From those who have side effects from the operation, some do get the symptoms of RH after. Because of glucose dumping because whatever carbs and sugars you do have are turned into glucose very quickly. And of course the last thing that someone with RH wants is a high spike, which will trigger the insulin overshoot!Did any one considered or actually did a gastric sleeve or a bypass operation to get rid of RH or BG large swings? Some doctor suggested it although all my readings say that these operations may results in hypos!! Any experience?
Lamont, you know the pedant in me is strong.....As I don't know why it has been suggested, I would like to post what my own opinions are on what happens afterwards to some who have the procedure.
From those who have side effects from the operation, some do get the symptoms of RH after. Because of glucose dumping because whatever carbs and sugars you do have are turned into glucose very quickly. And of course the last thing that someone with RH wants is a high spike, which will trigger the insulin overshoot!
No matter the benefits of a gastric sleeve, the dietary balance to stop the hypos would be being in ketosis all the time. Which would mean any tolerance you have to carbs and sugars, would be lost!
Obviously the doctor doesn't understand how RH works or the science behind how hormones with food, intolerance and spikes can be so dangerous for those that have an imbalance of hormonal response.
In other words, No! I wouldn't even consider it!
I'm happy controlling the condition!
Did any one considered or actually did a gastric sleeve or a bypass operation to get rid of RH or BG large swings? Some doctor suggested it although all my readings say that these operations may results in hypos!! Any experience?
Because of the individuality of each RH diagnosis, simply because of our intolerance and the reaction of the overshoot. Levels of each are different to the symptoms, how much over normal levels does the reaction happen is worth knowing for control, Control is the key, and someone considering gastric sleeve and the possibility of side effects of RH and possibly glucose dumping, could do more harm than good.Lamont, you know the pedant in me is strong.....
I doubt ketosis is critical to the management of RH. I'd agree that a major part of manging RH is keeping swings in blood glucose to fairly shallow (like all things health, everyone will be a bit different), but I'd say mandatorily being fat adapted could be considered a bit OTT.
Lamont, don't get me wrong, using my analogy of the ball throwing at the ceiling, clearly it makes sense to thrown any ball softly, but where eating is the ball, we have to throw it.Because of the individuality of each RH diagnosis, simply because of our intolerance and the reaction of the overshoot. Levels of each are different to the symptoms, how much over normal levels does the reaction happen is worth knowing for control, Control is the key, and someone considering gastric sleeve and the possibility of side effects of RH and possibly glucose dumping, could do more harm than good.
My hypo hell before diagnosis, and being as much as possible within or just above normal levels is healthier in the future health treatment of RH. No spikes, no reaction, no overshoot, no hypos!
I have at times been describing intolerance to carbs, as a similar situation as an allergy. No one would advise having something like nuts to someone who had a nut allergy. So why when someone like me has an intolerance to dairy, is advised to have some cheese etc. Just because it is an intolerance.
Brown bread is just as bad as white bread, though the degree of reaction could vary!
I have to be so careful.
I don't know why I'm like this! But it is, what it is! I know how to control the condition, advising others, is always a bit of using my experience. An issue of how intolerant they are. But the bottom line, is being aware of the options you can use to get control, and stop the hypos!
Current NHS Nice guidelines have not got a clue, because it is so rare.
When you have a complete intolerance to carbs, why would you eat every three hours with porridge, baked potatoes and many other carb laden foods that cause the reaction? It is known by doctors that it is food that causes the hypos, so why keep it in the advice?
Sorry, got carried away again!
I do agree with you on some levels, that if you can't or have other conditions, it can become very complicated!
My best wishes.
Maybe I didn't explain it so well, I do get what you are saying and I agree to some extent. That is why I mentioned bread. So many variants, different outcomes, but carb laden. Spuds are worse than bread, bread is worse than pasta and so on but they all cause the reaction.Lamont, don't get me wrong, using my analogy of the ball throwing at the ceiling, clearly it makes sense to thrown any ball softly, but where eating is the ball, we have to throw it.
I also wholly agree with you on individuality, but that is the absolute reason I can't agree with you that being in ketosis all the time is important.
I don't live with RH, but I do know someone who does, who finds that, for them, some types of carbs are much worse than others in terms of a carb for carb RH response. In other words they can manage to eat x of, say, sugar and not have a hypo, whereare the same number of carbs, from, say, bread would almost certainly lead to an uncomfortable hypo outcome.
We are all different, and I am sure some do have to be in full-time ketosis. If you say that's how you have to be, that's fine, but others with RH (or whatever, and whatever combination of co-morbidity) have to work out their own triggers and tolerance levels.
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