What is the difference in "reactive hypoglycemia" and a regular insulin reaction for a type 1 diabetic?  They sound the same to me.  What I mean is... I am a type 1 diabetic so I have insulin reactions. What makes "reactive Hypoglycemia" different than an insulin reaction?

I am a registered nurse, also seeking surgery...and a Type 2 Diabetic myself. The reason that they want to postpone surgery until sugars are more controlled is realted to healing. Diabetics with uncontrolled blood sugars have trouble with infections (bacteria love sigar!) and don't heal well. I know this is hard, but they are concered about his well being. Had the same thing happen to me several years ago when I was scheduled for a hysterectomy. Had to get my sugars down first.

I am type 1 and had the rny and now have to be on tpn to get my nutrition I am really scared that I messed up I did this for my diabetes.  My doctor is good but when I eat I get sick feeling and really uncomfortable.  I can not drink either. I am really scared. did any of the other type 1s experience this???

Hi there!! Had my surgery in 2003. I am a firm believer if you are going this route of weight loss(my story is a story in itself) do what you Doc says...and I did just that and had NO problems(so I thought) up to this point.Looking back, things were happening that I had no idea was my blood sugar levels dropping. Now here in the present,since Thanksgiving, I have dropped to 39..amazing I had not passed out. Went back to my Doc and he sent me to an End. doc who specializes in BS patients..Yes, I know this is not the normal kinda of patients that are use to caring for. Was put on a low carb diet and have to eat between meals snacks.(every two to three hours) Eat Oatmeal twice a day(Weight control instant) morning and for my bedtime snack to hold me over during the night..I tried to maintain it with diet but it didn't work .Finally have been put on Percose(Acarbose) four time a day.Helped some..yes, fixed the problem No..still have lows even an hour after eating. Reactive is the main word in the whole problem. Whether Stressed or excited the sugar level is affected. Looking for an Endro Doc in Alabama for cares for Baractric patients. Looking too for any help or suggestions,

Thanks, Mona

That one blood sugar reading was elevated, but not in a particularly dangerous range at all. (Some days I'd kill for a 141 fasting blood sugar....)    It may be important to know what your body does postprandially (after eating).  You should certainly be able to do a glucose tolerance test before surgery because what you are consuming is all liquid anyway. 

I know this is all new for you and you are not wanting to lose your surgery date.  Frankly, I'd be surprised if you did if all you have is mildly elevated blood sugar.  You are not running up in the 300-400's, so this could be very manageable.  Also, if any medication or other intervention is needed, there's some time for that to work.

One of the most important things is to be sure your surgery team knows about these developments.  They are your partner in this, so they need to know what you know.  They are pulling for you too, so they can give you the best medical advice about what is safe and what is not. 

Good luck!