How do you deal with hypoglycemia after gastric bypass?


  1. Control portions of carbohydrate – 30 grams/meal, 15 grams/snack.
  2. Choose low-glycemic carbohydrates.
  3. Avoid high-glycemic carbohydrates.
  4. Include (heart-healthy) fats in each meal or snack – 15 grams/meal, 5 grams/snack.
  5. Emphasize optimal protein intake.

Can you have gastric bypass with hypoglycemia?

Hypoglycemia can be a complication of bariatric surgery, due to metabolic changes that cause excess insulin production after meals. It is often challenging to recognize as symptoms of hypoglycemia are similar to other disorders, such as heart rhythm problems, generalized anxiety disorder or adrenal insufficiency.

What is the treatment for reactive hypoglycemia?

Treatment for Reactive Hypoglycemia Eat 15 grams of carbohydrates, then check your blood sugar after 15 minutes. If it’s still below 70 mg/dL, have another serving. Repeat until your blood sugar is at least 70 mg/dL. Talk to your doctor to see if you need a new treatment plan.

What causes reactive hypoglycemia after gastric bypass?

Post-bariatric surgery hypoglycemia, also known as reactive hypoglycemia and late dumping syndrome, is a metabolic complication in which a spike in glucose levels after eating a meal stimulates a high secretion of insulin which leads to low blood sugar.

What foods should Hypoglycemics avoid?

People suffering from hypoglycemia should avoid certain foods, such as trans and saturated fats, sugar-rich foods, processed foods, excessive caffeine, and alcohol.

What does sugar do after gastric bypass?

For patients having Gastric Bypass surgery, food and beverages that are high in sugar may cause symptoms of flushing, dizziness, weakness, headache, nausea, vomiting, diarrhea and abdominal discomfort known as Dumping Syndrome. ✓ Avoid high sugar foods such as sweets, candy, fruit drinks and sodas.

What causes the hypoglycemia that occurs after meals in patients who have had a gastrectomy?

In late dumping syndrome, a large amount of sugar enters the small intestine at once, which the body absorbs quickly. This causes the pancreas to release an excessive amount of insulin, leading to very low blood sugar levels (hypoglycemia).

What triggers reactive hypoglycemia?

Reactive hypoglycemia is low blood sugar that occurs a few hours after eating a meal. It happens when a person has too much insulin in their blood at the wrong time. Insulin is the hormone that enables sugar to enter cells from the bloodstream. Within cells, sugar serves as the primary source of energy.

Can you reverse hypoglycemia?

In the short term, if you are hypoglycemic you can take steps to bring your blood glucose back to normal with a small serving of a quick sugar food such as fruit juice, honey, soda, milk, or hard candy.

How do you reverse hypoglycemia naturally?

Hypoglycemia (Holistic)

  1. Choose foods with fiber. Stabilize your blood sugar by eating fiber from whole grains, beans and other legumes, vegetables, and fruit.
  2. Eat light, eat often.
  3. Give chromium a go.
  4. Cut back on refined carbs.
  5. Say no to alcohol and caffeine.

Can you ever eat sugar again after gastric bypass?

Any drink with sugar, corn syrup, or fructose is something to avoid post-gastric bypass. Drinking sugary drinks like soda and some fruit juices while on your diet can lead to dumping syndrome. Instead, choose water, unsweetened packaged drinks, decaffeinated coffee, and tea.

How is postprandial hypoglycemia treated after Roux-en-Y gastric bypass?

Use of diazoxide in management of severe postprandial hypoglycemia in patient after Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2013;9(1):e18–e19. [ PubMed] [ Google Scholar] 55.

What is a roux-en-Y gastric bypass?

Gastric bypass, also called Roux-en-Y (roo-en-wy) gastric bypass, is a type of weight-loss surgery that involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.

What are the benefits of gastric bypass for the treatment of hypoglycemia?

Gastric bypass reduces symptoms and hormonal responses in hypoglycemia. Diabetes. 2016;65(9):2667–2675. [ PubMed] [ Google Scholar] 36. Meier JJ, Butler AE, Galasso R, Butler PC.

Is reversal of RYGB a treatment option for postprandial hypoglycemia?

Conclusions: Reversal of RYGB is an effective treatment option for severe postprandial hypoglycemia. The pathophysiology of this disorder is primarily due to RYGB anatomy resulting in altered glucose, gut, and pancreatic hormone levels and decreased insulin clearance, rather than inherent β-cell hyperplasia or hyperfunction.