mycrofft
Still crazy but elsewhere
- 11,322
- 49
- 48
A spinoff from the ongoing thread about hypoglycemia and insulin.
Hypoglycemia and be induced by eating too much sugar in patients having undergone the equivalent of Roux-en-Y operations (for weight control, although some other similars ops are used for trauma or illness). This initiates "dumping syndrome"; the pt is nauseous, tremulous, maybe has diarreah, and serum glucose drops because endogenous insulin is released. (Gastric banding shold not cause this as it does not cause malabsorption, but the constricted GI system has it's own mechanical issues, including the rare band eroding through the stomach wall, sometimes to "dangle" inside uselessly).
Ask about abdominal surgeries, look for a medic alert type device on wrist, ankle or necklace, look for evidence of recent and radical weight loss (adipose apron being the prime one), or other signs of the surgery.
In their case the condition may usually self-correct, but I believe you will find that ORAL sugar is a no-no, and IV sugar is not.
I do not know about Glucagon, but I think it should work.
My experience is that the bariatric surgeon community and the rest of the medical community do not talk a lot, and this condition can have real impact upon many things medical (diet, oral med uptake, malnutrition, hightened susceptibility to some "common" problems and some unique ones).
Hypoglycemia and be induced by eating too much sugar in patients having undergone the equivalent of Roux-en-Y operations (for weight control, although some other similars ops are used for trauma or illness). This initiates "dumping syndrome"; the pt is nauseous, tremulous, maybe has diarreah, and serum glucose drops because endogenous insulin is released. (Gastric banding shold not cause this as it does not cause malabsorption, but the constricted GI system has it's own mechanical issues, including the rare band eroding through the stomach wall, sometimes to "dangle" inside uselessly).
Ask about abdominal surgeries, look for a medic alert type device on wrist, ankle or necklace, look for evidence of recent and radical weight loss (adipose apron being the prime one), or other signs of the surgery.
In their case the condition may usually self-correct, but I believe you will find that ORAL sugar is a no-no, and IV sugar is not.
I do not know about Glucagon, but I think it should work.
My experience is that the bariatric surgeon community and the rest of the medical community do not talk a lot, and this condition can have real impact upon many things medical (diet, oral med uptake, malnutrition, hightened susceptibility to some "common" problems and some unique ones).
Last edited by a moderator: