Fighting hypoglycemia

I have been hospitalized three times since July for hypoglycemia.  I am 12 years post op RNY.  I am trying to lose the last of my steroid weight gain, I have about 25 more pounds to go.  I am eating exactly as the dietician told me to.  I'm getting in all my protein, correct number of carbs, and testing my blood sugar four times a day.  I am eating six small meals a day.  But I am still having trouble with low blood sugar.  Rarely is my sugar over 85, even after I have eaten!  Does anyone else experience this?  In the hospital they even accused me of taking glimiperide, like I was purposely lowering my blood sugar!  I'm not CRAZY and not an attention seeker!!!!!!  I had to quit nursing school for the semester because of being hospitalized and it cost me lots of money, not to mention pushed back my graduation date!   Does anyone else have any helpful hints as to how to deal with this?  I'm doing all that I know to do!  

Thanks,

Stephanie 

I haven't had this issue and I'm long-term post-op (14 years) like you are.  Have you talked with the dietitian about this?  I think it would be worth a call and even a follow-up appointment with him/her so you know what to regularly eat so your BS numbers aren't too low.

Check out these:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3190577/

https://nfb.org/images/nfb/publications/vod/vod211/vodwin060 8.htm

You mentioned steroids....

How long had you been on them and when did you stop?

Sometimes steroid use may lead to steroids induced adrenal insufficiency. 

I deal with Secondary Adrenal Insufficiency. Until i was properly diagnosed i dealt with hypoglycemia and severe reactive Hypoglycemia. 

Now i am on cortisone (daily, divided dosage) to suplement what my body does not make.   

When i was dealing with the issues before (low BS, low BP, depressed and tired..low energy etc ) i suspected either adrenals, thyroids or... Insulinoma (body makes too much insulin - causing low BS, weigh gain, and other issues.)

T took me a year to be able to see a great endo who did not dismissed me and run tests to determine what it's going on. My first endo i saw was a moron... Thanfully i knew better to take his opinion of my issues seriously...(he did not think i needed any tests and told me it was my fault for having RNY..and too deal with it..)

In 04 they diagnosed me with Addison's disease only to be told later I did not have it.  What tests did they use to diagnose your adrenal insufficiency?  I have been on and off steroids since 04.  My last round was This summer right before this all started.

I had the typical morning blood tests (all hormons) . That show borderline low cortisol, and acth, HGH...etc...

Then i had a few hours long insuline stimulating tests...

Were found out that i not only have insuline resitance, but that my body was very slow responding to very low BS, (20-30s) ..and the reaction (elevated acth, cortisol, ) were very short lived...

That plus my overall symptoms... Hypoglycemia, (even with very strict diet) depression, very low energy,low BP, ortostatic low blood pressure,  inflammation in the body...etc etc...

I am on a full replacement dosage of 25 mg per day in divided dosages...(as needed)

I did not gained weigh on it,  i was able to lose 15 lbs because i no longer had to eat carbs to manage my BS.  Plus i can be more active without worrying that i would pass out either due to low BS or low BP.