Can you have low blood sugar and dumping at the same time?

I have had two horrendous episodes this week.  I was in the jacuzzi and I started to feel shaky like my blood sugar was going too low,  by the time I got out and was at the kitchen sink,  I could hardly stand up and started dry heaves.  Cold sweat pouring off of me and I took my blood sugar level and it was only 82.  I drank some juice and told my husband if I didn't feel better in 15 minutes take me to hospital.  Now tonight I ate a bowl of bean soup with a flour tortilla at 4 pm then at 6 pm I ate a mango,  immediately started having shakes, stomach pain, nausea I quickly took my blood sugar and it was 87 not really low, but I drank a little juice and continued to have horrible stomach pain and then started barfing,  weak, sweat dripping of my face into the "thrown" as I am puking my guts out.  After all the throwing up I finally felt good enough to lie down on the bed.  I don't know what is going on with me, I was diabetic before surgery and Dr. said I will always be considered diabetic,  I know when my blood gets in the low 80's  I feel just awful....any input here???  I do not want to have this happen again it is really scary.

I would say yes.  Blood sugars and dumping aren't related. From what I understand it's the richness of certain foods (high sugar or fat) that causes dumping/upsets the tummy.

Formally, fat does not make you dump.  Dumping is one of two specific physiological reactions to carbohydrates: early dumping is caused by hormonal and fluid changes as a result of carbohydrates emptying too rapidly into the small bowel and late dumping actually is hypoglycemia.

Fat can still make you feel like crap, though.

My NUT told me high fat causes some people to dump, but maybe it's something different she's talking about, I guess.

I think it comes down to how pedantic you want to be.  We don't really have a word that encompasses all the negative reactions to food that post-ops can have so we co-opt the word dump and for ease of communication.   I think a lot of healthcare providers have joined in rather than go down the rabbit hole of nuanced differences.  I don't think there's any real harm in it and I don't bother correct people normally.

Punkinhead, I feel for you.  I too was diabetic and now my sugars are dropping and I now have reactive hypoglycemia.  Sigh.........I don't have what you have in the way of symptoms but boy, I sure as hell know when they are dropping and in the 80's.  I feel terrible but I don't think it's because they are in the 80's as much as we are feeling ourselves going on the way down and panic sets in.  Mine dropped to 62 a month ago and I too told my husband after drinking juice if i wasn't better in a bit we were off to the hospital, not even urgent care.  I wanted to be where I could get blood work and help if needed.  So when I read your post, I was looking at a mirror image of myself awhile back.  I have to be very careful with the carbs now and it becomes a horrible cycle of having to eat carbs to bring our sugars back up.  I do eat every 2 to 3 hours for sure and noticed the more activity I do the more I better pay attention to my protein intake to make up for burning up energy.

I hope one of the vets can help you better than I can on this situation because I am not sure at all if this is a combo of dumping/low blood sugar or what.    Sounds like dumping, though..  Keep me posted, kiddo.  Take care of yourself,  Jane  

Thanks Jane I  am glad to know I am not crazy.  I have monitored my blood every two hours tonight since this last episode and after two hours it is 87 again.  I am eating peanut butter whole wheat toast and 1/2 cup skim milk to get me through the night.  I am going to Doc in the morning I sure hope she listens to me and understands what I am describing to her.  I am glad you know what I am talking about but sorry you have experienced the same thing.  Take care, Deb

BS in 80's or 70's may be dismissed by you doc as not an issue. Typical hypoglycemia starts in 60's and below.
I do understand that when your body is used to level higher than that - 80's seams low, but it really is not.
Drinking OJ or eating high carb snack may only make it worse in long run. Going to the doc is good idea, but he/she may not understand what you are going through.

I had one bariatric surgeon explain that most dumping syndrome experiences were actually bouts of hypoglycemia. As he explained it, the "dumping" is actually the pancreas dumping a bunch of insulin into the small intestine because the body reads the sugar/carb contents of the small intestine as very high even when it's only moderate. But since we don't hold food in the pouch for long generally, due to the pouch not having a pyloric valve, the stomach no longer breaks down the sugars/carbs before they hit the small intestine.

I'm not saying it well, but basically...
The intestines expect the stomach to already have broken down the sugars/carbs somewhat. So when the intestines receive something with more sugar than they would normally expect, the pancreas douses it with extra insulin. Of course, in an RNY postie, we send lots of stuff straight into those unexpecting intestines. The body's overreaction to it is extra insulin which en results in a hypoglycemia episode.

I've dealt with this for years. It's unpleasant and I try to be really careful. But I've documented my blood sugar in the 20's. My solution is not to get going on the roller coaster that can be easy to jump on. Instead, I eat a handful of peanut m&ms since they have sugar and protein. I follow that up with some peanut butter. You need to get your blood sugar up and also get protein in as protein stabilizes your blood sugar. It isn't enough to drink some juice or eat something sweet you have to get the protein too or the roller coaster ride of high and low blood sugars is just beginning.

Thanks Ace-ing  I copied your post and read it to my doctor,.  she agreed and made me feel better about going in to see her.  She is referring me to the specialist for RNY.  Thanks so much for taking the time to share your information,  I am sure it will help others too.  Thanks Deb