caffeine
I am 2 years out from my RNY. Started to gain back weight about 8 months ago. Now at a 20 pound gain! I went to nights at work, and started downing the coffee, and have continued to do so. A dietician said that anyone who is 2 years out, gaining weight, should cut out all caffeine. Something about the caffeine makes the pancrease produce extra insulin. I have been hypoglycemic for awhile now. Any ideas?
All I know is caffiene is a diuretic and doesn't help with your water intake. I've always heard that for every cup of a caffienated drink you need to drink 1 1/2 cups of water. Also, a nurse at our last support group meeting said that RNYers have to be very careful about drinking too much water, that it tends to give us ulcers more frequently. I'm not sure if she meant in the early stages or forever. The guy asking the question was a newbie and was being admonished for drinking so much coffee. Don't know about the insulin question.
There is a medical journal article:
Kerr, D., Sherwin, R.S., Pavalkis, F., Fayad, P.B., Sikorski, L., Rife, F., Tamborlane, W.V. and During, M.J. 1993. Effect of caffeine on the recognition of and responses to hypoglycemia in humans. Annals of Internal Medicine. 119(8):799-804.
http://www.annals.org/cgi/content/full/119/8/799
"Conclusions: Acute ingestion of caffeine is associated with sympathoadrenal activation and awareness of hypoglycemia at a glucose level not usually considered hypoglycemic. Our data suggest that individuals who ingest moderate amounts of caffeine may develop hypoglycemic symptoms if plasma glucose levels fall into the "low-normal" range, as might occur in the late postprandial period after ingestion of a large carbohydrate load. "
So that sounds like if you ingest a bunch of caffeine... you might feel hypo even if your blood sugar is in a low-normal range which is the range that often blood sugars fall into after ingesting large amounts of carbs.