Reactive hypoglycemia 1,5 year after sleeve gastrectomy, any tips or medications to handle? does it get any bettee?

Diet advice.: Your best bet would be to pursue nutrition advice with a registered dietitian. You likely need a tailored diet of small frequent meals with complex carbohydrates and fiber to keep the blood sugars from spiking after you eat. The spike it what leads to an oversecretion of insulin, which then lowers the blood sugar excessively. Find an RD who specializes in patients who've had weight loss surgery