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What Causes Nausea, Dizziness, Sweating, And Numbness After Bariatric Surgery?

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Posted on Wed, 22 Jul 2015
Question: Hi, my husband is diabetic, type 2, post-surgery (barriatric), he is 63 ears old. He became very ill this morning with symptoms of nausea, dizziness, sweating, and numbness. His blood sugar had dropped to 56, so I gave him juice, a banana and a little bread. What else shall I do? Can this cause permanent damage? Thank you.
XXXX
doctor
Answered by Dr. Shehzad Topiwala (56 minutes later)
Brief Answer:
Low blood glucose

Detailed Answer:
This is called Hypoglycemia.

It can be a medical emergency if the symptoms are severe and prolonged such as unresponsiveness or seizures. Potentially, brain damage can be irreversible too.

When I see someone in my practice with this problem, I order the following tests in addition to a thorough physical examination:

CBC
CMP
A1c
TSH
Free T4

I also consider ordering other tests based on the findings on examination such as 8 am serum Cortisol.

The episode of low sugar should be managed with food/beverage to raise it into the normal range, or at least above 100, preferably followed by a meal depending on the situation.
At your next appointment with his endocrinologist, discuss ways to avoid this from happening and perhaps re-organize his medications
Note: For further follow-up, discuss your blood glucose reports with our diabetologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Nausea, Dizziness, Sweating, And Numbness After Bariatric Surgery?

Brief Answer: Low blood glucose Detailed Answer: This is called Hypoglycemia. It can be a medical emergency if the symptoms are severe and prolonged such as unresponsiveness or seizures. Potentially, brain damage can be irreversible too. When I see someone in my practice with this problem, I order the following tests in addition to a thorough physical examination: CBC CMP A1c TSH Free T4 I also consider ordering other tests based on the findings on examination such as 8 am serum Cortisol. The episode of low sugar should be managed with food/beverage to raise it into the normal range, or at least above 100, preferably followed by a meal depending on the situation. At your next appointment with his endocrinologist, discuss ways to avoid this from happening and perhaps re-organize his medications