(If you're a new reader, this one won't make much sense unless you delve into my Hyper Hypoglycemia archives.)
Really, it is fun to dump on purpose.
When you have to drink a twenty-two gram of sugar nutrition drink in three minutes and you Just Know you're going to dump, and hard, within minutes, it's wicked fun.
And, dump I did - in more than one way, kids. I chugged that vanilla Ensure down, and at about five to ten minutes post-drink, my heart was pounding, then came some super-fun nausea.
Soon, I became lethargic and cranky, and then, Diarrhea? For everyone! I felt the impending doom, coursing through me, but I couldn't use the facilities, I had to have a commode. After the Ensure swirled around my insides taking whatever was left of my colon with it (let's just say THANK GOD I WAS FASTING, And, I'm so sorry to my nurses) I got hypoglycemic, at least I think I did? That was part of the point, anyhow. That is also why I was given the portable potty - because I could have damaged myself if I got super-low while going potty.
I say I "think I did" get hypo, because the nurses started asking me bizarre questions, and I couldn't answer clearly. Bob says I couldn't say the kids names, and I asked for "sugar, I need sugar," and then whistled? (He also shared with the doctor that I will do that in the middle of the night, talking and whistling, during lows, or so he thinks, or I'm just nucking futs.)
After I came out of the dump and subsequent low, I was given food to bring my sugar to a normal level.
I then visited with a nutritionist, who gave me more information about eating to avoid lows, as best I can. She's cool with my eating six to eight times a day, in small snack-like meals. She asked me to add complex carbs to my meals, 15 grams per meal, and fats to slow the digestion of the food. It's basically following the low-glycemic index, and adding complex slow digesting carbs and healthy fats in my diet. Simple, right? Sure. It should be, but I'm not normal.
The goal is to slow the reactive hypoglycemia cycles, which are right now, unpredictable at best and seemingly unrelated to what kind of food I eat sometimes.
The doctor explained to me that they are in the process of trying to study this condition, the postprandial hypoglycemia after gastric bypass surgery, as it is becoming more prevalent. (Which is why I went to her- I've joined the study of this condition, and will be part of the medical journaling of it, and I had to sign my life away to become a numbered test subject.)
She was also sure to tell me that the stories I read of other people dealing with this issue are very extreme, and are not the norm. One article, that she co-authored, followed just five people. who had dealt with extreme hypoglycemia resulting in the surgery to remove the pancreas tissues. She explained that while it is very serious, it's generally rare, but becoming more prevalent as more people have gastric bypass.
Her goals for me is to keep my blood sugar level in a "safe" and manageable range, to avoid putting myself (or anybody else) in danger. Low blood sugar can kill, either by putting you into a coma or causing you to do something stupid while you're low, like crashing your car.
I am to:
- complete a food diary and fax it her her, with pre/post blood glucose levels
- train Bob to test my blood glucose at night when I make unusual sounds/movement while sleeping in a "nightmare"
- train everyone to give me a Glucagon shot if needed in an emergency, (I've got the RX, which was refused to me previously by my PCP's office)
- eat a slow-digesting bar twice a day to maintain blood sugar (she gave me samples, but.. I think I need to find an alternative, this one has maltitol = death by intestines)
- Take two of these bars a day:
I go back for a glucose tolerance test next week, and I'll send her my food diaries in a few days, and we'll plan out treatment as necessary. The first line of defense for this condition is diet, then medication, then series of medications and finally surgery if necessary, which, is really The Last Resort.