Hypoglycemia may occur after gastric sleeve surgery, especially if you’ve eaten foods high in sugar or fat.
Gastric sleeve surgery is becoming a more common method for some people to lose weight, especially for those with type 2 diabetes when eating habits, exercise, and lifestyle changes are not enough.
Although gastric sleeve surgery can have positive health results, it also carries risks that include postsurgery hypoglycemia.
Hypoglycemia, or low blood sugar, is rare in people who do not have diabetes. However, it may occur
Following a specific diet and taking medications to lower insulin levels after eating can help prevent hypoglycemia, but when it does occur, treatment with glucose or glucagon is necessary.
Dumping syndrome is
Dumping syndrome can cause hypoglycemia because when food moves too quickly from your stomach to the intestines, the digestive tract releases higher levels of hormones than it normally would. Fluid also moves to your small intestines from the bloodstream.
Even if you have recently had gastric sleeve surgery, doctors will still need to
Common symptoms of low blood sugar include:
- blurry vision
- shaking or trembling
- pale appearance
- trouble concentrating or remembering
Preventing post-bariatric hypoglycemia involves eating only approved foods and taking medications to reduce insulin production.
For acute hypoglycemia, taking glucose tablets or gel and then waiting 15 minutes to see if your blood sugar level rises can be an effective way to reregulate blood sugar.
For more severe hypoglycemia, glucagon and intravenous (IV) medical treatment may be necessary to raise your blood sugar level.
After regulating your blood sugar level, the underlying cause should be identified and treated. In many cases, post-bariatric surgery hypoglycemia is due to dumping syndrome and can be
In some cases, medications can also help.
It’s important that you avoid sugar after gastric sleeve surgery because it can lead to
In addition to avoiding sugar after gastric sleeve surgery, it is recommended to avoid high fat foods and enjoy water between meals versus during meals. Right after surgery, you can expect to consume only clear liquids. This will typically advance in a couple of days to other liquids that do not contain sugar and that are low in fat (ex. skim milk).
You will graduate from liquids to a pureed diet next, but you should continue to avoid seedy fruits and vegetables as well as foods like cauliflower and broccoli that are very fibrous and do not liquify well.
When doctors feel that recovery has progressed sufficiently, they’ll allow the introduction of soft solids. When solid foods are approved, it’s important that you eat slowly, thoroughly chewing before swallowing.
Although hypoglycemia is rare for people who do not have diabetes, it can occur after gastric sleeve surgery.
If you have gastric sleeve surgery, it’s important to stick to your medically approved meal plan to help prevent dumping syndrome, which can lead to hypoglycemia. Even when a strict diet is maintained, it’s possible to experience hypoglycemia after gastric sleeve surgery.
So if you are planning on having gastric sleeve surgery, you may wish to talk with your doctor about how to treat potential hypoglycemia if it should occur with glucose or glucagon.