Hyperinsulinemic Hypoglycemia Following Gastric Bypass - Testing

by Mary-Elizabeth Patti, MD 
via Joslin Diabetes Center, Boston, MA

(I captured the slides from a PPT presentation, there's lots of juicy information in there.)

I am headed to Tufts for a Mixed Meal blood lab on Wednesday.  

This means, I have to eat something that I know will trigger me into a low.  

That's easy as pie.  Err, not pie, but likely two frozen waffles, or a cup of Kashi, or a half stick donut from Dunkin' Donuts.  Those are known assailants.  The endocrinologist wants to prove that I will drop under 50-55 mg after a "mixed meal."

You may recall I did this EXACT TEST a few years ago, with a liquid meal, and I did not get very hypoglycemic, though I got horrifically sick to my stomach and had partial complex seizures.  (Which were undiagnosed at the time, because I thought it was "hypoglycemia.")

(But, I am glad to do it again, to prove that it still happens, it's OBVIOUSLY A PROBLEM, and that it could very well be the cause of why MM has had several car accidents and countless seizures even if MD's believe that hypoglycemia is the trigger of anything.  That's just MY theory 'cause I live in this body.  But, to be frank, it makes me a little sick to think that, "What if I was right?  What if I find out that these seizures ARE because of the blood sugar, and nobody listened to me?"   

I'm over here swallowing 11 anti-seizure pills, and the neurologist twice has suggested brain surgery.  Yeah, you didn't know about that.

PS.  You know, I am reading back into my archives, looking for those trigger meals?  With the photos, and I realized, I don't test much.  I am so medicated, that I rarely "feel" lows until I am cuckoo.  

I don't eat poorly enough to GET that low, either, but I'm not pricking my finger, because when I feel out of it, I'm OUT OF IT.

PPSS.  Or whatever.  I pricked myself now- because - I am a little edgy and pacy - one of my early signs that I should probably test because I am either going down or will have a seizure.  Three strips later, and three error messages?  LOL.  Nevermind.