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?

I had my bypass 10 years ago and I lost 180lbs.
I am 5'3" and I was between 165-175lbs for 9 years and I was having what I thought were hot flashes for the past 3 years. More and more frequently.
In February 2024 I had my gallbladder removed and I gained 24 pounds!
Those who have been through weight loss surgery know the terror, not using that word lightly, that caused.
I was trying to lose it but noticed I was having more "hot flashes" and shook it off because I was 58 years old and I had a full hysterectomy when I was 31 and had no idea when to expect those symptoms to hit me.
The "hot flashes" were more frequent and more than just feeling hot. I was getting scared. I also have CRPS and I am on narcotic pain medication and have been for over 20 years. I know what withdrawal feels like and I noticed that was what it felt similar to when I was having a hot flash.
Finally one day the hot flash was so severe I couldn't stand up and I started to shake. I was unable to think clearly and then I took a drink of iced coffee and started to feel better in a few minutes. I ate a little bit of chocolate and I was quickly feeling better.
I have talked to my doctor and we're trying acarbose and a few other meds. I have a wearable glucose meter and I have several severe drops especially late in the day. If I eat the small meals over the day (600 calories per day) I gain weight. I have been eating 1 small a meal per day for 8-9 years and maintained the 165-175.
I was diabetic, high blood pressure, had hypothyroidism and a host of other health issues that left with the weight.
The minute I put the 20 pounds back on after the gallbladder surgery I was watching my blood pressure sneak back up and I honestly felt FAT.
I need to lose the 15 pounds I'm still carrying over my comfort zone (which is still obese by the charts but my doctor says is fine for me) and I'm no where near controlling my glucose with meds or diet yet.
I would love to talk with others who have had success in controlling the glucose while maintaining the weight loss.
Is ozempic or something that is not a pill I have to take a few times a day (I take 3 because I only eat once although I try to eat something in the morning now)better? I know it works for a week or so at a time rather than the pill that is only effective for a few hours.
Does the no carb diet work for anyone especially when we can't eat much daily so we don't eat many carbs as a rule.
Any success stories and what works for you would be great to share with my doctor who is actually going through the same thing!