Type 2 diabetes and dumping syndrome
Currently, there is no particular thing that will set me off. It always happens at night, usually 1-3 hours after my last meal or snack. The symptoms are the same as they are for post RNY patients, and I had my worst bout ever the other night...(literally thought I was going to die or having a heart attack (though no chest pain). It is associated with a sudden drop in blood glucose level, and each and every time it happens to me, my blood sugar will be in the 60s to low 70s. My diabetes is well controlled, my HgbA1c last week was 5.5 and my sugars run between 80 and 140 on 1500 mg of metformin daily.
Anyway, I was just curious if anyone else had experienced it preop and how they have been postop. The episode I had the other night was so awful, I really would hate to think I will dump every time I turn around postop.
on 7/27/08 11:58 pm - Woodbridge, VA
Have you talked to you doctor about this?
Have you researched the possiblity of having the DS instead of RNY procedure? THe DS keeps the pylorus in tact, so there is no dumping like with the RNY.
on 7/28/08 2:21 am - Woodbridge, VA
Then again, if you're not really interested, feel free to ignore me
I have "dumped" throughout my life. My mother thought I would never have a weight problem because if something didn't agree with my system pushed it right out.
I also had pyloric stenosis when I was and infant and had surgery to repair it. I think that my pyloric valve doesn't function properly and that may be why I dump but it be because of something else.
on 8/9/08 3:27 pm
Hello........I haven't had surgery yet but I tell you I have the "dumping" from taking Metformin. Just diagnosed with Diabetes Type 2 and about 10 minutes after I eat a meal, I dump.....
So in hoping to have surgery, I too worry about the same thing.......................
Four months out from DS my HbA1C is 4.2, down from 8 pre-op, and I'm off all the medication. Oddly, sugary things now taste too sweet to enjoy, and starch gives me gas (long may it continue) so the op has supported me in losing weight in ways other than dumping - I didn't expect this, but many DSers report the same thing.
I keep glucose tabs at my bedside to help. I also have glucose gel that I keep close by because it is faster acting. I also have found nothing in particular that will set me off. When I have these episodes, I get hot, sweaty, very weak (sometimes I can't walk, barely move my limbs). I've been afraid of dying when it happens. Actually surprised that I didn't go into a coma when I got to the high 30s.
I am single and my son and family live with me. I would be afraid if they didn't because of these episodes. Their bedrooms are upstairs and mine is downstairs. I keep my cell phone bedside, as do they, just in case I need them. I am very afraid of dumping post-surgery. I am going to attempt to be very vigilant in my testing and adjusting my meds.
My diabetes is uncontrolled and the reason I decided on the RNY was to hopefully BAM the diabetes once and for all. I really am nervous though about dumping...and it being even worse than now.
If anyone has suggestions on how to avoid, I would love to hear them.
I have been type 2 with insulin dependencies since the age of 20. My sugars would go up and I would take a shot of insulin. I had my RNY in 2003. I did fantastic for the first 10 months then all hec broke loose. I had dropped weight fast then my glucose levels would go into the 300-500's then in about a half hour or so, I would drop into the 20-30's. Needless to say, I am having to eat when I am not hungry and have gained back some of my weight. I can not seem to get this under control. I am not eating a lot but having to eat frequently to control my sugar. I am not on any meds currently for DM and no one seems to be able to figure this out.
Gaining weight back is my worse nightmare come true and I am having a hard time dealing with it. I have also been having autonomic issues since about a year out of surgery. What is really weird is that I can eat a plain old salad with chicken breast and oil and vin and about 30 minutes later I am almost comatose. my glucose levels are through the roof and then in 30 minutes or so I am almost passing out from them being too low. The strange thing is, if I eat a piece of a snickers bar my sugar stays normal.
I am really tired of having to eat when I am not hungry and I am really upset with the 90 pound in 7 months weight gain. It won't come off no matter how hard I try. It seems the more I try the worse it is. I am ashamed and embarrassed to go back to the doctor. I have been to several dieticians and have done what they said and still gaining weight.
I hope your issues are doing better. I really feel for you.