Hypoglycemia Help

Ladytazz
on 5/13/12 3:04 pm
So, I found out I am one of the lucky ones who get low blood sugar.  I thought I got away with it for a long time because I eat pretty much in a way to keep from getting low blood sugar.  I avoid all sugar and refined carbs and gluten.  I usually eat every few hours, high protein food.  I thought I was safe.  Until a few weeks ago.  I felt very strange and shaky.  After a bit I thought I should check my blood sugar.  After managing to locate everything and sitting down I found my blood sugar was about 60 then.  I was already drinking a protein drink at that point so it may have been lower.
At first it only happened now and then, usually between breakfast and lunch.  I was usually at home and would grab some gluten free crackers and cheese or peanut butter and felt fine after a while.
Last week I felt it coming on so I checked my blood sugar and it was 36.  My boyfriend freaked out and wanted me to go to the hospital.  I convinced him that this wasn't that unusual for bypass patients and I would be fine.  It took a while but it eventually got up over 70 before he felt better.
So today for Mother's day my daughter and I drove about an hour away to go to a BBQ.  I had bought a few protein bars to keep in my purse to have handy but I forgot to bring them.  While we were on the freeway I felt myself get that feeling.  I had my daughter look for protein bars but they weren't in there.  I did have a pack of peanuts and some sugar free candy so I opened the peanuts and decided to pull off to a convenience store to get something.  I bought a hard boiled egg, a small thing of cheese and a banana.  After a while I felt fine and we proceeded on.
My question is, since this is looking to be a regular occurrence, what can I keep in my purse to always have on hand at the first signs?  Keep in mind that I don't eat sugar and I dump anyway so I don't want to try things like glucose tablets or candy.  I also don't eat gluten so things like peanut crackers are out.  I was thinking of a baggie of gluten free crackers with peanut butter in between them but I'm not sure how well they keep.  Same with things like string cheese.  I want something I can just keep for as long as I can, not something that I would have to keep replacing since I know how I am.  In the past protein bars have helped but they are hard to keep in the summer.  The last time I tried that it wound up flattened and squishy.  Not very appetizing.  Any suggestions?   
I also found that a sugar free latte or frappe type drink from Starbucks or Dutch Bros helps but I don't want to have to rely on stopping somewhere.  I want to keep something with me at all times.

WLS 10/28/2002 Revision 7/23/2010

High Weight  (2002) 240 Revision Weight (2010) 220 Current Weight 115.

Dagne Tripplehorn
on 5/13/12 3:34 pm - OR
RNY on 04/06/12
 A diabetic product would fix you up in an emergency. They are basically glucose, so they work fast and would bring your blood glucose up to a safe level until you got some protein or complex carb in your bloodstream. 
Ladytazz
on 5/13/12 3:40 pm
I've seen those in the store but I am afraid it would cause me to dump.  I never looked at how many grams of sugar it is, though.  I avoid sugar on the whole anyway.  I guess it wouldn't hurt to have some handy in an emergency.

WLS 10/28/2002 Revision 7/23/2010

High Weight  (2002) 240 Revision Weight (2010) 220 Current Weight 115.

qnmimi
on 5/13/12 4:06 pm, edited 5/13/12 4:07 pm - Cottage Grove, MN
Do you eat almond butter? Amazon sells Justin's brand almond butter ina few flavors, but you can buy them in a box of individual 1.5oz pouches. The label says gluten & dairy free. 190 cals, 17g fat, 8g carb, 6g pro, no trans fats. It's been a while since I bought my stash, so I can't speak for the current price, but is very portable, and has a long shelf life. Along with a astash of gluten free crackers, or a piece of fruit would work well. Hope this helps. PS I keep a snack or 2 in my car & purse for emergencies too.  BTW these stats are for the honey almond butter.
    
rbb825
on 5/13/12 4:23 pm - Suffern, NY
I dont suffer from reactive hypoglycemia now but about 10 years agoout with = I suffered from severe malabsorbtion due to an atrophied pancreas = it stopped working completely - within 2 months, I was so diabetic I was on insuin and I was never on anything before that, not even close.  then I became so iron deficient that I needed IV iron, I got a huge dose = 3 times in one year and my levels were great, I am starting them now and my hematologist said they dont do them nearly that high of a dose any more due to terrible reactions and I was one of them so hopefully things will go better this time.

Then all of sudden, things went the other way with the sugar levels;  I went from severe diabetic to severely hypoglycemic.  My blood sugars would drop to the 30's and 40;s if I didnt' eat every 2-3 hours and I even had to set the alarm every 3hours over night = it was terrible especially when trying to lose weight.  Then I didnt know what I know now that eating protein with a carb is the way to get your sugar levels  up without plummeting afterwards.  If you just eat protein, it is good to stop it from going down more but you need the carb to get it to go up in the first place.  The combination works.  If you just take the carbs/sugar - you will go up and then crash.  You want the carbs to be good carbs like fruit,   as far as the glucose tablets, if I remember correctly, they are like 2 or 3 grams of sugar -   I dont know if you take any  chewable vitaminss but alot of them have a tiny amount of sugar and carbs.

as far as foods go, there are many organic stores or just plain old specialty stores that specialize in all the different types of foods = like gluten free, lactose free, sugar free, low sodium, some even have kosher sections if there is a large jewish population in the area.

These stores would be great for you = you can get all sorts of gluten free foods.  I know it is probably more than you would eat but I just got a type of ravioli made with squash - I forgot the type of squash just remember it is orange and it is delicious - I cant rememeber I cant remember the name I eat the soup all the time.  You can get all sorts of stuff in those stores - like the crackers with peanut butter you were talking about or just little cups of natural apple sauce = they are no sugar added and if you eat one of them with some protein, it would be great.  For protein, I always used the cheese sticks because they were easy to carry around.  What I did was I got a little fabric lunch bag - it was insulated so it would keep things somewhat cold = no perfectly but you could keep cheese and deli meats in it for a few hours.  So, that was a great way to back a small sandwich or half a sandwich on gluten free bread with ham or turkey and if you like a little cheese.  Add a banana or an apple and you will be set.

Ideally, you should be eating breakfast, a snack 2 hours later, then lunch about 2-3 hours later, then a snack 2 hours later and then dinner 2=-3 hours later and then a snack 2 hours later and depending on when you go to bed = if there is still time, you can have another small snack so you dont have too much time between when you eat and when you go to bed  = it should be no more than 2 hours.

You then need to take your levels first thing in the morning, if they are still too low, you might have to do what I had t do, is set a clock and eat a tiny snack over night.  I went to bed at 12 midnight and I had to have a snack at 3 am, 6 am, 9 am and then Iwould get up at 11 am.  I kept a tiny snack at the side of my bedside, sometimes it was a piece of fruit, other times it was a piece of cheese, it I was too tired to get up at all, I would just use a glucose tablet - I didnt know we needed protein them.
My doctors sent me for a test to see why I was so badly hypoglycemic = there is a test of the pancreas called an octreotide scan and it tests for a special tumor that can cause severely low blood sugar levels if you have this type of tumor in the pancreas and this type of nuclear scan is the only way to detect to it.  thankfully, I didtn have it but they never figured it out.  after about 6months, it just dissappeared as quickly as it showed up, really strange.

Being gluten free and not wanting any sugar or things that aren't perishable makes it very difficult.  The easiest part to change is to get a little little lunch bad like I had suggested - this would make it so much easier for so many foods for you.  cheeses, deli meats, fruits, shrimp will stay for severalhours in the cooler bags, nuts  in a bag, peanut butter in a litte container with a few gluten free crackers,

 

dasie
on 5/13/12 8:36 pm
Do you drink orange juice or milk?  There are many good posts from Vets if you do a search...you probably have already.  36 is low... I wish I had bookmarked some of the excellent suggestions I read about when I first began having this issue.

What does it mean to eat gluten free?  I know nothing about that.  Does that mean avoiding anything that contains flour?

Do you have an endo?  If so, you probably want to talk to her about this.




    
poet_kelly
on 5/13/12 8:47 pm - OH
Gluten is a protein found in some grains, including wheat, barley and rye.  People that cannot tolerate gluten can eat other types of flour (there are a whole bunch, like almond flour, cornmeal, oat flour, rice flour, etc).

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

dasie
on 5/13/12 10:27 pm
Thanks...I've never researched it and have been curious.




    
poet_kelly
on 5/13/12 8:45 pm - OH
Protein bars work best for me.  I use ones that have some sugar but not enough that I would dump on it.  The carbs/sugar get my glucose up and the protein helps it stay up and not crash again.  Plus a protein bar is the quickest thing to grab and eat when I'm too shaky and lightheaded to fix a protein shake or prepare anything to eat.

How often do you eat?  I have found that eating every three hours usually, though not always, prevents the episodes of low sugar for me.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

H.A.L.A B.
on 5/14/12 12:37 am

I used to get that all the time.  I realized that not only I need to eat every 2-3 hrs on the clock - but that I also need proteins and fat for my BS  to stay stable. i.e. I would get protein shake (100 cal, 24 gr of proteins, virtually no carbs - based on water ) and I may crash a hr later. But if I add some fat to it - i.e. unsweet almond milk, or coconut milk, or even 2-3 Tbs of half and half - or 1 tbs of PB - my blood sugar will be fine.

I used to keep PB by the bed.  I learn to eat 1tsp of PB before getting out of bed. I also learn to eat just before i go to bed. Crazy - yea, it is, and not that healthy - but beats having sugar crash in the morning or mid morning. 

Now I do follow some rules:
Eat on a clock every 2-3 hrs. Even if not hungry.
Use fat in my coffee. (almond milk or coconut milk - unsweet)
need to get proteins and fat and carbs every meal.

I keep protein bars in my purse all the time.  And in my car. And in any car I may drive - be a passenger in (i.e. my BF car).
I also keep glucose tablets in my purse. 1 tablet is 4 gr of sugar - enough to bring my blood sugar up when it drops - then I follow with food - cheese- PB- or nuts, or protein bar ( I use quest bars - they do not mind getting hot - can stay in a car) 

When my BS crushes - and I am in a car or a store, etc - one glucose tablet will help me then to get food.  Will give me enough time to find something proper to eat.  

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

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