Blood Sugar Levels Again

saxman007
on 2/9/11 11:31 am - Port Huron, MI
 All,
Those of you who have been around for a little bit may remember me having issues with low blood sugar last year resulting in a hypoglycemia diagnosis.  Since then I've managed pretty well and the few crashes I've had have been handled pretty quickly and easily with glucose tablets and some protein intake (cheese or peanut butter).  
Well, this past weekend I had another crash where I couldn't stabilize my sugar.  After 3 hours of doing some mild yo-yoing (never about 110) my wife and I decided it was time to go to the hospital.  It took them over 6 hours and 2 IV's to get me stable.  
I'm seeing my bariatic surgeon tomorrow and will be getting into a endocrinologist hopefully in a week or two.  
What I'm wondering if any of you are currently under treatment for this or know other bariatric post-ops that are?  I'm curious as to where this may go and what the probable treatments may be.  I can't imagine that this will really effect my training and racing any more than it already has.  I've learned to be very, very proactive with this and alway have glucose tablets with me when I'm out for over an hour.
Thanks for any thoughts or insights any of you can share.
--Dan
InkdSpEdTchr
on 2/11/11 1:32 am
You should x-post this on the RnY board. There are lots of post-ops (myself included) who develop Reactive Hypoglycemia after surgery.

It seems like most people manage okay with diet, but some people develop more serious complications like seizures.

Hypo can make training difficult, but at least for me, I've been able to train by eating A LOT. I just keep fueling my furnace while I'm training (whole grains, fruits, protein etc..) and haven't had a real crash in a while.

Good Luck!
:Danni

:Danni  >>>AIDS/LifeCycle 10 & 11 Finisher: 545miles on the bike in 7 days <<<
HW390/SW340/CW 208/GW170
                   
  

             
  

Linn D.
on 2/13/11 8:28 am - Missoula, MT
Hey Dan,

I saw your post a few days ago, but this week was a rough one in school.

So the physiology of why this happens goes something like this...

As we get heavier, our pancreas needs to produce and secrete more insulin to get all that glucose into the cells - especially the adipose tissue.  So strangely enough, as we lose the weight, the body continues to produce the same amount of insulin and often causes hypoglycemia since we aren't taking in the same amount of calories.  It doesn't even necessarily need to be high carb meals either.  It happens with a good mixed meal as well.  Some people who were starting to become insulin resistant don't have near the problems some of the rest of us do.  Also, it seems to occur after the weight loss has been achieved and mostly stabilized.  There have been some pretty big studies on this and they are learning more all the time.

There is a rather interesting surgery that some people have resorted to, but it IS scary.  The surgery involves killing off some of the pancreas beta cells that produce insulin.  The problem is that when the cells are killed off, they don't regenerate.  This helps some people who have major problems but is really a last resort.

It really seems to me that you are going to need to be even more diligent than most of the rest of us.  I sure hope you can remain stabilized without having any further complications or resorting to extreme measures.

Linn.
mcarthur01
on 2/14/11 4:29 am - Cumming, GA
good information linn!

i still have some accute crashes, but i've never yo-yo'd (i.e, i will get a big crash in blood sugar that will cause shaking, uncontrollable sweating, seeing colored spots and major head rush, but if i eat something it will go away).  it used to happen twice a week, now it happens maybe once or twice a month (it happened a couple of days ago while i was on vacation).  best of luck, it sounds like you have a much more serious issue than i have seen personally.
Where are we going??  And why am I in this handbasket??

right now.  somewhere.  somebody is working harder than you.

Seht
on 2/15/11 12:53 am
It still happens to me, but usually in response to having eaten something I shouldn't have.
It's not dumping, the sensation is different.  And when I check my blood sugar is't down in the 40's

The problem is I feel so crappy when it happens and I know what the problem is I tend to stuff food in to correct the problem.  Now being a bit altered like that I'm not the best judge of what/when to stop eating and I have gone from hypoglycemia to dumping.

I have never had it be so extreme as what is happening to you.  I hope you can get some resolution or at least a set of guidelines to help you deal with the issues.

Best of luck

Scott

The first time you do something - It's going to be a personal record!

Kay Holder
on 2/24/11 3:10 pm - Mableton, GA
 I do the same thing! I don't dump, but I don't like sugar so it's not an issue for me.

But, the looks I got last week- standing in Target, an overweight, sweaty woman, shoving Ghardhelli squares and nutter butters in my mouth as fast as I could- were priceless.
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