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In a message dated 02/13/2000 4:55:29 PM Pacific Standard Time,

rudnicki@... writes:

> we have actually had discussions about this in the not so

> distant past so you might want to check the archives. some

> people are experiencing delayed dumping from sugars and some

> seem to be experiencing low blood sugar. you know your body

> best, you are not a newbie, and you were able to check your

> sugar levels. I think if I ate brown sugar, orange juice

> and fruit I would have delayed dumping! but that's me!

> good luck and welcome

> Sue in VA.

I can almost never eat strictly carbs without paying for it with a nasty

Hypoglycemic reaction or delayed dumping . . . According to everything I've

read protein combined with carbs and smaller amounts at a 'feeding' will

minimize the occurrence . . . but just like you, a Dove Milk Chocolate

Promise takes care of the problem every time. I keep them with me at all

times :o) They have been a vital part of my recovery from morbid obesity! LOL

Vicki in CA

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In a message dated 02/13/2000 5:03:40 PM Pacific Standard Time,

dr4kids@... writes:

> The protein gives a longer lasting steadier blood

> sugar level than the chocolate will.

> Carolyn

True Doc, but its not as tasty! :o)

Vicki in CA

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Thanks for the info and I know you're right about the milk (lactose

intolerant) and the OJ but neither one travels very well. Which is a really

good excuse for carrying around chocolate but I want to stop it from

happening in the first place. Then I won't need the chocolate. Peggy N.

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I agree with you Sue, from the research I've done on the subject so far

that'seems to be the only answer offered. Maybe I'll try eating smaller

meals and having more snacks of better quality than I normally have.

Sometimes tho I just run out of ideas of what I want to eat and it's easier

to be lazy and just snack on whatever is available. I work too but I'm

inside a cubicle so eating frequently is not a problem. I think I'll pose

this question to my daughter in law who is medical student and see what

answers she can get from her school. That would give her something to work

on (like she isn't busy enough already!). Thanks for your help, Peggy N.

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~~~~~~

I not especially concerned because now that I know what's

happening I know that if I eat a small piece of chocolate it

goes away but I would like to know how to keep this from

happening to me. It seemed to me that I'd eaten a pretty

good and healthy breakfast. Any ideas out there? Thanks,

Peggy N.

~~~~~

Hi Peggy,

if you figure out how to prevent it, let me know! short of

eating about every 2 hr. I haven't figured it out yet. I

have LBS usually just once or twice a month and almost

always when I am pms. I keep cheese crackers and protein

bars with me at all times in case it hits. it can be rather

annoying when you are out somewhere and start shaking,

sweating and feeling like dropping - especially when you had

eaten a few hours ago.

we have actually had discussions about this in the not so

distant past so you might want to check the archives. some

people are experiencing delayed dumping from sugars and some

seem to be experiencing low blood sugar. you know your body

best, you are not a newbie, and you were able to check your

sugar levels. I think if I ate brown sugar, orange juice

and fruit I would have delayed dumping! but that's me!

good luck and welcome

Sue in VA.

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Thanks for the info Kathy, I did get a bit of protein in the oatmeal, about 5

grams I think. I didn't use any artificial sweetner. I tend to agree with

you about the protein tho... I really have to be sure to have some late

afternoon protein if I'm going to the gym or I get really messed up

afterwards. Peggy N.

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Rather than a small peice of chocolate you are MUCH better drinking a few

sips of orange juice or (ignore this ) milk. Any other protein

source will also work.. The protein gives a longer lasting steadier blood

sugar level than the chocolate will.

Carolyn

Hypoglycemia

>From: Pegnunley@...

>

>Hi again folks. I have been a member of the main list since April of 97

and

>I had my surgery in October of '97 at the University of Washington with Dr

>Dellinger. I do have an appointment to see my pcp on Friday about this but

>I'm wondering if anyone else is having the same problem I am with low blood

>sugar? I have frequent episodes of the shakes, sweating and a gnawing

>feeling in my pouch. By frequent I mean more than twice a week. This

>morning I had an episode at home, it was 2 hours after breakfast which was

>oatmeal w/ brown sugar, 1/2 bagel and about 1/4 cup of orange juice and a

>small banana. My husband is a type II diabetic so I used his kit to test my

>blood sugar and it was 64 which according to his chart is lower than it

>should be after fasting all night. I not especially concerned because now

>that I know what's happening I know that if I eat a small piece of

chocolate

>it goes away but I would like to know how to keep this from happening to

me.

>It seemed to me that I'd eaten a pretty good and healthy breakfast. Any

>ideas out there? Thanks, Peggy N.

>

>---------------------------

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>>>but I want to stop it from happening in the first place.

Then I won't need the chocolate. Peggy N.

>>

I don't think anyone knows how to prevent it or stop it from

even happening - I've asked several doctors and I'm simply

told to eat every two hours - when I started doing that I

stopped losing weight...... and I'm just not hungry every

two hours, especially during the day - I'm busy, I work.

sue

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It was the brown sugar and the orange juice. The hypoglycemia is a form of

dumping. What happens is that your body starts producing a lot of insulin to

cover the sugar that your body consumed. The insulin is way too much for the

little sugar that you ate therefore hypoglycemia. Then you have to dump more

sugar in your body to bring your sugar levels up. Dr. Selinkoff explained

this thouroghly in a meeting last year. It is a form of dumping.

Aloha,

Peggy

RNY May 12,1998

Beginning weight 348

2-1-00 = 207

2-18-99 = 7.5 lbs skin removed via panniculectomy

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You need more protein in your diet to balance out your blood sugar -

Everything you ate that day was either a refined or complex carb-These turn

into sugar-elevate our glucose and then it will drop like a rock, especially

in people that are prone to it.

You also need to be careful with sugar substitutes-Sometimes your body will

think it is sugar and will react the same way--Some folks are also allergic

to sugar and or sugar substitutes. I have an intolerence to beet sugar and

aspartame but cane sugar is o.k.

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I used to eat cereal, banana and milk and I know there is some protein in

the milk but 2 hours later I felt like I was going to pass out. This is

supposed to be that normal healthy breakfast. Never worked for me. I had

hypoglycemia before surgery so I knew I was going to probably be succeptable

to dumping syndrome.

I just still hve trouble getting in the protein!

Talk to you soon--Kathy

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She is third year at Town which is a fairly small school so she's able to

discuss things she's curious about with her instructors. One question we had

about my husband using garlic she asked their head pharmacist about. What

school did you graduate from? Peggy

Graduate-OSSGonelist wrote:

>

>

>

> What year med student is your daughter-in-law?  Unless she is in her 3rd or

> 4th year, it is unlikely that she will have access to the clinical

> information.  Having survived med school myself, and again later with my

> husband, it is only during the last two years that you are exposed to the

> clinical (as opposed to the textbook) information.

>                           Carolyn

>

> Re: Hypoglycemia

>

>

> >From: Pegnunley@...

> >

> >I agree with you Sue, from the research I've done on the subject so far

> >that'seems to be the only answer offered.  Maybe I'll try eating smaller

> >meals and having more snacks of better quality than I normally have.

> >Sometimes tho I just run out of ideas of what I want to eat and it's easier

> >to be lazy and just snack on whatever is available.  I work too but I'm

> >inside a cubicle so eating frequently is not a problem.  I think I'll pose

> >this question to my daughter in law who is medical student and see what

> >answers she can get from her school.  That would give her something to work

> >on (like she isn't busy enough already!).  Thanks for your help, Peggy N.

> >

> >---------------------------

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~~~~~~~~

Peggy said: Maybe I'll try eating smaller meals and having

more snacks of better quality than I normally have.

~~~~~~~

Here are two books I read this past summer when the LBS

thing first hit and took me for a ride.

Low Blood Sugar by Budd and the Low Blood Sugar

Handbook by and Krimmel.

both books read easy, were cheap and explain what happens in

the digestion and why we have these peaks and valleys in our

blood sugar. they also associate a host of other physical

diseases and problems that they think will disappear if you

follow a rather restrictive diet. the TREATMENT described

in both books to get low blood sugar under control is to eat

every 1.5 hr. - to eat low carb, high fat and protein, 2500

calories a day, totally avoid all sugar, fake sugar,

caffeine, and a lot of fruits.

here's part of the list of foods to be avoided: sugar,

chocolate, cake, pie, pastries, custard, pudding ,ice cream,

nuts, all cereal products, macaroni and noodles, spaghetti,

coffee, tea, soda, alcohol, tobacco, potatoes, rice, grapes,

bananas, raisins, plums, figs, dates, avocados, fruit juices

and the list goes on.

They also suggest that many of us are missing our B and E

vitamins and prescribe those in addition to a multi. next

time you do bloodwork, have those checked.

Anyhow, I just find in books like this and the Liver

Cleansing Diet [which I read in an attempt to understand and

get my liver enzymes down] that the suggested diets no

longer work for us. it is impossible to eat the way they

want us to and for me - I don't like most of the food

presented as necessary.

let us know what your pcp says on friday - mine said complex

carbs during an episode.

Sue in Va.

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Peggy said:

I tend to agree with you about the protein tho... I really

have to be sure to have some late afternoon protein...

>>>>>>

In the 2 books i referenced in a previous email, the

suggested diet is to start your day with a glass of milk,

then have breakfast half an hour later which is an egg,

bacon/ham, whole wheat toast and decaf beverage.

then you can have citrus fruit. snacks are cheese,

yogurt, citrus fruit, milk for the most part. meals are

soups, meats, fish, veggies, salad, beans, cottage cheese.

Sorta on the same subject - probably more of a dumping

thing, but I crave carbs terribly during pms and this time

was worse than normal because of tremendous stress generated

at work { a client of mine was killed by her abuser} - what

I noticed this past week was when I would indulge myself and

eat those carbs I would typically fall asleep right after -

even if it were for just 15min. they just totally knocked

me out. I believe others have mentioned that this happens

to them too - it really never had to me, if I dumped big

time with the sweats, nausea, etc. etc. after the body going

crazy for awhile then I would fall asleep, but this is no

symptoms but sleep.

Sue in Va.

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What year med student is your daughter-in-law? Unless she is in her 3rd or

4th year, it is unlikely that she will have access to the clinical

information. Having survived med school myself, and again later with my

husband, it is only during the last two years that you are exposed to the

clinical (as opposed to the textbook) information.

Carolyn

Re: Hypoglycemia

>From: Pegnunley@...

>

>I agree with you Sue, from the research I've done on the subject so far

>that'seems to be the only answer offered. Maybe I'll try eating smaller

>meals and having more snacks of better quality than I normally have.

>Sometimes tho I just run out of ideas of what I want to eat and it's easier

>to be lazy and just snack on whatever is available. I work too but I'm

>inside a cubicle so eating frequently is not a problem. I think I'll pose

>this question to my daughter in law who is medical student and see what

>answers she can get from her school. That would give her something to work

>on (like she isn't busy enough already!). Thanks for your help, Peggy N.

>

>---------------------------

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In a message dated 02/14/2000 12:42:50 PM Pacific Standard Time,

dr4kids@... writes:

> I graduated from the Univ of MO in Kansas City and my hubby graduated from

> St. Louis University.

> Carolyn

:o) I graduated from the University of Hard Knocks . . . :o) just Kidding, I

have my B.S. in Public and Community Health Education from Arizona State

University.

Vicki in CA

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I graduated from the Univ of MO in Kansas City and my hubby graduated from

St. Louis University.

Carolyn

Re: Hypoglycemia

>>

>>

>> >From: Pegnunley@...

>> >

>> >I agree with you Sue, from the research I've done on the subject so far

>> >that'seems to be the only answer offered. Maybe I'll try eating smaller

>> >meals and having more snacks of better quality than I normally have.

>> >Sometimes tho I just run out of ideas of what I want to eat and it's

easier

>> >to be lazy and just snack on whatever is available. I work too but I'm

>> >inside a cubicle so eating frequently is not a problem. I think I'll

pose

>> >this question to my daughter in law who is medical student and see what

>> >answers she can get from her school. That would give her something to

work

>> >on (like she isn't busy enough already!). Thanks for your help, Peggy N.

>> >

>> >---------------------------

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Cool Vicki - I also got an Masters in Public Health - much similiarity to

comunity and public health as you are aware. We should be able to use our

knowledge to help our cause shouldn't we?

Carolyn

Re: Hypoglycemia

>From: HaaseVP@...

>

>In a message dated 02/14/2000 12:42:50 PM Pacific Standard Time,

>dr4kids@... writes:

>

>> I graduated from the Univ of MO in Kansas City and my hubby graduated

from

>> St. Louis University.

>> Carolyn

>

>:o) I graduated from the University of Hard Knocks . . . :o) just Kidding,

I

>have my B.S. in Public and Community Health Education from Arizona State

>University.

>Vicki in CA

>

>---------------------------

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In a message dated 02/14/2000 4:45:31 PM Pacific Standard Time,

dr4kids@... writes:

> Cool Vicki - I also got an Masters in Public Health - much similiarity to

> comunity and public health as you are aware. We should be able to use our

> knowledge to help our cause shouldn't we?

> Carolyn

>

> Re: Hypoglycemia

>

>

> >From: HaaseVP@...

> >

> >In a message dated 02/14/2000 12:42:50 PM Pacific Standard Time,

> >dr4kids@... writes:

> >

> >> I graduated from the Univ of MO in Kansas City and my hubby graduated

> from

> >> St. Louis University.

> >> Carolyn

> >

> >:o) I graduated from the University of Hard Knocks . . . :o) just

Kidding,

> I

> >have my B.S. in Public and Community Health Education from Arizona State

> >University.

> >Vicki in CA

Yep . . . what the world needs is intelligent education on WLS and hard stats

that justify it . . . but man its a BIG F-in Job . . . Where do we start?

" I'm pushin an elephant up the stairs! "

Vicki

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I'm pushing with you, but its not moving very fast, is it?

Carolyn

Re: Hypoglycemia

>>

>>

>> >From: HaaseVP@...

>> >

>> >In a message dated 02/14/2000 12:42:50 PM Pacific Standard Time,

>> >dr4kids@... writes:

>> >

>> >> I graduated from the Univ of MO in Kansas City and my hubby graduated

>> from

>> >> St. Louis University.

>> >> Carolyn

>> >

>> >:o) I graduated from the University of Hard Knocks . . . :o) just

>Kidding,

>> I

>> >have my B.S. in Public and Community Health Education from Arizona

State

>> >University.

>> >Vicki in CA

>

>

>Yep . . . what the world needs is intelligent education on WLS and hard

stats

>that justify it . . . but man its a BIG F-in Job . . . Where do we start?

> " I'm pushin an elephant up the stairs! "

>Vicki

>

>---------------------------

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I have problems with fructose--It is worse for me than white sugar

Re: Hypoglycemia

> From: Hairybizness@...

>

> It was the brown sugar and the orange juice. The hypoglycemia is a form

of

> dumping. What happens is that your body starts producing a lot of insulin

to

> cover the sugar that your body consumed. The insulin is way too much for

the

> little sugar that you ate therefore hypoglycemia. Then you have to dump

more

> sugar in your body to bring your sugar levels up. Dr. Selinkoff explained

> this thouroghly in a meeting last year. It is a form of dumping.

>

> Aloha,

> Peggy

> RNY May 12,1998

> Beginning weight 348

> 2-1-00 = 207

> 2-18-99 = 7.5 lbs skin removed via panniculectomy

>

> ---------------------------

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