Intervention - Julie - Alcoholism After Weight Loss Surgery - G

Feb 28, 2012

 

Intervention - Julie - Alcoholism After Weight Loss Surgery - Gastric Bypass

On last night's Intervention -- Julie.

 

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A gorgeous 40 year old mother of two, who happens to to be about seven to eight years post gastric bypass postop.  She also, happens to have a little big problem in her smaller body.

"Julie often turned to food and alcohol to find comfort in tough times. She had gastric bypass surgery when her weight ballooned, but now she spends her son's child support money."

On alcohol, a lot of alcohol.  You see...

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First thing you must note, Julie started drinking at six months post surgery.  

This is extraordinarily dangerous.  Your surgeon told you to be careful for a reason.

Alcohol + early gastric bypass = possible brain damage and Wernicke's encephalopathy.   Wernicke's can occur even without the aid of drinking heavily, do not help it along.

Gastric bypass triggers impaired vitamin intake in the best of situations, and pairing this with alcohol abuse can increase the risks of things like thiamine or Vitamin B1 deficiency.  Typical people have a hard enough time metabolizing, removing nutrient intake and adding alcohol is a very bad idea.  Don't do it.  Don't take advice from internet peoples, but don't do it.

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Also note that alcohol really messes you UP post op -

 If you aren't one of the gastric-ally enhanced like your super enhanced *sarcasm* blogger here, let me explain something to you:  

  • Diet coke and rum, and I'm on stage.  
  • A few sips of a martini and I'm holding walls.  
  • I'm pregnant in one half-glass of wine.  

Alcohol is a different beast with a short gut.  Your mileage may and should and will vary, but for most of us, alcohol hits our systems FAST, HARD and feels like it leaves just as quick, even if it doesn't - - which can lead "us" to drink more.  

It can be a sick cycle, and the longer I live with my own super enhanced system, the more I realize how much it's all quite interconnected.  (Hello, carbohydrates, let's get shitfaced!)  I'm not an expert in any way, I just live with it, watch others deal -- and read about it daily.  (And, damn it if my opinions aren't changing.)

I'm not really blogging about Julie here, you see.  I feel like I/we can't judge.  Because, you know what, she is any one of us.  It would not take much to jump on that slip and slide of transfer addictionfor any of us, and who are we to judge that?  (As I sat with my heavily buttered toast and ATE FOOD during this episode, right?)  

Transfer addiction can hit ANY OF US if we aren't dealing with our triggers...

...To over eat, drink, compulsively shop, gamble, ludicrous hobbies that suck up ALL time and money,  taking off to do stupid shit, (Yes, I Am Talking About You, CUT IT OUT, what you're doing is totally destructive though you don't see it, and you probably won't see this anyway...) overusing the internet *coughIknow,* obsessions, sex addictions, etc...so forth, so on and yadda yadda yadda, this list, really has NO END...  And, we all know someone who has a problem.  And, yeah.  

My Name Is Beth And I Am Addicted To Caffeine, Simple Carbohydrates And Online Gratification Via Instant Results Via ADHD Brain With A Side Order of Seizure Disorder.

Also:  who's to say what addictions and compulsions are truly destructive vs. not?  I mean?  Sure, I use the net too much, but... what if I was knitting so much that my house was full of yarn?    There are things to consider here.  Also: addicts will rationalize everything to make their addictions seem okay for THEM.  *beam*  Am I NOT right?Any of us who ever used food to deal with emotional reasons or anxiety is at risk to transfer to something else, or continually cycle back to heavily buttered carbs.  We substitute WHAT-EVER we can to get the same effect in our BRAINS.  It's just a cycle of fail until we can fix what's broken to begin with!  If you have ever said, "As soon as I lose the weight, things will be better -" that's a sign that they won't.  Start working on it yesterday.

Also - I must mention it.  I notice the chatter - "OMG HOW MUCH WEIGHTED DID SHE GAINED?!"

The woman was on Intervention because she's drinking herself to death.  Her weight regain is of zero importance.  Priorities:  #1 - Live.  #2 - Stay Alive.

At the close of Intervention last night, we were told that Julie is attending AA and was sober as of September.  I wish her the very, very best.  

Are you out there, Julie?  

PS.  The realization that the individuals on these shows WATCH themselves on TV and how does THAT feel?  *thud*

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My 600 Pound Life - Ashley - And Why Do I Like This Show?

Feb 24, 2012

My 600 Pound Life - Ashley - And Why Do I Like This Show?

I realized why I dig this show, just as it came to an end last night.  It figures.  You have to understand, I don't "do" weight loss shows.  Typical weight loss makeover programs make me want to throw things while I count the product placements and analyze the commercials.  I can't deal, here have some Extra gum with me?  

On My 600 LB Life, the weight loss surgery patients followed a similar time line as I did.  I had the same surgery, in the same year.  It's likely we had similar education and similar support options, aside from the whole "you're on a documentary" part.

The patients featured on the program start with much more difficult situations than I could ever imagine, but I am left wondering about them.  I apparently GET IT at some level and I'm wondering way too much about their current situations...

  • Where are they now?  
  • How are they?  Are they okay?  Are things good?  
  • Did anyone ever tell them about their vitamins?  Diet?   How are you eating now?
  • Did they get better aftercare than we did in the same time frame?  
  • Have things gotten better for post ops since 2004?  
  • How's the family?  Did you move out?  Please say you did?
  • And, are they still getting support?  

The show glazes over and skips integral parts of the post-op process.  Any of us know that we're missing about 99% of the story here.  However, the bits and pieces we do see give us a glimpse of "whys..."  It would be much more responsible to show more of each patient's realistic post op experience.  There's so much we don't know, don't see, and there's seven years of a few minutes of footage here.  

The show feels a lot like a post op check up.  Quick and not thorough enough.  That said, it's already over.

I'm sure that people like me, peers, are looking way too closely at it because we have lived it.  We are waiting to see details about the "whys" -- and the general viewership probably doesn't care -- according to the comments onTwitter this morning -- they just want to be jerks.  

I just want to find Ashley, you know?  

HuffPo's Review of Ashley's Episode -

Her mother, who is overweight herself, was inexplicably cruel and teasing to Ashley, even as she appeared to be on hand to support her daughter. It was a dynamic and a relationship that was very difficult to understand, but it was very clear that her mother's cruelty hurt Ashley. It may well have helped lead her to the dark place that saw her put on so much weight in the first place.

The episode chronicled her seven-year journey toward a healthier life and body, including multiple skin removal surgeries along the way. But even at 500+ pounds, Ashley started dreaming of getting back to one of her childhood passions. As a girl, she'd played softball, until it became too physically exhausting for her to do so.

Once she'd managed to shed most of those excess pounds, she signed up to coach softball to be close to the sport that had brought her so much joy. She shared her story with the kids on her team, serving as inspiration that anything is possible and it's never too late to take the reigns of one's life. Her ultimate dream is to own a childcare facility where she can maybe reach out to those struggling kids like she was and provide a helping hand before they find themselves living their own 600 pound lives.

From http://www.meltingmama.net/wls/2012/02/my-600-pound-life-ashley.html

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Unflavored UNJURY Whey Protein Isolate

Feb 20, 2012

 

Unflavored UNJURY Whey Protein Isolate

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There are a few products that are staples in the bariatric world that I have never ventured out and tried. UNJURY Unflavored Whey Protein Powder is one of them.  (I did try their Chicken Soup flavor, because it was something different and salty, and I am a sodium lover, hello Ramen Noodle Broth.) 

UNJURY was around back when I was a bariatric baby, in fact, there weren't many options back then for protein, I bought what I could find at GNC and that was that.

Today, I tried Unflavored UNJURY Protein.  It's an affordable source of whey protein isolate.  It is, $16.95 for 17 servings.

Unflavored protein for a bariatric post op is like the HOLY GRAIL. 

All of us obsess about it, "OMG WHAT IF I AM NOT GETTING ENOUGH PROTEIN?  CAN I PUT PROTEIN IN MY FOOD?  WILL I TASTE IT? OMG!"  We all do it.  But, finding a protein that does not smell or taste like protein, might be harder than getting the protein minimums down to begin with.

I should note first, some details from UNJURY:

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Ingredients: Whey protein isolate and soy lecithin 

Contains: Milk and soy.  ***Note: Soy ingredient is Soy Lecithin, not Soy Protein.

For all UNJURY flavors, do not use in liquids hotter than 130º F. Proteins, when heated, change texture. For example, you have seen an egg white go from a clear gel, to firm white, when cooked. For UNJURY, in a hot liquid, the proteins tend to clump. A food thermometer is a good way to get the temperature nicely warm…just right. 

*Note: We don’t recommend mixing Unflavored UNJURY in plain water.

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I ripped open a single serving packet and sniffed.  It smells like protein.  A very strong whey protein smell, and almost slightly sour vanilla.  (I got the same reaction to the Chicken Soup variety -- which I immediately wondered "Why does this smell like vanilla?")

For review purposes, I like to mix the product as-is.  I added the packet of protein to a glass, and added cold water.  I broke the rule. To be honest, the PACKET does not say, do not mix with just water.  But, I have to taste the product - NOT what I am adding to TO. 

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The UNJURY protein powder may be one of the fluffiest appearing powders I've seen.  It's awfully purdy.  I mixed it with a whisk, and it took quite a long time to dissolve into the cold water.  It looked a bit horrid at a point:

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And, I thought I would abort mission and throw it away.

A bit more mixing, and the powder finally dissolved.  The resulting drink was a mostly smooth, sort of clear-ish, whey-looking yellowy liquid.  (Nursing moms?  Yeah, like that.)

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One sip, Beth.  One sip for a honest reaction, and then I would add it to a "preferred beverage" to give it a fair chance.

And -- one sip.  It tastes like UNFLAVORED WHEY PROTEIN.  Big shocker!  It smells like whey protein, and it tastes like whey protein.  The texture is okay, it's super-thin and there are very few chunks (curds?) floating about.  But, it tastes, because it has to.  It's the nature of the product.

Alone, it's not good.  Not at all.  They warned me.  I did not listen.

I bastardized UNJURY -  my apologies - but can coffee fix everything?

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After adding stuff TO the mixed Unflavored UNJURY, it'smouth-tolerable.  The taste isn't bad, the coffee covers of the flavor of UN.  As with other whey products it leaves a sticky mouth feel.  I am not a fan of this, and I immediately want to drink or eat more after I take in a sticky-whey product.

However, the odor is horrific.  I cannot get past the cup, even with coffee added.  Perhaps heated it would be better?  I don't know, but I am not loving this at all.

That said, it is a good quality product.

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As a supplemental source of protein, it's great.  20 grams of high quality whey protein isolate with a PDCAAS score of 100?  Damn near perfect.

Form your own opinions - as always - try it for yourself. 

  • Product - http://www.meltingmama.net/wls/2010/09/unflavored-unjury.html
  • Via - UNJURY
  • Price - $16.95 for 17 servings
  • Pros - 100% PDCAAS Score, 20 grams whey protein isolate, decent texture, quite affordable
  • Cons - Somewhat lumpy, highly fragrant, effed up my preferred beverage
  • Rating - Pending, I am reading reviews elsewhere... I may try my other packet in a full-doctored up shake to confirm.
  • PS.  It took twenty minutes for the manufacturer to reply this post. 
  • Picture 12 Via - http://www.meltingmama.net/wls/2010/09/unflavored-unjury.html
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Walk From Obesity - 2012

Feb 20, 2012

 Walk from Obesity

Congratulations!

You have received a donation to your Walk from Obesity fundraising goal.

Wellesse has donated $500.00 to you!  Thank you Wellesse, you ROCK!  

Please DONATE or JOIN my Team Melting Mama + BBGC for the Walk From Obesity!  
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High calorie intake linked to mild memory loss or I'm never eat

Feb 13, 2012

 

High calorie intake linked to mild memory loss or I'm never eating again.

Dont_forget


The case for not overeating.  Anymore.  Ever. 

USA Today via the AAN -

Older people who consumed more than 2,143 calories a day had more than double the risk of a type of memory loss called mild cognitive impairment compared to those who ate fewer than 1,500 calories a day, according to a study being released Sunday by the American Academy of Neurology on its website (aan.com).

The more calories older people consumed, the more likely they were to have mild cognitive impairment, says Yonas Geda, lead author of the study and a neuropsychiatrist at Mayo Clinic in Scottsdale, Ariz.

Other investigators from Australia have shown that excessive calorie intake is associated with a greater risk of mild cognitive impairment, he says.

I am 33 years old, and already have a cognitive impairment.  No thank you for this.  Thanks.

Study -  http://www.aan.com/press/index.cfm?fuseaction=release.view&release=1023

NEW ORLEANS – New research suggests that consuming between 2,100 and 6,000 calories per day may double the risk of memory loss, or mild cognitive impairment (MCI), among people age 70 and older. The study was released today and will be presented at the American Academy of Neurology’s 64th Annual Meeting in New Orleans April 21 to April 28, 2012. MCI is the stage between normal memory loss that comes with aging and early Alzheimer’s disease.

“We observed a dose-response pattern which simply means; the higher the amount of calories consumed each day, the higher the risk of MCI,” said study author Yonas E. Geda, MD, MSc, with the Mayo Clinic in Scottsdale, Arizona and a member of the American Academy of Neurology.

The study involved 1,233 people between the ages of 70 and 89 and free of dementia residing in Olmsted County, Minn. Of those, 163 had MCI. Participants reported the amount of calories they ate or drank in a food questionnaire and were divided into three equal groups based on their daily caloric consumption. One-third of the participants consumed between 600 and 1,526 calories per day, one-third between 1,526 and 2,143 and one-third consumed between 2,143 and 6,000 calories per day.

The odds of having MCI more than doubled for those in the highest calorie-consuming group compared to those in the lowest calorie-consuming group. The results were the same after adjusting for history of stroke, diabetes, amount of education, and other factors that can affect risk of memory loss. There was no significant difference in risk for the middle group.

“Cutting calories and eating foods that make up a healthy diet may be a simpler way to prevent memory loss as we age,” said Geda.

The co-authors of the study include Ronald C. Petersen, MD, Fellow of the American Academy of Neurology, and other investigators of the Mayo Clinic Study of Aging in Rochester, Minn.

Learn more about Alzheimer’s disease at http://www.aan.com/patients.

The study was supported by the National Institutes of Health, the Robert Wood Johnson Foundation and the Robert H. and Clarice Smith and Abigail van Buren Alzheimer's Disease Research Program.

The American Academy of Neurology, an association of more than 25,000 neurologists and neuroscience professionals, is dedicated to promoting the highest quality patient-centered neurologic care. A neurologist is a doctor with specialized training in diagnosing, treating and managing disorders of the brain and nervous system such as stroke, Alzheimer’s disease, epilepsy, Parkinson’s disease and multiple sclerosis.

For more information about the American Academy of Neurology, visit http://www.aan.com or find us on FacebookTwitterGoogle+ and YouTube.

 

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Wellesse B-12 Fast Absorbing Sublingual Liquid

Feb 10, 2012

 Wellesse B-12 Fast Absorbing Sublingual Liquid

 

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 Wellesse B-12 Fast Absorbing Sublingual Liquid -

  • 1000 mcg
  • Calibrated Dropper, Easily Adjusted Dosage
  • Natural Berry Flavor
  • Naturally Sugar Free with Stevia
  • Gluten Free

B12 is an essential B Vitamin that plays a role in the entire nervous system, promotes energy metabolism and supports healthy heart function. B12 is a key contributor to the body's proper use of iron. B12 becomes increasingly important with age with risk of decreased absorption which can lead to deficiencies in both B12 and Folic Acid.

 

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The ASMBS  (2010) explains that after gastric bypass surgery vitamin B12 deficiency may result in consequence of food no longer coming in contact with gastric intrinsic factor. Vitamin D and calcium absorption may also be reduced since the duodenum and proximal jejunum, which are the preferential sites of absorption, are bypassed by this procedure. Also, life long supplements of multivitamins, vitamin B12 iron and calcium are mandatory following this procedure.

I'm not a professional, I'm just a patient, but I understand it as this:  The biggest problem is that gastric bypass patients no longer have the abilty to absorb the B12 from food due to the lack of acid in the new stomach pouch.  Our bodies have some B12 stored away, but it can run out and leave us with a deficiency.

B12 deficiency can cause pernicious anemia.  You don't want this, the effects of pernicious anemia can be life-long if you do not catch it in time.

 

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Via - Bariatric Times, May 2010

You need to take your B12.  Surgeons and nutritionists often recommend a sublingual B12 product, because it's one of the best ways to get the vitamin into your system, and sometimes post-ops need injections of B12 if the oral route is not sufficient.

B12 is also known to give you energy -- it's found in energy drinks and other products to help give you a BOOST.  Or wings?

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Wellesse's Sublingual B-12 comes in a  2 ounce bottle, with 60 doses of 1000 mcgs of B-12, or 16,667% of the good stuff.  The extra 16,567% is for good measure.

The product label -

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I shook up the bottle, peeled off the outerwrapping, and sucked out a dose of the B12 with the attached dropper.  For the purposes of the review, I played with the product first, because that's what I do.  I sniff, play and take photos.  The liquid is bright red, clear and has a touch of thickness to it.   While the cover was off, I sniffed the product, which smells like a berry based fruit punch.

 

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Perfect.  Unless you do what I just did to it.  "Mama, can I paint wis your vitamins now?"

 

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  • Product - Wellesse B-12 Fast Absorbing Sublingual Liquid
  • Via - Wellesse
  • Price -  $9.99 or .17 cents per dose for 60 days!
  • Pros - 1000 mcg of B12 per ml, sugar-free, lightly sweetened with Stevia + Erythritol, simple to take, tastes great, relatively inexpensive...
  • Cons -  The five year old wants to paint with it.  The 5th grader in me wants to crack inappropriate jokes.
  • Rating - Pouchworthy, MM

More about B12 at these links -

  • http://ods.od.nih.gov/factsheets/vitaminb12/
  • http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001595/
  • http://bariatrictimes.epubxpress.com/link/BT/2011/may/1?s=0
  • http://www.anemia.org/professionals/feature-articles/content.php?contentid=438§ionid=15

 

 

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Bariatric Advantage Peppermint Sublingual B12

Feb 05, 2012

 Bariatric Advantage Peppermint Sublingual B12

  • Product - Bariatric Advantage Peppermint Sublingual B12
  • Via - Bariatric Advantage
  • Price - Peppermint, 90 count  $18.25
  • Pros - So. easy. to. take.  The taste is magic.  Minty-fresh.  Mr. MM says "They're like those after dinner mints use you'd get at the restaurant,  you know, those ones in baby colors?"  I say, no.  They're a little pepperminty-er than THAT and not as sweet, of course, there is no sugar in them.
  • Cons -
  • Info from Bariatric Advantage - Deficiencies of B12 and folate have been demonstrated with virtually all bariatric surgery procedures. Our B12 was designed to meet the vitamin B12 needs of individuals who have undergone weight loss surgery. Each tablet provides 1000 micrograms of B12. This product is a 100 percent lactose-free formula that can be placed under the tongue or between cheek and gum and allowed to dissolve over a period of several minutes. This tablet also contains 200mcg of folic acid. B12 with Folic Acid. Vitamin B12 and folic acid are synergistic nutrients in the body, supporting many of each other’s functions. The 200 mcg of folic acid in this tablet also means that patients who are or wish to become pregnant can get a full milligram (1000 mcg) of folic acid when they take this product together with any of our multivitamins.

    100 Percent Lactose Free. Some percentage of patients who have undergone weight loss surgery such as gastric bypass or duodenal switch develop lactose intolerance. Others have heard about this potential problem and avoid lactose-containing foods and products without a confirmed problem. The vast majority of B12 products contain lactose for one of two reasons: 1) the tablet itself contains lactose or 2) the B12 is titrated in lactose. The latter may not show in the ingredient listing, and may cause symptoms for unidentifiable reasons. Our B12 is 100 percent lactose free. There is no lactose in the base and the B12 ingredient is titrated in calcium. Thus, this is the best choice formula for those who may need to avoid lactose.

    Great Taste. We consistently get feedback from customers on the great taste of our products, especially our B12. Great taste fosters compliance, and makes the process of taking daily vitamins more pleasant for patients.
  • Rating - Wicked (deal with it, I'm in Massachusetts
  • Pouchworthy, MM
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True, this.

Feb 04, 2012

 ..
3 comments

Nutrition for Reactive Hypoglycemia

Feb 03, 2012

Nutrition for Reactive Hypoglycemia
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Many post weight loss surgical patients deal with blood sugar fluctuations, particularly those of us whom have had roux en y gastric bypass.  Aside from dumping, we often have a blood sugar reaction after dumping -- and sometimes without -- called reactive hypoglycemia.  

Nutrition for Reactive Hypoglycemia -

via http://www.mckinley.illinois.edu/Handouts/hypoglycemia_nutrition_reactive.html

What is reactive hypoglycemia?

Reactive hypoglycemia can occur when blood glucose falls, stores of glucose from the liver are exhausted and an individual chooses not to eat. The body gradually adjusts to this situation by using muscle protein to feed glucose to brain cells and fat to fuel the other body cells, but before this adjustment takes place, an individual may experience symptoms of glucose deprivation to the brain. Symptoms such as: anxiety, hunger, dizziness, confusion, sleepiness, weakness, shaking muscles and racing heart may result. Most of these symptoms diminish five to ten minutes after eating a source of carbohydrate. Because these symptoms are common to many conditions, a health care provider should be consulted to assess an individual’s specific symptoms and concerns.

via http://www.mckinley.illinois.edu/Handouts/hypoglycemia_nutrition_reactive.html

Who is affected by reactive hypoglycemia?

Reactive hypoglycemia occurs in about 2-3 out of every 10 young women - more often in obese women and less often in people over age 45. While most people experience low blood glucose levels at times, if the symptoms are severe or ongoing it is important to learn to eat a balanced meal or snack promptly. Reactive hypoglycemia does not lead to more severe conditions.

How can I control reactive hypoglycemia?

Reactive hypoglycemia can be managed with:

  • Nutritionally balanced meals
  • Frequent meals and snacks
  • Regular exercise
  • Smoking cessation
  • Weight management
  • Medical supervision, if indicated
  • Regular blood sugar checks, if advised

How can reactive hypoglycemia be controlled with nutritionally balanced meals?

When blood glucose falls, eating carbohydrate foods can bring blood glucose levels back up; a meal or a snack must be eaten. Some people believe the obvious solution is to eat a candy bar or drink a cola beverage. Such a meal or snack is very high in carbohydrate, and consists mostly of simple sugar. It may cause your blood level to rise quickly and then fall quickly. Some people then experience the symptoms of rebound hypoglycemia.

A more helpful choice is to eat food with complex carbohydrates (higher fiber whole grain crackers, bagels, breads or cereal). Complex carbohydrate foods deliver glucose over a longer period of time, eliciting less of a rise and fall in blood glucose. A cracker or other grain food with cheese or another protein/fat is the best choice. The protein/fat slows down the digestion of the carbohydrate and keeps blood sugar more stable.

Some snack and meal suggestions that meet the goal of including a complex carbohydrate, a protein source or a fat include:

  • Meat or cheese sandwich on whole wheat bread
  • Yogurt and fruit
  • Cottage cheese and whole grain crackers
  • Turkey, cheese slices and veggies on a salad
  • Salad with beans or nuts added
  • Peanut butter and whole grain crackers
  • Cheese and whole grain crackers
  • Bean soup and whole grain crackers or bread
  • Cheese on baked potato with skin
  • Whole grain bagel and cream cheese

Nutrition tips to manage hypoglycemia

  • Eat a small meal or snack about every 2-3 hours. Skipping meals can make symptoms worse.
  • Choose high fiber foods at each meal and snack.
    Fiber helps stabilize blood sugar. Increase fluid intake when you increase fiber intake.
  • Eat a source of protein and or a source of fat with carbohydrate at each meal or snack.
    Protein and fat eaten with carbohydrates will help slow glucose release and absorption.
  • Limit simple sugars. (candy, soda, fruit juice, sweets).
    Simple sugar intake can make hypoglycemia symptoms worse. Moderate your intake.
  • Limit alcohol and caffeine (coffee, tea, soda, chocolate).
  • Eat a meal or snack 1-3 hours before exercise.
    Extra carbohydrates may be needed before exercise to compensate for energy used.
  • Nutrition for Reactive Hypoglycemia
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