Delayed Hypoglycemia & Gastric Bypass

It is generally manageable with diet, exercise and frequency of meals.  However, some of us have this to such a severe degree that the pool of acceptable foods begins to shrink at an alarming rate.  I used to be able to eat plain greek yogurt.  No more.  I could, at one time, manage half an apple.  No more.  I am basically limited to protein (fish, chicken, pork, beef, seafood) and greens.  No corn, some squashes (butternut and acorn) contain too much sugar for me, no starch whatsoever.  If I want a hamburger, there's no bun.  I usually eat it on a plate, but can get it wrapped in lettuce.  No ketchup -- it has too much sugar.  Any extra carbs in my diet will either cause me to dump or get extremely sleepy.  I can't tell you how much of the day I spend asleep.  I do exercize, usually walking with the dog for over an hour a day, but by the time I'm done, I'm exhausted.  I hope it does not get this bad for you.  I'm about at my wit's end.

I've been the acarbose route - that causes extreme flatulence (ya, that's fun!), and I was prescribed octreotide but didn't end up filling the prescription because it is horrendously expensive.  The more reading I have done indicates that it is not effective anyway.  It does help keep your blood sugar up, but that only increases the output of insulin from your pancreas.  Yep!  It's a really good time.

After several years now of severe tiredness and basically having test after test trying to find the answer I finally figured out it was related to the episodes I was having of nearly passing out with severe nausea and several trips to the ER. A nutritionist along with testing brought this up as the likely reason. I'm going to be asking now a year later and after once again being carted off the the ER for a referral to a specialist. I'm so frustrated.  I see there has been some advances in studies on this so maybe it can be helped. It helps knowing there are others that have this too.  This is scary .