Reactive Hypoglycemia after Weight Loss Surgery: Identifying, Preventing and Treating 

This is very timely! The other day, I watched your video about dumping syndrome, so this was a good continuation. I am about 4 months out from RNY surgery. Everything went well. I had about 3 incidents of early dumping when I went back to a regular food diet. Nothing for weeks. I can eat almost anything in moderation. (I haven't tried birthday cake.) In the last couple of weeks, I've started having late dumping. So, we happened to be going to our GP for my husband yesterday, and I included myself in his appointment and got a prescription for a Libre Freestyle 3. I've just finished getting it started. I think it's going to be a game-changer. I was "on the cusp", but not diabetic before surgery, so I thought it was interesting that you said non-diabetics are more susceptible. About the same time I noticed that I was more reactionary, I started on caffeinated coffee again. That may also be a factor. I track my data on the Lose It! app, but I think I will keep a food log with the times noted for the next few weeks. Well, thanks for listening, and thanks for this very informative video. I really appreciate you!

Brilliant reel. Only a week out but experienced what I thought was this after eating an ice lolly. Great info, great presentation

Hey Kaki hope your doing well! 😊This was very helpful info. As I mentioned in the past I had the sleeve and I been doing well and practice good nutrition since surgery in March. I think I may have had one slight issue but I do very good so far. Thx again for explaining so well this subject

Ive only had one incident of hypoglycemia since my surgery just over a year ago. It was probably at month 10. I had a 1/2 a serving of oatmeal with a serving of Dannon light and fit yogurt (which I eat just about every day). About 2 hours later it hit me while I was driving. So dizzy I felt like I wanted to throw up, felt faint and started sweating. I really believe I would have passed out had I not eaten the granola bar in my bag. Ive eaten that same thing 100 times prior to then and many times since then. But I NEVER go anywhere without something containing sugar in it in case it happens again. Oh and I felt like I had been hit by a truck for the rest of the day. When I was finally able to drive again, I went home and slept for 4 hours. Hasnt ever happened again.

Valuable information as always. Thanks!!!

Hi Kaki very informative video. I know I’ve experienced this but never knew what was happening so I’ll be keeping a closer eye on it. Thank you 😊

This video has been very helpful, I enjoy your channel. I have had diabetes over twenty years. After my gastric bypass my blood sugar was low. Usually in the low fifties to low seventies. It finally evened out and I have been doing good for the past six months. I have been having problems the last few weeks. I am going to reach out to my dietitian. Thank you!

This is a recent issue for me at 15 months out. Not pleasant. My worst episode I almost blacked out with a bs of 25. I think I have it under control right now.

I had Roux and Y in 2005. I am now quite disabled with this. It is sporadic and I was prescribed a monitor but it was not covered. I am interested in the zoom dietician. I also will look into purchasing the monitor myself.

Thank you for this video! You always have great information. I saw the dietician for the first time today, and she was very helpful as well. I had already started controlling my RH better since having my Libre...but she helped me fine tune some things and I am hoping it will make things even better. I pay OOP for the libre and to me, it is very worth paying for it. I do need to work on not being so scared of all carbs and get over that mental hurdle. I have been eating 60g or less a day worried I will have a drop, but she also suggested 30 g a meal, 15 g a snack like you mentioned and make sure I eat a small snack with proten and carb 30 minutes before I go to the gym.. So, I will try it and see what happens. When and how do you treat your lows? She suggested that during a drop, if my arrow is facing down at the 4 oclock position, I should be able to just eat a small snack to head off going low but that if that arrow is going straight down, try 1-2 glucose tabs... then when it stabilizes, have a small snack. Would you agree with that?

If you don't mind, can you share how old you are? I just got approved for this surgery, and I'm 62. I have been doing research and watching others' videos and noticed there aren't many that are documenting the journey that are my age.

Do you know if the medication metoprolol can cause RH or mess with your glucose levels? There is some info on the internet about it causing hyperglycemia. I was put on a low dose 12.5 mgs after my surgery for benign palpitations caused by either the bypass w HH repair, Covid 2 months PO or thrown into menopause at the same time or all 3 lolol just wondering if it could have contributed to me getting RH. I don’t see my cardiologist for a few months to ask about it but honestly, not all physicians are educated on RH so I’m not sure how that conversation would go. I will take any advice you have on the subject.

Can you provide me info on gastric bypass dietitian specialist