Reactive Hypoglycemia After Gastric Bypass Surgery Reactive Hypoglycemia Treatment

PATIENT EDUCATION
Reactive Hypoglycemia After Gastric Bypass
Surgery
Reactive Hypoglycemia
Treatment
Reactive hypoglycemia (also known as late
dumping syndrome) is low blood glucose.
This is a normal side effect after gastric bypass
surgery if you eat the wrong foods.
If you have low blood glucose, drink 2 ounces
of juice or eat one hard candy. Wait 5 to
10 minutes and then repeat if needed.
It happens when there is an imbalance between
blood glucose and insulin in your bloodstream.
Insulin is a hormone that allows glucose to be
used. But the insulin stays in the blood after
the glucose from the meal has been used. This
causes low blood glucose, or hypoglycemia.
Then, eat a small portion of a protein source
(like meat, cheese or peanut butter or protein
bar) and a small portion of a complex
carbohydrate (such as whole wheat toast).
How to Prevent Reactive
Hypoglycemia
Symptoms
To help prevent reactive hypoglycemia:
Reactive hypoglycemia happens 1 to 2 hours
after eating a meal, especially one that is high
in carbohydrates.
Eat three well-balanced meals that include
protein, whole grains, fruits and vegetables.
Eat the protein first.
Symptoms you may feel include:
hungry
weak or tired
sweaty
racing heart
the need to lie down.
Avoid eating pasta, white rice, cereal,
white bread and white potatoes.
Do not have food and beverages that
are high in sugar such as regular pop,
sweetened juices, ice cream, candy,
cookies and cake.
(over)
Foods to Eat
Foods to Avoid
Milk, yogurt, cheese
Milk, yogurt, cheese
skim or 1 percent milk
light yogurt
(less than 15 grams of sugar per serving)
low-fat cheese
Vegetables
whole milk, 2 percent milk and chocolate milk
ice cream
sweetened milk drinks
fresh, frozen or canned
vegetables with sauces or glazes
Fruit
Fruit
fresh
frozen or canned with no added sugar
fruit drinks, juice and punch
canned or frozen fruit in sugar or syrup
Protein
Protein
lean cuts of meats (93 percent lean or higher)
fish and shellfish
eggs
peanut butter, nuts
soy products, tofu
legumes (such as lentils, beans and peas)
meat prepared with a sweetened sauce
or gravy
meats high in fat (pastrami, salami, ribs,
hotdogs, bacon, sausage, fried chicken or fish,
and 85 percent lean meats or lower)
Fats and oils
Fats and oils
Vegetables
vegetable oils: olive, canola, peanut, safflower,
creamy sauces or gravies made with fat
soybean, sunflower and corn oil
high fat cream cheese and sour cream
low-fat margarine (in tub) or butter-flavored spray
Grains, crackers, cereals, pasta, rice
Grains, crackers, cereals, pasta, rice
Only choose items that are 100 percent
whole grain.
Do not choose items with white, enriched
or bleached grains.
bread, tortillas
English muffins
pasta, brown rice, Kashi® Pilaf
melba toast, crackers
bread, tortillas, pasta, rice
English muffins, muffins
sweetened cereals, sweet rolls, pastries
saltines, Wheat Thins®
waffles, pancakes
Other
Other
decaffeinated coffee or tea
artificial sweeteners in beverages, jams, syrup
and gelatin
herbs and spices
regular pop with or without caffeine
coffee or tea with caffeine
alcoholic beverages
sweetened beverages (more than 10 calories
per 8 ounces)
sugar, brown sugar, powdered sugar, honey,
jam, syrup, molasses, candy
regular gelatin, pie, cookies, cake, pudding,
sweet desserts
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