Eat protein with all meals and snacks. For me, it is certain carbs that affect me especially in the morning. If I have certain things in an empty stomach my blood sugar drops a few hours later and I am shaky most of the day. It doesn't even matter what I eat after it. Most days the first thing I have is a protein shake. When I feel my sugar dropping, protein with some fat and carbs. Help like pb on a rice cake.

Stop eating simple carbs, especially by themselves. Reactive hypoglycemia is not the same as hypoglycemia, and should not be treated the same. Diabetics who get low blood sugar drink OJ, eat candy or a glucose tablet, and their blood sugar returns to normal.

Reactive hypoglycemia hits RNYers at about 18 months, right where you are. It happens because you eat the sort of carbs that raise your blood sugar. Then your body over produces insulin, which causes your blood sugar to crash. If you drink OJ, take a glucose tablet, candy, etc, it will raise your blood sugar. You'll feel better. Briefly. But guess what? Your body reacts to the sugar rush by over producing insulin, causing your blood sugar to crash. You are now on an insane roller coaster.

Many people keep hoping for a magic snack or medicine to fix the issue. It doesn't exist. The solution is to eat a proper bariatric diet to begin with. Dense protein first, a little healthy fats, a little complex carb in veggies. No simple carbs or starches like sugar, potatoes, rice, pasta, bread, etc. No sugar from fruit. Sugar is sugar. Do those things and you will not have another RH episode. Keep having too many simple carbs, and you'll stay on the roller coaster.