@jayefaye my experience with Dumping Syndrome mirrors yours quite a bit. Almost any meal raises my blood sugar dramatically, then causes it to plunge. If I don’t get in front of the drop with some candy, juice or more typically a Glucose Shot (liquid) or Glucose Gel I can get sweats, disorientation and in extreme cases even hallucinations. (Sweating soaks through all my clothes and leaves me shivering until I shower and change.).
I have tried arcarbose with no relief. I now wear a Libre 3 Continous Glucose Monitor which gives me real time levels and helps me stay ahead of drops and avoid driving when my sugar is in flux. The new app also has an “assist” AI app that lets you photograph meals and predicts the expected impact which is helping me modify meals. I’ve reluctantly, sadly reduced carbs and focus most meals on protein and vegetables.
I will be three years out from surgery in mid-April. I am 6 feet tall and pre-surgery was a tubby 235-240 lbs. At my lowest a few months post surgery I was about 145 lbs. Currently I am in the low 160’s day to day and able to enjoy the occasional beer, but carbonation is still not my friend. In the last few months I have finally been able to sleep reasonably flat with just a couple pillows under my head so things do improve.