomy. My mind is functional again. My sugar dropped so low before the operation that I was really confused most of the time. I also should say that I still slightly reactive hypoglycemic but it can be controled by diet.
I think many people are reactive hypoglycemic after bypass surgery- but not many people (hopefully) develop Nesidioblastosis (which is when the beta cells that produce insulin enlarge.)
My gastric resection was on March 5, 2007. I started developing symptoms within 4 months of surgery. I currently weigh 120 pounds - down from 269.
By the way, I do not regret the initial surgery, either. I didn't do it for cosmetic reasons. I did it to save my life -- and it did.
Topic: RE: lap band complications
I know about band slippage and what you have described sounds like my experience.
I realize that my posting is a bit late but I hope you went to the ER room and that everything has been corrected now.
Please post so at least we know that you are okay.
I realize that my posting is a bit late but I hope you went to the ER room and that everything has been corrected now.
Please post so at least we know that you are okay.
Topic: RE: DS complications?
Hi, I am seeking a revision to a DS, I would like to invite you to come over to the DS board and post your question. Plus, there is tons of information to be found.
Charmed
Charmed
First goal met: I'm back in my Skinny Jeans!!!!
I maybe down, but I am not out............I AM GETTING MY DS, BY ANY MEANS NECESSARY!!!
Approved on 04/10/09
Scheduled for my Revision to DS 05/18/09
Topic: I WANT A REVERSAL!
Hello to all! I have read a lot on this site, and others, regarding all the problems people are/did have/having. And of course, I am starting out the way most people have. Nausea all the time, unable to tolerate alot of things, and definately NOT getting in the protein or water required to keep you going in a health manner! I am only 16 days out and I want it reversed ASAP!
Is there anyone on here that has had theres reversed? Was it the best thing you ever did? Are there side effects and if so what are they?
Thank you for listening.
Patience
Is there anyone on here that has had theres reversed? Was it the best thing you ever did? Are there side effects and if so what are they?
Thank you for listening.
Patience
Topic: RE: I had my RNY reversed, anyone else out there?
Patience,
I think (and hope) that the nausea you are experiencing right now is the normal post-op nausea that we all felt right after surgery, your surgery is so fre**** is hard to tell. Are you still on clear/full liquids at this stage? I do agree that you need to listen to your body, and to be honest your surgery is so fresh that I am thinking that although it is a miserable phase, just getting used to getting liquids in can be tough, I would say to keep communicating with your doctor/nurses and if you feel like you need a second set of eyes to look at you, then you should listen to what your body is saying and do it. Keep drinking no matter what, little sips are best, you can't gulp at this stage no matter what. I wouldn't give up on this yet, I didn't want to have mine reversed, but I had struggled with complications for 10 months or so and tried many solutions before I came to the very difficult decision to have it reversed. The small bowel issue hovers over me everyday, so right now it is hard to say because I feel like I have traded one problem for another one. Hang in there, right after surgery is tough, but just sip sip sip and take it slow.
I think (and hope) that the nausea you are experiencing right now is the normal post-op nausea that we all felt right after surgery, your surgery is so fre**** is hard to tell. Are you still on clear/full liquids at this stage? I do agree that you need to listen to your body, and to be honest your surgery is so fresh that I am thinking that although it is a miserable phase, just getting used to getting liquids in can be tough, I would say to keep communicating with your doctor/nurses and if you feel like you need a second set of eyes to look at you, then you should listen to what your body is saying and do it. Keep drinking no matter what, little sips are best, you can't gulp at this stage no matter what. I wouldn't give up on this yet, I didn't want to have mine reversed, but I had struggled with complications for 10 months or so and tried many solutions before I came to the very difficult decision to have it reversed. The small bowel issue hovers over me everyday, so right now it is hard to say because I feel like I have traded one problem for another one. Hang in there, right after surgery is tough, but just sip sip sip and take it slow.
Topic: RE: I had my RNY reversed, anyone else out there?
I am so happy to hear that someone on here is having as miserable a time as I am. Not that I wish any misery on anyone, but thank GOD!
Let me tell you my story,......I am 33yr old and had my RNY on 12/11/08 and I am completely miserable! I am nauseous just about every day. Unexplained pains that will not go away but come intermittently and when they do the are excrutiating and my surgeon thinks it is all in my head!
Well, let me tell you I am trying to do everything they tell me to do and I do not appreciate being told I am a headcase! I want this reversed because I can NOT go thru this the rest of my life. I realize my problems are not nearly as bad as your are but that is just it, I do not want to be that person in the future.
I am a woman who knows her body and I listen to it and it is telling me to get the hell out while the getting is good! I am unable to get my protein in that I am supposed to and fluids, you can forget that!
I just want resolution! Can you tell me other than the bowel thing, has life gotten better for you?
Thanks for listening!
Patience
Let me tell you my story,......I am 33yr old and had my RNY on 12/11/08 and I am completely miserable! I am nauseous just about every day. Unexplained pains that will not go away but come intermittently and when they do the are excrutiating and my surgeon thinks it is all in my head!
Well, let me tell you I am trying to do everything they tell me to do and I do not appreciate being told I am a headcase! I want this reversed because I can NOT go thru this the rest of my life. I realize my problems are not nearly as bad as your are but that is just it, I do not want to be that person in the future.
I am a woman who knows her body and I listen to it and it is telling me to get the hell out while the getting is good! I am unable to get my protein in that I am supposed to and fluids, you can forget that!
I just want resolution! Can you tell me other than the bowel thing, has life gotten better for you?
Thanks for listening!
Patience
Topic: unable to tolerate almost anything
i had lap rny on 12/8 and was doing okay until a couple of days ago. I am barely able to tolerate anything except milk and tea. i am supposed to be on pureed foods. I know that if something doesn't change i am going to get dehydrated. I can just be sitting down and up comes a little something. it is never right after i drink but awhile after. any thoughts?
Topic: RE: I had my RNY reversed, anyone else out there?
Hi All,
I am a little slow responding to this original post as I just found this forum. My story is not as dramatic, but here goes:
I had my distal RNY in October of 2003. Had pretty much an uneventful course, lost all of my weight, as happy...blah blah blah...fast forward to November 2007. Started losing weight again. Not quickly, but slowly. Lost down to 104 pounds, was getting a little nervous, as I was not feeling very well. Went to the doc who did my original surgery. He walked in the exam room and said..."are you trying to die?" I was like...what the heck...I'm hear because I do not feel well and I'm losing weight. His solution was prescribe some more vitamins and told me to "eat". Well I have been eating between 3000 and 5000 calories a day. I was very frustrated and just let things go...fast forward to now...I am now 94 pounds. I decided I was not going back to my original surgeon, so chose a different surgeon who would take on other doctors' patients. He is absolutely WONDERFUL. He informed me that my original doctor had bypassed way too much of my intestines as I was barely 100 pounds over weight. He said he has been fixing at least 1 patient a month wiht the same complications that I am having for the past year (I am not sure if these patients are coming from my original surgeon or not). I now have to go back in, in two weeks and have my bypass revised. He is going to put me back to a proximal and see if that helps with the malabsorption issues I am having. I thank God I found a surgeon who would listen to me. I have done nothing but lie in bed and eat, puke, and feel sick for the past year.
My original surgeon is very well known and is considered a "master" in WLS. I think he is a good surgeon, I think he is just performing too drastic of procedures on people. One never knows how a person's body is going to react, and evidently, my intestines did not "adjust" to absorbing more over time, they have just continued to absorb very little.
It would be great if anyone else has had the same experience if you would email me or contact me. I am pretty nervous about having this surgery done, but feel it is necessary to get my life back.
Laura
230/94/110
I am a little slow responding to this original post as I just found this forum. My story is not as dramatic, but here goes:
I had my distal RNY in October of 2003. Had pretty much an uneventful course, lost all of my weight, as happy...blah blah blah...fast forward to November 2007. Started losing weight again. Not quickly, but slowly. Lost down to 104 pounds, was getting a little nervous, as I was not feeling very well. Went to the doc who did my original surgery. He walked in the exam room and said..."are you trying to die?" I was like...what the heck...I'm hear because I do not feel well and I'm losing weight. His solution was prescribe some more vitamins and told me to "eat". Well I have been eating between 3000 and 5000 calories a day. I was very frustrated and just let things go...fast forward to now...I am now 94 pounds. I decided I was not going back to my original surgeon, so chose a different surgeon who would take on other doctors' patients. He is absolutely WONDERFUL. He informed me that my original doctor had bypassed way too much of my intestines as I was barely 100 pounds over weight. He said he has been fixing at least 1 patient a month wiht the same complications that I am having for the past year (I am not sure if these patients are coming from my original surgeon or not). I now have to go back in, in two weeks and have my bypass revised. He is going to put me back to a proximal and see if that helps with the malabsorption issues I am having. I thank God I found a surgeon who would listen to me. I have done nothing but lie in bed and eat, puke, and feel sick for the past year.
My original surgeon is very well known and is considered a "master" in WLS. I think he is a good surgeon, I think he is just performing too drastic of procedures on people. One never knows how a person's body is going to react, and evidently, my intestines did not "adjust" to absorbing more over time, they have just continued to absorb very little.
It would be great if anyone else has had the same experience if you would email me or contact me. I am pretty nervous about having this surgery done, but feel it is necessary to get my life back.
Laura
230/94/110
Topic: DS complications?
Hi I'm new here and am going for the DS. I am trying to read up as much as possible on surgery and complications thereof. After reading this forum it has come to my attention that most if not all the posts are from RNYers. Just curious if there are any DSers out there who had or are having complications?
Thanks.
Thanks.