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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Does Reactive Hypoglycemic Episodes Related To Bowel Resection?

I had a bowel resection in 2000 after ischemic ulceration due to a volvulus. I was diagnosed with diabetes last year, and I seem to have reactive hypoglycemic episodes. My CBG drops after I eat, and I feel tired, often weak, until my blood sugar rises. Is this condition related in any way to an enzyme deficiency due to the bowel resection?
Thu, 30 Oct 2014
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Dietitian & Nutritionist,  's  Response
Its not due to any enzyme deficiency but bowel resection affects the rate of digestion and absorption of nutrients into the blood stream. Due to delayed digestion, your blood sugar levels drop significantly before food can get converted to glucose to raise blood sugar. You need to match your insulin timings with the rise in blood glucose to prevent hypoglycemic episodes. Consult your diabetologist and work out a suitable insulin regime with him.
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Does Reactive Hypoglycemic Episodes Related To Bowel Resection?

Its not due to any enzyme deficiency but bowel resection affects the rate of digestion and absorption of nutrients into the blood stream. Due to delayed digestion, your blood sugar levels drop significantly before food can get converted to glucose to raise blood sugar. You need to match your insulin timings with the rise in blood glucose to prevent hypoglycemic episodes. Consult your diabetologist and work out a suitable insulin regime with him.