sugar lows after RNY...

*yawn* - once again the point I made about the interpretation was IGNORED and more cut-and-pasting added to avoid the larger point.  Piling crap on top of crap does not a crapless argument make.  Didn't expect anything different, so not disappointed there. 161 patients and 105 patients- woweee.....get back to us - as I've said before - when more substantial numbers of people have been studied more reliably before you start making these flawed blanket interp comparison statements. LOL at the notion that anyone would take a study of such a small group so seriously as to extrapolate that an entire surgical procedure would produce the SAME results in an entire population.   Maybe take a gander at this while you're warming up the 'ol clipboard, first hit on google, both docs are part of Buchwald's surgical group - Buchwald's being a practice that also does DS: http://www.sph.umn.edu/img/assets/25422/Ikramuddin_&_Kellogg .pdf This isn't about one being "superior" than the other - the reality is that BOTH procedures are effective in treating diabetes.  You're SO caught up in trying to prove that % is "all"  that matters that you yourself aren't even paying attention to the larger picture. 

Reactive hypoglycemia is not very prevelent with RNY. It is in fact quite rare. There have been rports of less than 1-2% who may have reactive hypoglycemia.  None of those I peronally know who have RNY, have ever had lows after surgery. Of the ones who had Diabetes2 , none have any symptoms and most are several years out.

Correct me if I am wrong...isn't this the RNY forum??  That is why I clicked on it instead of any of the other surgery boards.....I do have a question though...and since there are many who seem to know so much......how do you have RNY then have a 'revision' to DS??  Isn't the DS performed without altering the stomach??  How can you revise when your stomach has already been stapled, etc?? As for the reactive hypoglycemia, my nutritionist as well as my doctor have said that this can be avoided by consuming more protein before your workout....(if your workout was what was bringing it on) ....... One more thing, I prayed that I would be one of the people who have dumping syndrome....my prayers were answered.....I now stay away from sugar...(without the need for extreme willpower)...and can make any kind of dessert 'treat' with other sweeteners...such as all natural stevia .....   Good luck my dear....I hope you succeed in whatever it is you choose to do!! No, I am not offended by anybody's posts....I just can't believe that some people think that one surgery is the best for everybody.

Good question!  The post-RNY stomach is very much altered from the natural stomach, and very different from a proper DS stomach, in particular insofar as a DS stomach is very close to normal in structure, but smaller, as just the outer curvature of the stomach is removed, but food goest in and out just like it did before surgery.  Think of it like a brachioplasty -- where you make the upper arm smaller by removing the saggy baggy skin from the bottom of the arm, but leave all the functional tissues. In fact, what happens in a proper RNY-to-DS revision is the surgeon has to completely take down the RNY -- detatch the intestine from the side of the pouch, repair the stoma, open up the transected portions of the stomach and reattach them to rebuild the stomach, and THEN do the resection of the outer curvature.  That is one of the reasons revision surgery is more dangerous -- there is a lot higher risk of leaks from all those sutures -- and why people shouldn't think in chosing the RNY that "if it doesn't work, I can always go back and get a revision to a DS."  I wanted one surgery, and I wanted it to work, without my having to "work my tool." See this excellent paper about revisions to the DS: http://www.dssurgery.com/aboutus/Research/safeoperation.pdf I hope you don't ever need to know this information.  I'm glad you wanted to dump, and that you got your wish.  I sure didn't want that, and I got my wish too.

do talk to your doctor and read the link Diana gave you. from looking on the grads board here and reading melting mama's blog, many rny post ops have reactive hypoglycemia issues at about 2 years post op. most can control it with diet like Melissa F mentioned but many post ops carry around peanut butter crackers or sugar pills just in case. there are currently studies being done for those who have had radical reactions. usually the people's pancreas is working overtime with the insulin production, causing this reaction. it is a valid concern. i'm pleased i chose the rny and hope i don't get reactive hypoglycemia, i try to eat about every 3 hours right now anyway. don't let the surgery wars stand in the way of good info from both sides. you've had some good responses from successful rny post ops and successful ds post ops. best of luck with your upcoming surgery! judi edited to add a really good link about it from the grads board: Topic: Reactive Hypoglycemia - my trial, error...

As I read this thread, I was wondering and actually had to go and look .... what forum was I on? I am guessing the DS forum is kinda slow for them to have the need to be giving answers on the rny forum. Well some people just don't have enough to do with their time. I find that I only have the time to read the forums that apply to my surgery and the forum where I live.

My mother had serious problems with this for the first couple of yrs following her surgery. In fact that is part of why I am just now considering it myself. She is now 7 yrs post-op and no longer has problems unless she goes on a serious sugar bender. The hardest thing to understand was that this is "reactive" which means that her blood sugar drops in response to sugar and requires protein to counteract the effects, NOT more sugar.  She had no blood sugar issues before surgery, so there is no way to tell how your body is going to respond. Even if your diabetes is not cured, studies consistently show serious improvement immediately after surgery. Good Luck - Sorry about the surgery wars - They seem to be taking over the board today. Take Care, DJ