No fasting.

I spoke with the endocrinologist today -- he says that he did some research over the weekend and decided that the three day inpatient fast is unnecessary -- that some of the original studies of post gastric bypass insulinomas and nesidioblastosis cases were identified with shorter simpler tests.  Some, of which I have already done, at least partially until I had a seizure.  

One, in particular, a mixed meal study.  So, I'm off the hook for the fast -- and perhaps can simply re-take a mixed meal study where an episode of low glucose and high insulin must be recorded after ingesting a carb/protein/fat combination.  If that is positive, then we can simply move on to other testing, perhaps an MRI, and other more invasive tests if necessary.  

The point is, I want to RULE OUT the nesidioblastosis.  

This really isn't ABOUT my damn pancreas, I'm trying to save my brain from further damage if it's related to consistent low blood sugar.

Now, that said, the endo did say that if I test positive for this -- he won't treat it.  They've not dealt with a post gastric bypasser with this condition.  He suggested going back to the Joslin Clinic, and we can manage with medication, diet, etc... or surgery.  Although surgery is hardly helpful ... and can cause further problems.

Clear as mud, I know.  But, it's progress.