diabetes and dumping syndrom

i am 3 years out and since surgery i have been very good about staying away from sugars...i eat a very good, consistant diet.  lately i have been having very serious spikes and dumps in my blood sugar.  to the point of passing out at work,,i have felt my sugars drop and know if i eat a peice of fruit it would level out and it would be back to business as usual.  i did not think i needed to use a glucose meter.  lately iam crashing and can not recover from it for hours.  now i am checking my blood with a meter and i having a sharp spike and then it drops.  ER doc says its probably diabetes but because he is not exactly sure how dumping syndrom could tie in, he could not say for sure.. so i am reaching out to the members of O,, Thanks for your help... 

 sounds what i have.  Reactive hypoglycemia 


is low blood sugar that occurs shortly after eating.

You say you're staying away from "sugars," but how is your intake of CARBS (bread, rice, pasta, fruit, potatoes and other starchy veggies, etc.)? It's not just sugar that affects blood glucose levels, but ALL dietary carbohydrates, even those touted as supposedly "healthy" such as whole grains, fruits, and veggies. Whether it's diabetes or reactive hypoglycemia, it usually helps to limit your total carb intake and eat a little bit every few hours instead of eating only a few times a day.

I found a link on one of the message boards that went to a doctor's explanation of why people with RNY gain back their weight and have reactive hypoglycemia.  The gist of the explanation is that when after a few years a patient's pouch is a little bit stretched (totally normal), food moves so quickly from the pouch to the intestines that the pancreas floods the body with insulin, resulting in intense hunger and hypoglycemia. 

This is not your fault so don't you dare think it is!  And if you didn't have diabetes before your surgery you surely do not have it now (IMHO).  Try to find a specialist -- maybe an endocrinologist in a bariatric unit? -- to see what can be done to stop this.

Good luck to you!

Ramie