Anyone have gastric bypass reactive hypoglycemia?

@bonjingle welcome to Mayo Clinic Connect. I have never heard of this particular ailment but am interested in following this to see what responses you get. I am 50 plus years diabetic (Type 1, pancreas transplant, Type 2). I am very familiar with episodes of hypoglycemia and the inevitable rebound spike of hyperglycemia. This has mostly occurred in conjunction with using glucagon or another agent to treat hypoglycemia such as Baqsimi (a nasal spray product). The end result can be a miserable never ending roller coaster ride between low and high blood sugar. I think the perfect balance and dose can be a challenge. Could you post again to report on your progress with low dose glucagon?

Sure, I can post again. This problem is very much like being a type 1 diabetic without the ability to control your insulin dose because it is intrinsic. Thanks for sharing

Hi, I would love to hear what you’ve found that works for you?

@ellemmmmm Welcome to Mayo Clinic Connect! I’m not sure who you are asking your question of so I just barged in, sorry! If you are asking about treatment for hypoglycemic reactions (low blood sugar) I can tell you the standard response. (It is what usually works for me.) I consume 15 grams of carbohydrate, such as fruit juice (OJ), wait 15 minutes, test and repeat as needed. I use juice because the liquid is easily absorbed. I keep hard candies in my pocket, purse and glove compartment of the car when I am out and about. Did you know that Life Savers were invented and named for this purpose? If your blood sugar is REALLY low, like less than 40 you can start with 30 grams of carbohydrate. Waiting and testing again is the hardest part but it is important because if you don’t do that you can easily overcorrect and send your blood sugar into 300’s, 400’s, 500’s. It comes from a panic of eating &/or drinking everything you can get your hands on. When I say “test” I mean use a glucometer to get a finger stick. Now that continual glucose monitors (CGM) are becoming more popular I have learned that they aren’t always accurate in this type of situation. I use a Dexcom G6 and have been told by the manufacturers that they can be inaccurate below 60 and above 400. I have also noticed serious discrepancies in the 24 - 72 hours after a sensor change.
I take it that you are diabetic and are looking for ideas “that work”. What are you currently doing?