Does reactive hypoglycemia get any better?

 Hi I am about a year and 3 months from surgery. I have surpassed my goal of 140, in fact yesterday the scale said 125. This is a number that I never thought I would ever see. My clothes range from 0's to 4's. I am grateful to be alive. I embarqued on this journey after my sister was diagnosed with cancer. My doctor found a hiatal hernia and I decided that if I was going to have surgery I might as well do both. Surprisingly it only took a few months for approval for the bariatric surgery. I do not want anyone to think that I am ungrateful for the surgery. I eat mostly protein or protein bars. I ate 1/4 cup of pasta last night and threw up(foamies). This is unusual though,usually my heart races with some slight nausea and then I crash- I literally fall asleep. So, I pretty much stick to low carbs. I was just wondering since people keep telling me I need to build up a tolerance. I am pretty sure that I won't build up a tolerance and kind of just need to deal with it. It could be worse right? It could be coffee that I react to lol(this is my addiction).

 Are you testing your blood sugar when you crash?

I don't think foamies is a symptom of reactive hypoglycemia.  Are you checking your glucose?  Do you know if you have RH?

Anyway, I guess it might get better for some people, but I don't think it usually does, no.  Mine started about two years post op and it's actually gotten a bit worse over time, not better.  I don't think you can "build up a tolerance" to get rid of RH.

 Purge all bad carbs from yuour diet, including protein bars, thats what I have done, no more crashes or cravings or gas or bloating.  I eat healthy and feel a million times better.

I have RH.......didn't know know I did until I started passing out and tests were run....about 1.5 yrs post-op.  I am 4 yrs and 3 months post op now.   RH has not gotten better.  I have accepted that I will have this for the rest of my life.  I TRY to stick to a high protein and very very low sugar diet.

I am a size 2-4 now.  I think the smaller I got, the worse I got.  My lowest weight was 128.  I range from 136-141 now and feel much better.

Good luck!

Leslie

My husband had just died and I was completely on my own. Had my first episode while driving. I did not know what to do so treated myself with real coke and a candy bar. I added sugar back to my diet and developed a tolerance.

That is not the medical way to treat it. I don't know whether it would have gotten better if I had continued to eat high protein and low carbohydrate meals. I am glad I am not dealing with it now.

 I don't normally check my blood sugar. I usually try to avoid the crashing feeling. I had it tested once when my boss called EMS and they just told me it was really low. So of course when I went to the dr. It was more normal but still on the lower side. I will try to test with my husbands monitor next time. My sister who is a dr. Is pretty sure this is what is going on though. I have not done well with carbs since surgery but it does seem to be getting worse. Like I said I don't usually throw up (it has probably been 6 months since the last time I threw up) it's more like heart palpitations ... Etc. and sometimes I do better than others. Thanks for your responses it helps to know how others deal with some of this stuff.

RH is often caused by having simple carbs/sugar.  Your body senses the sugar in the intestinal tract and dumps a lot of insulin causing RH.  So, eat healthy and avoid empty carbs and sugar or only have them in moderation. 

 My RH only gets better when I eat correctly.  Eat like crap - feel like crap.  Eat well and I don't have a problem at all.

 Keep track of your sugars.  My RH seems to have gotten worse.  I even avoid artificial sweeteners now because I believe my brain thinks anything sweet is real sugar and signals my pancreas to release a flood of insulin anyway.  I go back for my check up with the endocrine specialist at our research hospital again next week -- for about the sixth time in two years.  Still can't quite get it under control, but we're working on it.