Why does gastric bypass cause reactive hypoglycemia?

Why does gastric bypass cause reactive hypoglycemia?

Patients typically present with post-prandial hypoglycemia 1-5 years after their surgery, often after weight stabilization. Most concerning are the subset of patients who present with symptoms of neuroglycopenia. Hypoglycemia in these patients is felt to be due to an altered GLP-1 response in the post-prandial period.

Which is the best treatment for a patient with hypoglycemia who is responsive?

Patients normally respond within 15 minutes; IV glucose must be administered as soon as possible to any patient failing to respond to glucagon. IV dextrose is the best treatment for inpatients and for patients found by emergency medical services personnel.

Does exercise help reactive hypoglycemia?

A 2019 review notes that anaerobic exercise, such as high intensity interval training (HIIT), may reduce the risk of hypoglycemia in people with diabetes.

How do you reverse dumping syndrome?

Lifestyle and home remedies

  1. Eat smaller meals. Try eating 5 or 6 small meals a day rather than three larger ones.
  2. Lie down after meals.
  3. Drink most of your fluids between meals.
  4. Drink 6 to 8 cups (1.4 to 1.9 liters) of fluids a day.
  5. Change your diet.
  6. Increase fiber intake.
  7. Check with your doctor about drinking alcohol.

Can you become diabetic after gastric bypass?

Diabetes After Bariatric Surgery Obesity greatly increases the risk of developing type 2 diabetes, a lifelong disease in which your body does not properly process glucose, a kind of sugar, in your blood.

Can missing a meal cause low blood sugar?

A skipped meal alters the balance between food intake and insulin production, and can cause your blood sugar levels to eventually drop. “For diabetic people dependent on insulin or blood sugar–lowering medication, skipping meals can be more dangerous because it can lead to low blood sugar,” says Pearson.

What medications treat dumping syndrome?

Doctors may prescribe acarbose (Prandase, Precose) link to help reduce the symptoms of late dumping syndrome. Side effects of acarbose may include bloating, diarrhea, and flatulence.

How can I avoid 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 reactive hypoglycemia go away?

Reactive hypoglycemia usually doesn’t require medical treatment. However, any underlying medical condition will need to be treated. Dietary changes often help lessen your symptoms.

What foods cause reactive hypoglycemia?

“Simple carbohydrate foods like white rice, white pasta, potatoes, white bread, bakery items such as cake, pastries, pancakes or waffles can also lead to this reaction,” she adds. Simple sugars, such as candy, sweetened drinks, honey and table sugar can contribute to as your body breaks them down to sugar immediately.

Can hypoglycemia turn into diabetes?

Undertreated diabetes Fear of hypoglycemia can cause you to take less insulin to ensure that your blood sugar level doesn’t go too low. This can lead to uncontrolled diabetes.

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