HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Causes Loss Of Appetite And Sugar Carvings Post A Gastric Bypass Surgery?

default
Posted on Sat, 27 Feb 2016
Question: post op 4 months gastric bypass (Rou enx y) weighing now 78.5 kgs preop was 107 on insulin now on glyciphage 500mg sometimes crave for sweets.Twice tried feel little discomfort.How to control will this again not cause diabetic problems?
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
Gastric Bypass surgery is a cure for diabetes so it should not come back.

Detailed Answer:
Hello!

Thank you for the query.

Gastric Bypass surgery main effect is to decrease the stomach so you are not able to eat as much as you did before the surgery. But we also change the food passage. It does not reach duodenum (where the pancreas secretes the juice) and does not stimulate pancreas as much as it was before the surgery.
In consequence we have lower appetite (stomach sends signals to the brain that it is full). And for sure due to many complicated mechanisms the glucose absorption from the foods is lower (there is a theory which tells that now your small intestine uses much more glucose than before, so you do not have it so much in your blood stream).

In simple words, Gastric Bypass surgery is a way to treat diabetes. As you do eat less and you use more glucose, Diabetes should not come back. Moreover, as you have a need for sweets, this might be the signal that your glucose level is too low. So it would be good to check the glucose level next time the crave for sweets appear.

And a sweet from time to time is not a wrong thing. Just remember to follow your dietitian advises.

Hope this will help. Feel free to ask further questions.
Regards.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5797 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Loss Of Appetite And Sugar Carvings Post A Gastric Bypass Surgery?

Brief Answer: Gastric Bypass surgery is a cure for diabetes so it should not come back. Detailed Answer: Hello! Thank you for the query. Gastric Bypass surgery main effect is to decrease the stomach so you are not able to eat as much as you did before the surgery. But we also change the food passage. It does not reach duodenum (where the pancreas secretes the juice) and does not stimulate pancreas as much as it was before the surgery. In consequence we have lower appetite (stomach sends signals to the brain that it is full). And for sure due to many complicated mechanisms the glucose absorption from the foods is lower (there is a theory which tells that now your small intestine uses much more glucose than before, so you do not have it so much in your blood stream). In simple words, Gastric Bypass surgery is a way to treat diabetes. As you do eat less and you use more glucose, Diabetes should not come back. Moreover, as you have a need for sweets, this might be the signal that your glucose level is too low. So it would be good to check the glucose level next time the crave for sweets appear. And a sweet from time to time is not a wrong thing. Just remember to follow your dietitian advises. Hope this will help. Feel free to ask further questions. Regards.