Join us for an insightful conversation on a lesser-known but significant condition: reactive hypoglycemia following bariatric surgery. Our guest, Daniella Di Benedetto, a specialized bariatric dietitian, shares her extensive experience in managing this condition, which is often confused with dumping syndrome.

In this episode, Daniella explains that reactive hypoglycemia is characterised by a drop in blood sugar levels one to three hours after eating, due to hormonal changes and overproduction of insulin. She emphasizes the importance of raising awareness and understanding of this condition within the medical community.

We delve into the symptoms of reactive hypoglycemia, such as sweating, tremors, and fogginess, and explore the role of nutrition in managing the condition. Daniella discusses treatment options including medical nutritional therapy, medication to inhibit insulin secretion, and, in severe cases, the use of a PEG tube for nutrition.

The conversation highlights the critical need for a multidisciplinary approach, involving a bariatric dietitian and an endocrinologist, to effectively manage reactive hypoglycemia and improve patients' quality of life. Whether you're a healthcare professional, a patient, or someone interested in bariatric surgery, this episode offers valuable insights into the complexities of reactive hypoglycemia.

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Tune in to deepen your understanding of reactive hypoglycemia after bariatric surgery and learn how to manage this challenging condition.

In this episode of The Barry Chronicles, Tash and Damo discuss the importance of not forcing opinions onto others and not acting like an expert in a particular field. They emphasize that everyone's bariatric journey is unique and that there are different schools of thought on post-op diet and portion sizes. They also discuss the impact of diet culture and the belief that there are good and bad foods. Tash and Damo encourage kindness and respect towards others' food choices and the importance of enjoying life post-bariatric surgery. They also touch on the topic of sharing one's journey and setting boundaries with others.

In this episode of The Barry Chronicles, Tash and Damo discuss their personal journeys and the obstacles they have overcome. They talk about the importance of participating in their own lives and making changes to improve their self-worth and well-being. They share their experiences with bariatric surgery, therapy, and changing their mindset and behaviors. They emphasize the significance of forgiveness, setting boundaries, and finding value in small moments. The episode concludes with a message of encouragement for listeners to participate in their own lives and embrace their worth.

Summary

In this episode, Tash and Damo discuss the importance of finding a GP who is a good fit for your needs, especially when dealing with chronic conditions. Damo shares his experience of needing to find a new GP after moving and the challenges he faced in getting his pain medication prescribed. They emphasize the importance of advocating for oneself and finding a GP who is willing to work with other specialists to provide comprehensive care. They also discuss the anxiety and stigma that can come with seeking medical help, and the empowerment that comes from finding a GP who listens and understands.

Dumping syndrome is a condition where food, especially sugar, moves too quickly from the stomach to the small intestine. It can cause symptoms such as nausea, vomiting, abdominal pain, diarrhea, sweating, weakness, and rapid heartbeat. Not everyone who undergoes bariatric surgery will experience dumping syndrome, but for those who do, it can be traumatic. Managing dumping syndrome involves avoiding trigger foods, keeping carb intake low, and working closely with a dietician. It's important to track food intake and symptoms to understand individual triggers and seek guidance from healthcare professionals.

Summary

In this conversation, Dr. Terry-Lynne South discusses pregnancy after bariatric surgery. She explains that weight loss and the resolution of conditions like polycystic ovarian syndrome can increase fertility in women who have had bariatric surgery. However, she cautions that oral contraceptives may not be as effective in the first 12-18 months after surgery due to changes in drug absorption. Dr. South recommends long-acting reversible contraceptives for bariatric patients. She also emphasizes the importance of nutrition before and during pregnancy, including the need for folate, iron, and protein. Dr. South advises finding a qualified dietitian experienced in bariatric surgery and prenatal care. She highlights the potential risks and complications of falling pregnant too soon after surgery, including neural tube defects and intrauterine growth retardation. Pregnancy after bariatric surgery requires special attention to ensure proper nutrition and metabolic health for both the mother and the baby. Small for gestational age babies are at risk for developing metabolic health issues and obesity later in life. Protein intake is crucial during pregnancy, and while it's best to get protein from food, protein supplements can be used if dietary needs are not met. It's important for post-bariatric surgery pregnant women to be proactive in seeking early medical care and discussing their unique nutritional needs. Screening for gestational diabetes may require alternative methods for post-bariatric patients. Advocacy and asking the right questions are key to receiving appropriate care.

Andrew Wilson shares his personal journey with obesity and the challenges he faced. He discusses the stigma and labels associated with obesity and how they affect self-perception. Andrew emphasizes the importance of changing the narrative around obesity and advocating for better support and treatment options. He highlights the need for understanding and compassion towards individuals living with obesity. Andrew also shares the positive impact of finding peace and being present in his life after seeking help and support.