So I went to see my doctor today with my laundry list of things to talk about as usual. I always go with a list unfortunately, I think it is all part of the getting old crap and let me tell you I don’t like it – not one bit!!
One of the things I wanted to talk to him about was these Sugar Binges I have been having from time to time. Do you remember my post back at the beginning of July – I was possessed and had a Late Night Sugar Binge? Well last night it happened to me again. Here is the story; We had gotten Chinese Food for lunch and I got Garlic Beef and Shrimp along with the Fried Rice Combo. I ate part of it for lunch and saved the rest for dinner. So later at night I heated up the leftovers which now was mostly rice and some veggies and not much protein left in it. I knew I probably should not eat all that rice, but like an idiot went ahead and ate it – all of it. It was probably about 1 1/2 cups of rice left in there – rut roh that’s a lot.
Not long after I got really sleepy as I always seem to get after eating a heavy dose of carbs. But I had some stuff to do on my computer and did not want to fall into a carb coma. As I was on my computer about an hour or so later I started to not feel right. I was able to feel this wave go through me as my blood sugars dropped along with my blood pressure probably. I started to get a bit shaky, weak and drunk feeling and feel as though I needed to eat sugar ASAP. So up the stairs I went to my baking cabinet, pulled up the chair and went nuts.
My daughter sat there and watched as I ate Gummy Jolly Ranchers, Sweettarts, Rock Candy and then I poured some Sour Blue Sugar stuff in my mouth. It is almost as though I get into a sugar trance as I have said in my other post – it is crazy, really crazy. The picture to the right is my blue tongue after I was done binging that I texted to my friend telling her I had another sugar binge.
So why were these crazy episodes happening to me? Of course after the one last night I got online and googled my symptoms and found it matched what is called Reactive Hypoglycemia. Of course I was not going to officially diagnose myself with that until I spoke to my doctor. So today when I saw the doctor I did not tell him what my thoughts were and explained what was going on. Now this is my regular doctor not my Bariatric doctor. Well I was right, Yup I actually correctly diagnosed myself via the internet – can u believe it? lol. Best part – what is going on with me has a name other than CrAzY.
So here are the deets….
What is Reactive Hypoglycemia?
Hypoglycemia means low blood sugar. Reactive hypoglycemia is having low blood sugar after eating a meal or snack. This may happen after eating foods that are high in sugar or simple carbohydrates. It is thought to be related to dumping syndrome.
The Gastric Bypass Connection
Reactive hypoglycemia is common after gastric bypass surgery because of the lack of a pylorus. Following gastric bypass, food passes through the pouch via the stoma. In many cases, this can occur relatively rapidly, leading to quick absorption of carbohydrates in the small intestine. Under normal circumstances, the pylorus gradually introduces food into the small intestine. Following gastric bypass, the mechanism for moderation is removed, and food is “dumped” into the small intestine. This is the same mechanism behind dumping syndrome.
You have Reactive Hypoglycemia if you have:
Any symptoms listed below a few hours after having a meal or snack and these symptoms go away after eating or drinking
What are the symptoms of Reactive Hypoglycemia?
You may feel one or more of these:
What should you do if you think you have reactive hypoglycemia after having a meal or snack? For starters don’t panic you can fix it by bringing your sugar levels back up. Having low blood sugar is not good for your overall health and can be life-threatening. I know scary right?
They say to pick up a Blood Sugar Meter which I am going to do to have on hand myself now that I know this is what I have.
If you think you are having a reactive hypoglycemia episode and have a meter check your blood sugar. If your blood sugar is less than 4 mmol/L, you need to treat it to bring your sugar above 4 mmol/L. Following the steps below.
When your blood sugar is less than 4 mmol/L:
1. Take 15 grams of a fast acting carbohydrate right away. This will raise your blood sugar quickly. Examples of fast acting carbohydrate include:
• Chewing 3 to 4 dextrose or glucose tablets (read the label), Drinking ¾ cup (175 ml) of juice, Peanut Butter and Crackers or Cheese to name some that will help.
2. Wait 15 minutes and check your blood sugar again.
3. If your blood sugar is still below 4 mmol/L treat again with one of the fast acting carbohydrates listed above.
4. Repeat these steps until your blood sugar is above 4 mmol/L.
You may feel like eating sweet foods like cookies, cake and candy. Even though these foods are high in sugar and can raise your blood sugar, your blood sugar will go too high too fast which is not safe. This can then lead to another low blood sugar because too much insulin is released. This is something I have been doing and I come to find out it is a no no.So if I have another episode I will no longer raid my baking cabinet that is for sure.
How can you prevent Reactive Hypoglycemia?
You can help prevent reactive hypoglycemia by following your diet guidelines for bariatric surgery.
• eat 3 healthy meals and 2 healthy snacks each day
• space meals and snacks 2 to 3 hours apart
• eat protein at each meal and snack time
• avoid skipping meals and snacks
• avoid or limit alcohol depending on what stage of diet your are at
• avoid or limit caffeine depending on what stage of diet your are at
• avoid sweets like cookies, cakes, candy, pop, juice and sweet drinks
Instead of sugars and simple carbohydrates, eat complex carbohydrates because they release less sugar over a longer period of time. Having a complex carbohydrate with protein will slow this release even more.
So this is yet another thing I was never told about prior to having my Gastric Bypass Surgery and will have to live with this going forward. I did not have this in the beginning probably started about a year post op which they say is about when it can occur for most. But wait there is more… My doctor wants me to get an appointment with my bariatric doctor to discuss this issue and have more testing done. There is another part of this called NIPHS Noninsulinoma Pancreatogenous Hypoglycemia Syndrome. This diagnosis is more rare, but not uncommon and it effects Gastric Bypass Patients. This sometimes requires surgery to have part of your pancreas removed. I honestly do not think I have that it is the more extreme side of things if you have the drop in sugar pretty much after every meal. Like I said that is very rare and I cannot even find a good link to share with you explaining exactly what it is, so sorry about that.
I will make an appointment with my bariatric doctor and see what he has to say about it all, but again I know it is just the Reactive Hypoglycemia. I will however do the following going forward… I will never eat a meal that is only carbs which is when it happens to me in all the times I have had episodes. I will also be purchasing a Blood Sugar (Glucose) Meter and glucose tablets to keep on hand.
If you think you may be experiencing Reactive Hypoglycemia please make an appointment with your doctor to discuss. I am glad I found out what it was that has been going on with me and now I will avoid doing the things that cause it to happen and hopefully not go through that again.
I also spoke to my doctor about my SAD Seasonal Affective Disorder as I explained in my last post and I will be adding some Wellbutrin to the Celexa I currently take now for my depression just for the fall/winter months to help try and avoid that depression from hitting me hard.
Then I got a cortisone shot in my right shoulder (pictured above). Normally I get them in my left one, but now my right has been acting up and in lots of pain so he did that one today. I cannot wait to wake up tomorrow without that pain – so excited. Notice the smiley on my band aid? My doctor likes me and knows how much I hate needles so he does that just for me!!
Then we added another new med to my pile for this damn bladder issue I have had for quite some time now. My bladder does not seems to empty all the way when I go (Yes TMI TMI). So I will try this new med to see if it helps and also go for some testing to see what may be going on. Not looking forward to the side effects being dry eyes and mouth, but if it helps who cares right?
Oh and he also looked at my sinuses which are always a mess and I have horrible swollen turbinates in there. I get horrible sinus headaches all the time and do sinus spray before bed cause when I wake up in the morning is when it is at its worst. Well he said one side was pretty swollen, but being I still smoke (I know I do not need the lecture) it irritates them worse – which I knew. So I will continue my Flonase, allergy meds, warm compresses and whining for now.
So as you can see I keep my doctor on the ball with all my issues huh? Yup I am a mess. As I continue to age my body is just falling apart.
But in the end at least I am skinny now right?
So that was my day today. I would love to hear from you if anyone has experience with this Reactive Hypoglycemia. If you do please comment below. Sorry this was a long post, but wanted to give u all the update.