Gastric sleeve and bypass

[rehabelshehawy]

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 D]

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.

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?

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!

 

[MrsA2]

I've seen a good friend have this operation.
Yes she lost a lot of weight initially
Yes most of the weight has gone back on
Yes now, about 10 years on, she's having serious complications.
Would I recommend it to another friend? No!

 

[AndBreathe]

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!

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.

 

[AndBreathe]

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?

I know a couple of people who have had weightloss surgery. One was a diagnosed T2, the other I don't know their diabetes status. Both were carrying a lot of excess weight.
Whilst both lost a tremendous amount of weight, quite quickly. Since one has regained all of that which she lost. Quite simply, she found she quite liked liquidised Mars bars, curry and fish and chips (not all at the same time!), so found ways of ingesting a lot of food again.

The second person, who was an established T2 diabetic has lost all of her excess weight, and her T2 is in remission, but she is having trouble stopping her weightlosss due to malabsorption issues and is now using things like Fortisip to curb her ongoing loses.

She has gone from very bonnie, to stunning, and now into really not looking her best, by a stretch.

Based on my first example, weightloss surgery might not necessarily result in losing the RH.

Based on both of these cases, I would urge anyone considering weightloss surgery to think very carefully before going for it.

I do understand there are some people for whom the more usual means of trimming up aren't appealing or appropriate, and potentially could take too long (to fend off other complications setting in due to their weight). To me, that feels like a rock and a hard place.

Wherever you are on the scale of influencing factors, please, please consider ALL of your options carefully.

 

[Lamont D]

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.

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.

 

[Resurgam]

Having experienced effortless weight loss eating low carb I am really confused by the continued denial of its benefits for so many problems.

(edited by mod to remove unnecessary information)

 

[AndBreathe]

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.

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.

 

[Lamont D]

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.

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.
And it is a journey of discovery. I once tried a German bread, that my endocrinologist recommended, that he believed would not trigger a reaction, if I had some fatty meat with it! The portion was bite size and the carb count was under 20g. I still had a reaction. I swerved the hypo, but the spike was around 9 mmols!
My lowest spike for a reaction is around 7.7mmols (ish) forty five minutes after, which is not particularly high.
So it makes sense to me to stay below 7mmols all the time. But other than my health and anxiety issues when I did succumb to temptation, I am now and have in or near ketosis since diagnosis a decade ago!
I have lost three kilo in six weeks and I do feel better for it!
It's not easy and simple especially with Mrs L and her disability, and having to be her carer, my other conditions and behaving myself. Coping with all that was the reason for falling off the wagon, it was too much!
But there is only me! And I will battle through this, like I have all my life.
RH is a continuous battle and a journey to educate yourself in medical consequences of not having much information or research and not many professional health specialists who have ever diagnosed it thoroughly. I was so lucky to have found one!
I'm stopping now! Having a salad for my one meal today!
Best wishes