I learned that lesson too. I lie down first, and then eat my cupcake.

Too bad you don't live close. I have a continuous glucose monitor that I bet would give you some awesome data. Sorry, I didn't see if you have an endocrinologist (you may not need one for anything else), but they generally can issue you one to wear for a period of time. That would allow you to test the real time effects of your activities on your blood sugar.

I've never heard of one being approved for a non-diabetic, but it might be something to look into. When I was diagnosed as Type I diabetic (I had that diagnosis for over 20 years) it was life changing to eat/workout and life in general with the data from it.

I had a continuous glucose monitor placed twice to track my dumping syndrome and RH (with some episodes of straight hypoglycemia thrown in for good measure) Activity most definitely has an impact and the results show on the data. I was referred to an endocrinologist by my surgeon and they are coordinating my care. I would definitely look into a CGM to help get a handle on the issues.

You are going through a really tough time, I hope you feel good again soon.

The only time my blood sugar drops is when I eat too many carbs. Carbs are never the answer for me. Sticking to dense protein with plenty of fat keeps my blood sugar stable, keeps me regular, and keeps me from gaining. Whenever I eat too many carbs, all of the opposite things happen.

For me, it's pretty simple. It's not always easy to do, but the answer is simple.

I haven't got anything figured out really other than a sort of schedule that just has started to work for me. So...I'm not your Huckleberry for the mentor gig but this is what is working for me right now...

I eat every three hours starting at 9:30AM. 9:30AM is my arbitrary start time because it fits my work/sleep schedule pretty well and I need an hour or so of just coffee to wake up with in the morning. The last mini meal would fall at 9:30PM. I tend to often stay up until midnight or later. Sometimes I will delay that last meal until right before bed or I will add in another snack, like a Greek yogurt or something. When I didn't add that 6th snack I would often wake at some point in the night in a cold sweat, heart pounding, and too dizzy to get to the kitchen for anything. I actually still keep a snack on my night stand just for this in case it happens but it has not happened since I started this routine.

Each meal minimum of 10g protein, max of 10g sugar, aim for about 150 calories on average. Dinner meal usually is higher in calories, but also higher in protein. I am looking to hit minimum of 75g protein throughout the day, max of 75g carbs; 1100 calories. I have been maintaining on that without any change in weight for a couple weeks.

I keep the glucose tablets with me at all times just in case and I keep a Nature Valley Oat n' Nut bar with me for if I get caught out at the 3 hour mark and don't have anything else to eat. A protein bar would probably be better but I have never been able to tolerate those...the taste is just not palatable to me.

With this plan I have had good success. To clarify, I was diagnosed with hypoglycemia not RH. At first I thought they were the same but there are a good deal of differences. This is basically the plan my RNY surgeon suggested I try and with a few tweaks it has worked really well.

Hope you get to feeling better and find your balancing act. It is such an awful feeling when I bottom out. I am usually weak and feel ill for hours even after my blood sugar comes back up. The struggle is real friend.

~Elizabeth

Thank u for this detailed message. The grams on carbs and protein was what I was looking 4.

I too have woken up lately with night sweats but I thought it was because I was peri-menopausal!!

Thanks again!!!

I use Kind bars. They were approved by my endocrinologist *****viewed the stats and found them to be of an acceptable macro ratio. I agree that the timing issue is key.

Please keep us updated on how you are doing. I'm five years out and have several episodes of reactive hypoglycemia lately. Between the calories I consume trying to recover and perimenopause, I have gained several pounds. I've started testing my bgl more closely and watching the timing/effects of my meals.

Sorry you are going through this SS! How completely scary! Just wanted to offer a word of encouragement for you--think of this hurdle as just another learning curve in the WLS continuum. And think of it as having a finite ending (the learning curve)--kinda like waking up with a humongous schedule after surgery for eating, drinking, vitamining, protein drinking, peeing, pooping, ad nauseum! I know you will mainstream quickly and before long, will be a master at it!!! Hope you get to feeling better today!