Question:
Today I drank some orange juice at work. I have had oj many

times but this time I dumped BIG time. My friend at work is a diabetic and had her test kit with her. She let me puncture my finger and put a drop of blood on her tester or whatever it is called. My blood sugar was 27!!! That is extremely low and I don't understand. I thought sugar raised the blood sugar. Please help me to understand this. Is this dangerous?    — Mylou52 (posted on June 12, 2003)


June 12, 2003
Marilyn - my understanding of the hypoglycemic part of dumping (sometimes referred to as late dumping) is since the sugar-containing product (and liquids seem to do it more than solids) passes through the pouch and in to the intestine so quickly, that it is sensed as a much higher concentration than what it really is. The pancreas dumps a bunch of insulin into the system - too much actually to counteract the short-term spike in the blood sugar. So you end up with a hypoglycemic reaction from this excess insulin. Actually, something with protein is better for low blood sugars than carbs. How many times do you eat a day? I eat 5-6 meals a day on the recommendation of my nutritionist who feels that this is better for keeping blood glucose level from swinging wildly...JR
   — John Rushton

June 12, 2003
Did you have anything else before the OJ? I have hypoglocemia, and if I have an elevated blood sugar before drinking juice, the juice will top it off and cause an extreme amount of insulin to dump into my body, causing a plung in blood sugar. If this in fact happened to you, that would explain the very low sugar. Just my experience...hope it helps.
   — Sylvia E.

June 12, 2003
I get that alot, I feel ,like I am going to pass out...now I realize what it is.....
   — Nilda G.

June 12, 2003
Thanks to you all for your help. John, I checked the library and found a great article on reactive hypoglycemia that I think you recommended. Wow, I never knew this existed but it is so similar to dumping, it would be easy to think it is just simple dumping......simple? Did I say that? Nothing simple about dumping one day on OJ and then being able to drink it the next day. Not that I will try! I don't think I will touch OJ again. By the way, I did eat protein (sausage link and scrambled egg) before the OJ. This is something I will definitely look into. The article is at http://www.hcf-nutrition.org/diabetes_disease/hypoglycemia_article.html It is very interesting. Thanks to all!
   — Mylou52

June 12, 2003
Sorry you dumped. Maybe it would help if you mix your orange juice 50% juice & 50% water. That way you get the flavor of the oj but not so much sugar.
   — Jennifer A.

June 12, 2003
I lived on juice pre-op. Drank it more than sodas but post-op I cant even drink it mixed half and half with water with out dumping. But for some reason I can eat fruit without dumping. So now I get my juice fix by eating an orange or apple. We also get the added bonus of fiber when we eat fruit. Yes, it is ok for me to eat fruit per my surgeon. ~Sidney~ Open RNY 10-23-02 down 100 and counting
   — Siddy I.

June 13, 2003
I love OJ post op. It is about the only juice I can drink. I mix mine 40% juice to 60% water and put lots of artificial sugar in it. I love it that way. Never have dumped on it, but will on other juices.
   — Danmark




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