I hope some of you can help me.  I've been having episodes that I thought may have been caused by my blood pressure meds.  Usually when it happens I'm not at home, but yesterday I was.  I started shaking, feeling really weak, jittery and nervous, just basically felt like I was going to come right out of my skin and pass out.  My husband is diabetic and told me to check my blood sugar with his monitor so I did and it was 64.  I was fixing lunch when it happened and he told me to just hurry up and eat some mashed potatoes.  I did and about 15 minutes later I started slowly feeling better.  One of my points is this...am I also confusing what I think is dumping syndrome with symptoms of low or high blood sugar?  Sometimes after I eat my heart races and I get really nervous and hot in my face.  So is that dumping or is my sugar spiking?  I'm so confused right now.  I've had symptoms of low blood sugar for a long time but in the past everytime I've ever checked it my sugar has been perfect.  I would really appreciate any info that any of you can give me.  I need all the help I can get right now.  I do know a lot about type 2 diabetes because of my husband and I've been to diabetic nutrition classes with him, but neither of us know anything about low sugar and rny gastric bypass. 

This is why I hate that so many doctors, nutritionists, and even the ADA are NOT willing to amit a LOW CARB diet is the best prescription for type 2 diabetes. I lowered my A1C from 9.5 to 6.2 in 3 months and cut my triglycerides by more than half by sticking to a low carb, higher protein and fat diet.

I've recently developed low blood sugar issues and woudl appreciate any ideas or suggestions on coping.

Ashley, your doctor will refer you to a WL surgeon, who will require you to see a nutritionist.  They will give you all the information about diet, vitamins, etc.  Your surgeon will give you specific information on vitamins and protein requirements, depending on your surgery.  You will have lots of support, information and resources.  You may even have to go to a class, or seminar first.

The surgeon recommended gastric bypass for my daughter because she has diabetes.  Band weight loss is very slow.  Bypass eliminates the part of the digestive track that processed sugar, which really helps diabetics. You can't process it so it makes you "dump", which my daughter counted on to keep her on track.  It causes you to avoid sugars and white carbs - a good thing.
(my daughter went in for band, but changed the plan).

Your diabetes doctor will give you an insulin plan for the days before surgery and afterwards.  Lows were corrected easily with %100 pure (no sugar added) fruit juice.  Very little, if any, insulin is needed as you are pretty  much fasting.  You add insulin as you add food. 

Protein drinks are easy: divide up as you can only obsorb 30 grams max of protein at one time.
It would all depend upon your type of surgery. 

You won't have to figure any of this out yourself.  It is all presented to you, and supported along the way.  You will have your surgeon, a nutritionist, and your diabetes doctor.  Hope this reassures you.  Glad to help.  Best wishes

THANK YOU VERY MUCH FOR YOUR SUPPORT. ISNT IT BETTER TO DO THE  LAPBEND TO NOT HAVE SO MANY COMPLICATIONS AFTERWARDS.   WHO ADJUSTS HER INSULINE LEVELS AFTER SURGERY?  HOW WOULD I KNOW HOW MUCH INSULINE TO TAKE AFTER THE SURGERY.   CAN YOU RECOMMEND ME A DIETICIAN WHO WOULD TELL ME HOW TO TAKE THE PROTEIN DRINKS WHAT TO EAT AFTER THE SURGERY OR THE LAPBEND.  I AM GOING TO GO TO SEE MY PRIMARY DOCTOR TOMORROW FOR AN AUTHORIZATION FOR THE PROCEDURE TOMORROW.