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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Gastric Bypass, Have Low BP, Low Blood Sugar. What Is Going On?

i had gastric bypass in november of 2010. i started to get low blood sugar episodes in the beginning of 2012. it was like a once a month occurance then it went to a couple times a month then once a week then couple times a week now its every single day i have an episode of low blood sugar, the lowest it has gotten is 28 (when i checked it myself). a few days ago it dropped twice in less than two hours. what is going on?
Sat, 9 Feb 2013
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General & Family Physician 's  Response
hello,
welcome to healthcare magic
from the symptoms you have mentioned, it is one of dangers of gastric bypass surgery it is called
hyperinsulinemic hypoglycemia - this occur a year and two after the procedure, symptoms are caused due to increased insulin secretion which result in tremors,palpitation,sweating,hunger or anxiety,fatigue,confusion,seizures and loss of consciousness.
these occur 1 to3 hrs after meals and increase in frequency and severity as time moves on
treatment is usually eating small frequent meals consisting of vegetables, whole grains, proteins and fat.
in severe cases hospitalization is necessary with tube feedings.
in life threatening cases reverse the bypass or removal part of pancreas to reduce the increased insulin production.
would suggest visit a specialist for review
hope to have answered your query
get well soon.
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Had Gastric Bypass, Have Low BP, Low Blood Sugar. What Is Going On?

hello, welcome to healthcare magic from the symptoms you have mentioned, it is one of dangers of gastric bypass surgery it is called hyperinsulinemic hypoglycemia - this occur a year and two after the procedure, symptoms are caused due to increased insulin secretion which result in tremors,palpitation,sweating,hunger or anxiety,fatigue,confusion,seizures and loss of consciousness. these occur 1 to3 hrs after meals and increase in frequency and severity as time moves on treatment is usually eating small frequent meals consisting of vegetables, whole grains, proteins and fat. in severe cases hospitalization is necessary with tube feedings. in life threatening cases reverse the bypass or removal part of pancreas to reduce the increased insulin production. would suggest visit a specialist for review hope to have answered your query get well soon.