low blood sugar

I understand your concern about sugar. But if you are passing out that is an extreme drop. Severe low blood sugar is dangerous. Yes you do need to eat protein and fat after to make sure you don't start the roller coaster...

I agree with Cynthia. I used to have a very low BS - RH and just hypoglycemia.

If my BS is really low - I first bring it up from an unsafe level (below 40 or even below 50) then follow up with complex food like nut or nut butters.

I read that 1 gram of glucose can bring the sugar up app 4-5 points. With my BS in 50 or below - 1 glucose tablet is enough- plus glucose get absorbed in the mouth - no insulin needed - so my blood get a instant BS raise. With my BS in low 30's I take 1.5-2 glucose tabs, then follow up with food.

Fyi- if you are crashing - either you not eating enough or you eat too much carby stuff.

Natural sugar - it is still sugar. My body dies not care if I got the sugar from fruits, dairy or candy. It can crash either way. Banana, grapes, oranges, etc - natural sugar - I crash. And there are starches- rice, bread, potatoes, pasta, corn, etc - that cause me to crash everytime I eat more than just a taste of those foods.

Reactive hypoglycemia after WLS is very different from hypoglycemia that diabetics will encounter. Don't treat it the same.

Hypoglycemia in diabetics happens when they haven't eaten for too long, and blood sugar bottoms out. They take something high in sugar to bring it up.

Reactive hypoglycemia happens at about your stage after WLS. It happens a while after eating something high in sugar, starches, or other simple carbs. Blood sugar spikes very high, but briefly. Your body pumps out extra insulin, which causes blood sugar to plummet, giving you hot flashes, shakes, sweating, and possibly passing out.

You can take sugar to raise your blood sugar, but that just starts another cycle. You'll be on a blood sugar roller coaster.

The best thing to do is avoid sugar and simple carbs, and you can avoid RH episodes. 99.9 percent of the time it's totally avoidable through proper diet. If you do get it, something like peanutbutter on a cracker is a better fix. A mix of carb, fat, and protein.

Thanks Grim. I appreciate your information. I was actually hoping you would respond. I read a lot of your responses to issues and it always seems helpful and right on track. I do agree that it is probably completely avoidable and I do believe that the simple carbs caused the issue. I do not typically eat that way but there unfortunately have been a few times and I need to know what to do if this ever happens again. I am definitely trying to conquer this but I still have some days that I do not make the best choices. Thanks again for your knowledge.

Every day can be a struggle.