I had WLS July 2006.  Since I have maintained my WL and really had no problems until recently.  A few months ago my BS has been dropping low, fast and all of the sudden.  This usually happens an hour or two after I eat.  Sometimes I get a sick feeling right after or during.  I had my levels checked twice with the onset of symptoms.  The first time was a few months ago and it was 50.  Sunday I had my moms meter and it was 47.  The doctor wants me to go to Endocrine ASAP.  Next available appointment is August.  Sigh!  I am a bit nervous reading about this and unsure of what to expect when I see the endocrinologist.  I have also began gaining weight.  This is frustrating because I don't know how to manage this in the meantime and I don't want to passout or anything.  If you have this same issue...what can i expect and how do you deal with this? 

I am not an expert and very new on this wls path, but it sounds like it might be reactive hypoglycemia. I recommend doing a search on OH, I've read it is not a rare side effect of RNY. Best wishes.

I have had diabetes since 2002. I am scheduled for bariatric surgery on August 9th, not 100% decided.

I have never had a fast drop in BG in the 8 years since I became diabetic but I do get some very low morning fast readings on the pre-op very-low-carb diet I am on.  If my BG reads 70 in the morning, I add some frozen berries to my breakfast protein -- the carbs in the berries bring me back up fast.

Of course talk to a doc, see the endocrinologist but I think you can help yourself avoid the way you feel with the very low BG.  Be very careful. Test your BG a lot. I am surprised your doc did not give you some advice in the meantime, or refer you to a staff person with diabetes expertise. Most clinics these days have diabetes experts. My clinic has a nurse practitioner that is easy to get in to see and he helps me when I can't get an appointment with my doc -- appointments with my doc are hard to get.

Don't wait until August to make some changes.

With a glucometer and lots of testing while you wait to see the specialist, you should be able to adjust your carb intake. Maybe chillax about the weight gain. Redouble your commitment to eat healthfully to maintain your weight loss. I am learning that the more data I have, which means the more closely I pay attention to what my body is doing with lots of sugar testing -- before and after adding some carbs -- this close attention has many positive effects. I become much more conscious of what I am eating, which, in turn, influences me to make wiser choices. I also become much more aware of how I feel and feeling good feels good so it is natural incentive to avoid poor choices.

Take very good care of yourself.

It must be a little scary to have the low blood sugar drops.

Great advice....

You mention that you have not decided quite yet about surgery?  What are your hesitations?  I gave myself the chance to bail right on up to my arrival at the hospital.....  :-)

You are dealing with reactive hypoglycemia.
check
http://www.obesityhelp.com/forums/rny/4555953/quotTheyquot-s aid-Id-gain-it-all-back-are-quottheyquot-right/

http://www.obesityhelp.com/forums/wls_grads/3453812/Reactive -Hypoglycemia-my-trial-error-research/

http://www.obesityhelp.com/search/action,search_oh/?q=RH&cx= 000946886326336472648%3Ae-vpeg4uyxw&cof=FORID%3A9

http://www.obesityhelp.com/search/action,search_oh/?q=Reacti ve+Hypoglycemia&cx=000946886326336472648%3Ae-vpeg4uyxw&cof=F ORID%3A9

and so on... typical post op - long term RNY.