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I Have Been Diagnosed With Postprandial... on November 18, 2009 5:41 am
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I went to work yesterday afternoon as I normally would, but had a spell where I felt like my blood sugars were dropping. I stopped to pick up some food, and to try and get back to normal. I ended up being taken to hospital by ambulance.
After hours of waiting, and tests, I was diagnosed with Postprandial Hypoglycemia.
I found this information on it, and thought I would highlight some interesting things here:
Hypoglycemia in People Who Do Not Have Diabetes
Two types of hypoglycemia can occur in people who do not have diabetes:
- Reactive hypoglycemia, also called postprandial hypoglycemia, occurs within 4 hours after meals.
- Fasting hypoglycemia, also called postabsorptive hypoglycemia, is often related to an underlying disease.
Symptoms of both reactive and fasting hypoglycemia are similar to diabetes-related hypoglycemia. Symptoms may include hunger, sweating, shakiness, dizziness, light-headedness, sleepiness, confusion, difficulty speaking, anxiety, and weakness.
To find the cause of a patient’s hypoglycemia, the doctor will use laboratory tests to measure blood glucose, insulin, and other chemicals that play a part in the body’s use of energy.
To diagnose reactive hypoglycemia, the doctor may
- ask about signs and symptoms
- test blood glucose while the patient is having symptoms by taking a blood sample from the arm and sending it to a laboratory for analysis*
- check to see whether the symptoms ease after the patient’s blood glucose returns to 70 mg/dL or above after eating or drinking
A blood glucose level below 70 mg/dL at the time of symptoms and relief after eating will confirm the diagnosis. The oral glucose tolerance test is no longer used to diagnose reactive hypoglycemia because experts now know the test can actually trigger hypoglycemic symptoms.
Causes and Treatment
The causes of most cases of reactive hypoglycemia are still open to debate. Some researchers suggest that certain people may be more sensitive to the body’s normal release of the hormone epinephrine, which causes many of the symptoms of hypoglycemia. Others believe deficiencies in glucagon secretion might lead to reactive hypoglycemia.
A few causes of reactive hypoglycemia are certain, but they are uncommon. Gastric—or stomach—surgery can cause reactive hypoglycemia because of the rapid passage of food into the small intestine. Rare enzyme deficiencies diagnosed early in life, such as hereditary fructose intolerance, also may cause reactive hypoglycemia.
To relieve reactive hypoglycemia, some health professionals recommend
- eating small meals and snacks about every 3 hours
- being physically active
- eating a variety of foods, including meat, poultry, fish, or nonmeat sources of protein; starchy foods such as whole-grain bread, rice, and potatoes; fruits; vegetables; and dairy products
- eating foods high in fiber
- avoiding or limiting foods high in sugar, especially on an empty stomach
The doctor can refer patients to a registered dietitian for personalized meal planning advice. Although some health professionals recommend a diet high in protein and low in carbohydrates, studies have not proven the effectiveness of this kind of diet to treat reactive hypoglycemia.
More info can be found at http://www.reactivehypoglycemia.net/postprandial-hypoglycemia.html
The Truth About My Duodenal Switch on March 21, 2009 8:01 am
Here are some truths about my Duodenal Switch:
1. I wake up in the morning, I pee, and I poo. It's not crazy stinky poo that melts the walls (unless I eat bread), it's not a substantial amount of poo. I call it my "bowl of commas" because it looks like a bunch of punctuation when I'm done. TMI, but a fact nonetheless. I may poo 1 or 2 more times that day, but again, it's quick, not everly messy, and I don't even have time to read a magazine like I used to.
2. I have some breakfast. Sometimes it's cereal, alot of times I have a "Burger First" bun from PC toasted with Peanut Butter. If I have coffee, I'm guaranteed to poo again almost right away... not because it goes right through me, just triggers something I guess, but that counts as one of my poos.
3. I snack throughout the day, but usually a handful of nuts, some fruit, maybe a cookie or two. That's right, cookies. I pick ones that are low in sugar (arrowroot) and that's good by me.
4. I eat a light lunch. Everything I eat is light, I don't pack it away.
5. I have a light dinner. Last night, for example, I had nachos with chicken on it, and a starter size of chicken wings. I ate about 3, and shared the rest with my table. It was delicious.
6. I don't have to eat thousands of calories to survive. I don't have to eat lots of fatty foods to survive. I eat what normal people eat. I even have dessert if the mood hits me.
7. I can ride my bicycle, and love to.
8. I can walk, and love to.
9. I can dance a jig with my puppy, and it makes my life rich.
10 I have a big penis. There, I said it. The thing is huge. I didn't know this until I lost 196lbs. It scares my husband. He feels like it's following him around the room. It is. Too much info? Maybe, but damn... I'm impressive.
11. I can fit in clothes. I went shopping down east at Frenchies, a second hand store. For $100 I bought a dozen or more shirts and sweaters, and my fave, hoodies. For $100 I used to be able to get 2 shirts.
12. I have an adam's apple. It sticks out and is hard as a rock. It startles me when I feel it.
13. I have a neck that is smaller than my head.
14. I have a great set of boobs now thanks to the extra skin from the 196lbs of weight loss. I'm pretty sure if I shaved my chest, I could score with Bruce.
15. I absolutely love my surgery, my doctor, my surgeon, and all the people who support me, including OHers. I am growing to dislike people who lie about my surgery. It affects me personally.
16. I have many more truths about my surgery, and am happy to share them with people.
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2008-2009 on January 1, 2009 7:15 am
It has been quite the year when I sit down and think of it.
For the first 6 months or so of there year, everything was normal, as it had been in the years leading up. I enjoyed life, going to work, coming home, hanging out with friends and neighbours and planning for the wedding to come later in the year.
I struggled though. I was 517lbs, and tired. My body had all but given up. I had a hard time sleeping at night, and had to increase the pressure on my CPAP machine to accomodate. I withdrew a lot from Shawn because I didn't feel sexy, or sexual, and I couldn't fit into most of my clothes. I was reaching a point where I couldn't even buy new ones locally because they just didn't go up to my size anymore.
In June I decided that I had enough of the discomfort, and feeling down about myself, and pursued the idea of having a Duodenal Switch. I had a friend who had a weight loss surgery and who offered me some information on it previously, so I contacted her and started the process.
Cindy (my friend) met me for lunch one day to answer any of my questions. It was nice to see her, and catch up on old times, and I remember feeling a bit jealous of her weight loss, wishing I had done this a lot sooner.
So, I went through the process. I saw my doctor, had the application for out of country surgery filled out, and applied to OHIP for the surgery. About a month later, I was in the surgeons office, and a month later I was in hospital recovering from the surgery.
That was August 14th.
In the meantime, Shawn and I had bought our dream property in a very fast, and by the seat of our pants process. We'd fallen in love with the place, and while we had no plan to move, we had to do it.
So, on September 5th, we were taking posession of our new home, in the country.
October 12th, Thanksgiving Sunday, Shawn and I got married. The day couldn't have been more perfect, and having our friends and family together in one spot was a once in a lifetime experience, that will always be special in my eyes.
Soon after the wedding, we adopted Ana, a rescue puppy. Since then, she's been so wonderful to have as part of the family, and I couldn't be happier.
Luckily, November was quiet, and same with December except for a strike at work.
Our first Christmas in the new home was nice, with a wood burning fireplace, and good food and friends sharing the day. Boxing day came with 3 great friends arriving from Cambridge for a nice getaway, and the new year has come and gone with us surrounded by those we love.
Today is the first day of 2009, and I can only imagine what this new year is going to bring. I look forward to it all. I hope for all the love and hapiness for everyone else, that I have felt in this past year.
Good things are coming.... I can feel it.
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Aggie's Post Surgery Shepherd's Pie on September 28, 2008 4:55 am
I'm 6 weeks out, and last night I made a Shepherd's Pie. I ate quite a bit of it, and no ill side effects, so I thought I'd post it.
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Aggie's Post DS Shepherd's Pie!
2lbs ground beef (I used organic beef)
1pkg Onion Soup Mix
1 small can of beef broth
Brown beef in a frying pan, no oil. Once browned add onion soup mix and broth. Spread in the bottom of a pan sprayed with Pam
1 small bag of corn niblets
1 large can of cream of corn
Mix the two together in a bowl and spread mixture on the top of the beef.
8-10 small potatoes peeled
1/2 - 3/4 tub of sour cream
pepper to taste
plenty of summer savory (I used my mama-in-law's dried savory)
Cook potatoes until soft. Mash them down with a masher.
Add the sour cream, pepper, and savory and beat until smooth with a beater.
Fold in the cheeses and spread mixture on top of corn layer.
Bake in an oven at 350 degrees for about 30-45 minutes.
This fed 4 chubby adult men, and me, and I had half left to freeze for future meals.
A Moment For Me on September 20, 2008 5:30 pm
I had a moment tonight. I was sitting on the bed, and going through bags and boxes of clothes to put away. We finally picked up a couple of dressers from Ikea, so it was the first opportunity to put it away.
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Anyway, I'm sitting there folding shirt after shirt and putting them away. I filled two drawers full of shirts, and haven't made a dent.
Then it dawned on me. This is the first time I've had so much clothing that actually fits. I'm used to buying stuff, and then having it sit there because I gained weight. Trying things on, and having to toss it back into the closet for another day.
Not anymore. I now have more clothes than I have ever had.
Alot of it will be going soon because it's too big. Some of it is just way too baggy now. I put on my uniform, one that I could barely get into, and now I swim in it.
I felt really good about that.
I wanted to share!
cross posted for my gays, ontario group, ds, and the men.
My story? That's a good one. Not even sure what to say, but then again, I imagine most everyone who starts here feels the same way.
I just googled BMI calculator, and have discovered that my BMI is 60.6. That scares me because everything that I've read so far sounds like I'm at the top of that scale.
I'm 32, and I live in Ottawa Canada. I work as a bus driver for the city, and I live at home with my partner, and our two cats. I've been overweight for most of my life, and am the largest I've ever been.
For the longest time I was in denial about how big I am. I didn't see myself in the same way that others saw me. Every once in awhile I would see a photo or video of myself and would realize just how large I am.
About 2 years ago, I had an awakening. I discovered Reiki, and a whole new world of awareness happened. I realized how unhealthy I was. Since then, I've done my best to deal with the emotional aspect of things surrounding my weight and have tried to attempt the physical.
Because I am so far overweight, my body panics if I'm not satiating it with food. The amount of food that I require to make it feel full is mind blowing. The shame around secret eating, and the sense of addiction is overwhelming at times. It's to the point where food never satisfies me. I get no enjoyment from it, only relief.
I'm facing my fears around the surgery, and through the help of a wonderful friend I'm taking steps to make it happen. I'm looking forward to an opportunity to have my physical body be a reflection of my emotional and spiritual bodies.
Thanks for reading!