Reactive Hypoglycaemia

Lamont D

Oracle
Messages
15,939
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
Hi, again, determined from Herts.

I have been reviewing your posts, and what I have gleaned from @Brunneria as she has RH and type two as well.

Is that the not going hypo is primary in her well being.
Your consultant is saying that the diabetes, probably along with your adrenal problems come first.
Diabetes and RH are both blood glucose disorders and the need for control is essential in both. The dietary needs for you is control and be in the normal range.
If you don't stop the hypos, you will always be in danger of losing your licence.
Maybe your consultant doesn't understand this.
If it's not food, that is causing the hypos, how can you get control?
Maybe you should leave strenuous exercising alone for a while, there is nothing wrong with a gentle swim or walk.

Control helps stabilize your life.
I would definitely try the low carb route and record everything to see if you can stabilise without too many carbs. Then you can show your specialist the effects of being in control.
If it works!

Worried from Wirral.
 

lindisfel

Expert
Messages
5,661
Hi arniemouse, It certainly seems with your unpredictable blood glucose response a low carb diet is unwise atm. I would be inclined to have a few rasps and some Greek type ypghurt every hour or so and see what happens. I think I would ask to have my insulin and glucogon responses checked in hospital over some hours to see if ones pancreas is producing an anomalous output? You have a very complex condition . regards. Derek


















Dear Worried
Thanks so much for reply and support.
My driving is a problem as my consultant has set me a limit of 5 - you are right that the DVLA says 4. But as he has stated this in writing I have to comply or invalidate my insurance. I also have to stop every half hour and retest. DVLA says 2 hours. I also have hypo's requiring assistance so am borderline having to tell the DVLA. But as they happen with exercise mostly consultant says ok for now. I take no medication at all for diabetes because of the hypo's its too dangerous as at night I am frequently below 3. I also have very little warning that hypo's are coming so I find one second am ok but next struggling to talk, shaking arms and legs and brain gone to mush. The lifeguards at my local pool are great and rescue me.
Its a real bummer!! But will keep looking at this. There must be a balance in my carbs that will stop the extremes I get.
You are right this will have to be a personal journey - have been reading some other threads and its the same for everyone. Am amazed at the variety of things people can and can't eat!!
Thanks again
Determined from Herts x


use, post: 1052613, member: 262119"]Dear Worried
Thanks so much for reply and support.
My driving is a problem as my consultant has set me a limit of 5 - you are right that the DVLA says 4. But as he has stated this in writing I have to comply or invalidate my insurance. I also have to stop every half hour and retest. DVLA says 2 hours. I also have hypo's requiring assistance so am borderline having to tell the DVLA. But as they happen with exercise mostly consultant says ok for now. I take no medication at all for diabetes because of the hypo's its too dangerous as at night I am frequently below 3. I also have very little warning that hypo's are coming so I find one second am ok but next struggling to talk, shaking arms and legs and brain gone to mush. The lifeguards at my local pool are great and rescue me.
Its a real bummer!! But will keep looking at this. There must be a balance in my carbs that will stop the extremes I get.
You are right this will have to be a personal journey - have been reading some other threads and its the same for everyone. Am amazed at the variety of things people can and can't eat!!
Thanks again
Determined from Herts x[/QUOTE]
 
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arniemouse

Well-Known Member
Messages
48
Type of diabetes
Type 2
Hi
Thanks. I did the 72 hour fast in hospital to rule out the insulinoma so I know its just the RH joined to a stroppy failing pancreas and an inability of my body to mobilise sugar when I need it.
Swimming is my thing and don't want to do without it. I am already very slow as if I push more danger of a hypo.
Yes it is complicated and my consultant tells me I am his only patient like me. But at a recent conference another doctor also talked about his one patient - like me. Will dip my toe again into the low carb water and keep trying.
 
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Lamont D

Oracle
Messages
15,939
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
Determined from Herts.

Do keep us updated.
It is a learning curve for all us unique and weird people!
I do have a feeling, more tests will be on the way.
 

Brunneria

Guru
Retired Moderator
Messages
21,889
Type of diabetes
Type 2
Treatment type
Diet only
Hi guys.

Been reading with interest. :)

It still amazes me that people advise carbs for someone knowing that those carbs will trigger a hypo. Then add in exercise to burn the glucose up faster, and you get a deeper, quicker hypo, grab carbs and start the cycle off again.

If you have any doubts about ketosis and endurance athletes, have a Google. Those guys (runners, swimmers, cyclists) are amazing.

If I ruled the world, and could tell every consultant what advice to give out to give out to RH patients, it could be boiled down to 4 words eat a ketogenic diet

I know that you are bound by the driving bg levels your consultant has set, but even here ketosis would help. Most people in ketosis find that their baseline bg levels (the lowest point your bg usually drops to) will rise a bit. Mine rose to over 5 mmol/l when I went ketotic. That means I am very aware when my bg starts dipping towards the 4s. Nowadays I only see 4s when I have had too many carbs. It is called physiological insulin resistance if you want to check it out. :)
 
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arniemouse

Well-Known Member
Messages
48
Type of diabetes
Type 2
Hi
Forgot to say that cat is much better and needs to stay well as we now going away week on monday. He is one of four and actually moved in from next door!
What we all need is some sort of formula that works for us all - that would be so good. Trial and error is quite a challenge!!
 
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Lamont D

Oracle
Messages
15,939
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
Unfortunately, there ain't one, yet!

Trial and error can be fun as well!

Enjoy!
 

Linagirl

Well-Known Member
Messages
457
Type of diabetes
Don't have diabetes
Arnie mouse I use a spoonful of coconut oil before waking and my sugar stays balanced really well. Or a coffee with a big slug of cream. If you can get it up with a small apple then have some cream or fat of some kind to slow things down you should stay up longer. At least I think so. Trial it. It would depend on timing I would imagine x
 
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shantimaz

Member
Messages
5
Type of diabetes
Reactive hypoglycemia
Treatment type
Tablets (oral)
Dear All,

It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.

However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.
 
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Brunneria

Guru
Retired Moderator
Messages
21,889
Type of diabetes
Type 2
Treatment type
Diet only
Dear All,

It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.

However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.

PCOS is a hormonal mess (I have it too). And long stretches without periods happen. The hormones definitely mess with insulin resistance, and something like 50% of PCOSers are type 2 diabetic by the time they hit 50 years.

All good news, eh?

I agree with LC being a good option, for RH, PCOS and T2, so you seem to have it nicely handled.

Delighted for you.

I did a bit of reading on PCOS and menopause, a while back. Sad to say, it doesn't improve after menopause, and in fact the insulin resistance is likely to increase, so your Low Carbing is probably going to get more important in the years to come.

Sorry.

Am nearing 50 myself, so have this delight to look forward to too.
 
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GordonSSS

Member
Messages
8
Type of diabetes
Other
Treatment type
Diet only
TL;DR
I appear to have Reactive Hypoglycaemia, but get the symptoms when my blood sugar returns to normal, rather than when it drops below normal; it seems to the relative reduction that brings them on, rather than reduction to value below normal. *** is wrong with me?!

When my blood sugar increases by any more than 1 mmol/l and then returns to normal, I start to get the symptoms of hypoglycaemia, even though my blood sugar is not actually low. For example, it might be a normal 4.7 before a meal, then 6.2 half an hour after a meal, and when it drops back down two or so hours later I start getting the shakes, feeling dizzy, anxious and sweaty. The longer I leave it before eating something, the worse it gets, and I can start getting aggressive (which is not at all normal for me!) and confused. Not sure if I actually would, but if it gets really bad it can feel like I'm close to passing out.

When I eat something sugary (as I get the strong urge to do), my blood sugar increased and the symptoms go away fairly quickly, but I'm often left feeling really sick afterwards, and then of course the whole cycle starts again when my blood sugar drops back to normal again. A few times it has dropped to around the 3 - 3.5 mark, but that is very rare. Normally it drops back to 4.7 and that is enough to start the symptoms.

For the past year or so I've been trying a low carb diet - and it has been working. If I keep my carbohydrate intake really low (less than 10g per meal), my blood sugar stays steady at close to 4.7 and I feel absolutely fine! Recently though, for the past couple of months, I sometimes don't feel fine. Even though my blood sugar is normal, I still get a little of the shakey, anxious, foggy-headed feeling that I can only presume is hormone related.

I've had a fasting blood sugar test, which was normal. And I've had some kind of 'long term average' blood sugar test (A1C?) which was normal, along with some kind of 24-hour urine collection, endocrine-related cancer test which was also normal. The endocrinologist seems to think it's all in my head, and after the first visit sent a letter to my GP to say she doesn't want to see my again, and instructed me to 'stop the self imposed restrictions on my diet'!!!

I've been dealing with this for around 10 years now, long before I had any idea about blood sugar levels or the effect of carbohydrate on them. I must have seen dozens of different GPs about it, as well as a dietician and an endocrinologist, and everyone either has no clue, or thinks it's in my head. I've seriously had enough of this, and I go through patches where both the condition and the way I am treated by health 'professionals' really gets me down :(

Is this some weird form Reactive Hypoglycaemia? Has anyone got a clue what this is?
 

Kaz261

Well-Known Member
Messages
413
Type of diabetes
Reactive hypoglycemia
Treatment type
Diet only
Dear All,

It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.

However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.
Hi shantimaz, my RH started midway through last year. I was 39 at the time and while I still have regular periods, there's no doubt my body is changing and my RH gets considerably worse before I'm due to start. My Mum said when she was a similar age, she started with symptoms very close in nature to what I experience. Although being 30 years ago, it would never have been recognised. She's fine now, however I have noticed that if I check her bs an hour after eating it can be 9's, which we are lead to believe shouldn't happen in a non-diabetic. I'm convinced that my age has something to do with my RH as its developed so quickly and seemingly out of nowhere. I was hoping that it might improve once I got past the menopausal stage. After reading Bruns post I'm not so sure now! Do you follow a very low carb diet? I eat around 100g carbs a day. For me I seem to feel better if I include a small amount of starchy carbs (low GI) with each meal
 

Kaz261

Well-Known Member
Messages
413
Type of diabetes
Reactive hypoglycemia
Treatment type
Diet only
TL;DR
I appear to have Reactive Hypoglycaemia, but get the symptoms when my blood sugar returns to normal, rather than when it drops below normal; it seems to the relative reduction that brings them on, rather than reduction to value below normal. *** is wrong with me?!

When my blood sugar increases by any more than 1 mmol/l and then returns to normal, I start to get the symptoms of hypoglycaemia, even though my blood sugar is not actually low. For example, it might be a normal 4.7 before a meal, then 6.2 half an hour after a meal, and when it drops back down two or so hours later I start getting the shakes, feeling dizzy, anxious and sweaty. The longer I leave it before eating something, the worse it gets, and I can start getting aggressive (which is not at all normal for me!) and confused. Not sure if I actually would, but if it gets really bad it can feel like I'm close to passing out.

When I eat something sugary (as I get the strong urge to do), my blood sugar increased and the symptoms go away fairly quickly, but I'm often left feeling really sick afterwards, and then of course the whole cycle starts again when my blood sugar drops back to normal again. A few times it has dropped to around the 3 - 3.5 mark, but that is very rare. Normally it drops back to 4.7 and that is enough to start the symptoms.

For the past year or so I've been trying a low carb diet - and it has been working. If I keep my carbohydrate intake really low (less than 10g per meal), my blood sugar stays steady at close to 4.7 and I feel absolutely fine! Recently though, for the past couple of months, I sometimes don't feel fine. Even though my blood sugar is normal, I still get a little of the shakey, anxious, foggy-headed feeling that I can only presume is hormone related.

I've had a fasting blood sugar test, which was normal. And I've had some kind of 'long term average' blood sugar test (A1C?) which was normal, along with some kind of 24-hour urine collection, endocrine-related cancer test which was also normal. The endocrinologist seems to think it's all in my head, and after the first visit sent a letter to my GP to say she doesn't want to see my again, and instructed me to 'stop the self imposed restrictions on my diet'!!!

I've been dealing with this for around 10 years now, long before I had any idea about blood sugar levels or the effect of carbohydrate on them. I must have seen dozens of different GPs about it, as well as a dietician and an endocrinologist, and everyone either has no clue, or thinks it's in my head. I've seriously had enough of this, and I go through patches where both the condition and the way I am treated by health 'professionals' really gets me down :(

Is this some weird form Reactive Hypoglycaemia? Has anyone got a clue what this is?
Hi and welcome to the forum! Nosher and Brun will probably be along soon to advise you as they have lots of knowledge and experience. Has your endocrinologist carried out a prolonged oral glucose tolerance test? This is the only test that I know of that can diagnose RH. If I were you I would be asking for this to be done. It was the test that diagnosed mine. I too have a normal fasting level and hba1c and like you can get very shaky, anxious, forgetful etc when my levels are low 5' or high 4's even though this is nowhere near hypo levels. I do believe the rate of drop can cause these symptoms regardless of how low the number is if that makes sense.

I have never actually tested a true hypo level at home (thankfully) but would have the symptoms daily before I reduced my carbs. I get hypo symptoms anything from high 5's which is my warning to eat something.

If I'm symptomatic but not actually low, I eat something like a spoon of peanut butter, a very small Apple or pear or coffee with cream. Something that will bring me up slowly and not drop me fast. Others would probably advise a price of meat or cheese, but I'm ok with small pieces of fruit.

I feel for you as the condition is hard enough to deal with, without the Doctors doubting you. Have you kept a food, bs level and symptom diary to take with you to your Doctor or Endo appointments?

Sorry I can't be of much help, but unfortunately I don't have as much experience as others on here and still very much learning myself. I do wish you all the best in getting a proper diagnosis though. Keep us updated X
 

shantimaz

Member
Messages
5
Type of diabetes
Reactive hypoglycemia
Treatment type
Tablets (oral)
Hi shantimaz, my RH started midway through last year. I was 39 at the time and while I still have regular periods, there's no doubt my body is changing and my RH gets considerably worse before I'm due to start. My Mum said when she was a similar age, she started with symptoms very close in nature to what I experience. Although being 30 years ago, it would never have been recognised. She's fine now, however I have noticed that if I check her bs an hour after eating it can be 9's, which we are lead to believe shouldn't happen in a non-diabetic. I'm convinced that my age has something to do with my RH as its developed so quickly and seemingly out of nowhere. I was hoping that it might improve once I got past the menopausal stage. After reading Bruns post I'm not so sure now! Do you follow a very low carb diet? I eat around 100g carbs a day. For me I seem to feel better if I include a small amount of starchy carbs (low GI) with each meal

Hi, Kaz,

I don't really count carbs, I simply don't eat grains very often and no sugar at all. Bread seams to be ok now, however I keep it down to a couple of slices per week. And I don't over eat. I also drink max one pint and a half at once, otherwise my blood glucose levels drop.

My RH started also at 39, and I was getting mid-cycle periods and then a cyst. I had a diagnostic laparoscopy that was fine. Then my periods stopped for months and then came back, etc.. till nothing. The thing is that it's not very good to get the menopause too young. You can always test your FSH to see how your ovaries are doing.

I guess age becomes an issue for almost everything!
 

shantimaz

Member
Messages
5
Type of diabetes
Reactive hypoglycemia
Treatment type
Tablets (oral)
TL;DR
I appear to have Reactive Hypoglycaemia, but get the symptoms when my blood sugar returns to normal, rather than when it drops below normal; it seems to the relative reduction that brings them on, rather than reduction to value below normal. *** is wrong with me?!

When my blood sugar increases by any more than 1 mmol/l and then returns to normal, I start to get the symptoms of hypoglycaemia, even though my blood sugar is not actually low. For example, it might be a normal 4.7 before a meal, then 6.2 half an hour after a meal, and when it drops back down two or so hours later I start getting the shakes, feeling dizzy, anxious and sweaty. The longer I leave it before eating something, the worse it gets, and I can start getting aggressive (which is not at all normal for me!) and confused. Not sure if I actually would, but if it gets really bad it can feel like I'm close to passing out.

When I eat something sugary (as I get the strong urge to do), my blood sugar increased and the symptoms go away fairly quickly, but I'm often left feeling really sick afterwards, and then of course the whole cycle starts again when my blood sugar drops back to normal again. A few times it has dropped to around the 3 - 3.5 mark, but that is very rare. Normally it drops back to 4.7 and that is enough to start the symptoms.

For the past year or so I've been trying a low carb diet - and it has been working. If I keep my carbohydrate intake really low (less than 10g per meal), my blood sugar stays steady at close to 4.7 and I feel absolutely fine! Recently though, for the past couple of months, I sometimes don't feel fine. Even though my blood sugar is normal, I still get a little of the shakey, anxious, foggy-headed feeling that I can only presume is hormone related.

I've had a fasting blood sugar test, which was normal. And I've had some kind of 'long term average' blood sugar test (A1C?) which was normal, along with some kind of 24-hour urine collection, endocrine-related cancer test which was also normal. The endocrinologist seems to think it's all in my head, and after the first visit sent a letter to my GP to say she doesn't want to see my again, and instructed me to 'stop the self imposed restrictions on my diet'!!!

I've been dealing with this for around 10 years now, long before I had any idea about blood sugar levels or the effect of carbohydrate on them. I must have seen dozens of different GPs about it, as well as a dietician and an endocrinologist, and everyone either has no clue, or thinks it's in my head. I've seriously had enough of this, and I go through patches where both the condition and the way I am treated by health 'professionals' really gets me down :(

Is this some weird form Reactive Hypoglycaemia? Has anyone got a clue what this is?

Hi Gordon,

As far as I know, when bs drops from high to normal it can also make you feel unwell. I think that you should ask for the glucose tolerance test with an insulin curve to find out what's going on.

My GP also dismissed all my symptoms for years, I had to see specialists privately back home and show the test results to my GP here in London to get diagnosed. Don't let them feel there is something wrong in your head!
 

GordonSSS

Member
Messages
8
Type of diabetes
Other
Treatment type
Diet only
Has your endocrinologist carried out a prolonged oral glucose tolerance test? This is the only test that I know of that can diagnose RH. If I were you I would be asking for this to be done. It was the test that diagnosed mine. I too have a normal fasting level and hba1c and like you can get very shaky, anxious, forgetful etc when my levels are low 5' or high 4's even though this is nowhere near hypo levels. I do believe the rate of drop can cause these symptoms regardless of how low the number is if that makes sense.

No, she didn't do this test. Can you tell me a bit about what it entails and how it works? Does your blood glucose every really go low?

If I'm symptomatic but not actually low, I eat something like a spoon of peanut butter, a very small Apple or pear or coffee with cream. Something that will bring me up slowly and not drop me fast. Others would probably advise a price of meat or cheese, but I'm ok with small pieces of fruit.

Cream contains barely any carbs, and meat and cheese typically contain none. How come that helps if you are symptomatic?

I feel for you as the condition is hard enough to deal with, without the Doctors doubting you. Have you kept a food, bs level and symptom diary to take with you to your Doctor or Endo appointments?

Yes, I had first seen a dietician, who advised me to do just that. Ironically, when I shows it to the endocrinologist I think she decided I was obsessively crazy, rather than just plain crazy!
 

Lamont D

Oracle
Messages
15,939
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
Dear All,

It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.

However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.

Hi @shantimaz
Welcome to our forum.
It does seem that with your experiences, that you have a handle on how to control this condition.
However, I'm not going any where near the girlie thingimybob problems, I leave that to Brun.
@Kaz261 and brun have already given you good advice, that is mostly what we recommend to any newbie.
Confusion and anxiety, I know a lot about!
Hope you can really get your head around it.
 

GordonSSS

Member
Messages
8
Type of diabetes
Other
Treatment type
Diet only
As far as I know, when bs drops from high to normal it can also make you feel unwell. I think that you should ask for the glucose tolerance test with an insulin curve to find out what's going on.

The higher the drop, the harder it hits. But drops of even 1 mmol/l produce profound effects that keep getting worse until I consume carbs.

Is that test the same as the 'prolonged oral glucose tolerance test' that @Kaz261 mentioned, or something else?

My GP also dismissed all my symptoms for years, I had to see specialists privately back home and show the test results to my GP here in London to get diagnosed. Don't let them feel there is something wrong in your head!

Yes, I'm starting to think going private may be the best plan too - I grudgingly, since I should be able to get good care on the NHS, but maybe I should stop being so stubborn on that. On the other hand, I know that many NHS consultants also do private work... so knowing my luck I'd end up with same one!
 

Lamont D

Oracle
Messages
15,939
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
Dear All,

It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.

However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.

Hi @shantimaz
Welcome to our forum.
It does seem that with your experiences, that you have a handle on how to control this condition.
However, I'm not going any where near the girlie thingimybob problems, I leave that to Brun.
@Kaz261 and brun have already given you good advice, that is mostly what we recommend to any newbie.
Confusion and anxiety, I know a lot about!
Hope you can really get your head around it.
TL;DR
I appear to have Reactive Hypoglycaemia, but get the symptoms when my blood sugar returns to normal, rather than when it drops below normal; it seems to the relative reduction that brings them on, rather than reduction to value below normal. *** is wrong with me?!

When my blood sugar increases by any more than 1 mmol/l and then returns to normal, I start to get the symptoms of hypoglycaemia, even though my blood sugar is not actually low. For example, it might be a normal 4.7 before a meal, then 6.2 half an hour after a meal, and when it drops back down two or so hours later I start getting the shakes, feeling dizzy, anxious and sweaty. The longer I leave it before eating something, the worse it gets, and I can start getting aggressive (which is not at all normal for me!) and confused. Not sure if I actually would, but if it gets really bad it can feel like I'm close to passing out.

When I eat something sugary (as I get the strong urge to do), my blood sugar increased and the symptoms go away fairly quickly, but I'm often left feeling really sick afterwards, and then of course the whole cycle starts again when my blood sugar drops back to normal again. A few times it has dropped to around the 3 - 3.5 mark, but that is very rare. Normally it drops back to 4.7 and that is enough to start the symptoms.

For the past year or so I've been trying a low carb diet - and it has been working. If I keep my carbohydrate intake really low (less than 10g per meal), my blood sugar stays steady at close to 4.7 and I feel absolutely fine! Recently though, for the past couple of months, I sometimes don't feel fine. Even though my blood sugar is normal, I still get a little of the shakey, anxious, foggy-headed feeling that I can only presume is hormone related.

I've had a fasting blood sugar test, which was normal. And I've had some kind of 'long term average' blood sugar test (A1C?) which was normal, along with some kind of 24-hour urine collection, endocrine-related cancer test which was also normal. The endocrinologist seems to think it's all in my head, and after the first visit sent a letter to my GP to say she doesn't want to see my again, and instructed me to 'stop the self imposed restrictions on my diet'!!!

I've been dealing with this for around 10 years now, long before I had any idea about blood sugar levels or the effect of carbohydrate on them. I must have seen dozens of different GPs about it, as well as a dietician and an endocrinologist, and everyone either has no clue, or thinks it's in my head. I've seriously had enough of this, and I go through patches where both the condition and the way I am treated by health 'professionals' really gets me down :(

Is this some weird form Reactive Hypoglycaemia? Has anyone got a clue what this is?

Hi @GordonSSS
The most important thing is not if you have it or what form, it's the fact that you struggle eating certain types of foods, which makes you feel ill.
I know the head banging frustration of not knowing what is going on for over a decade, it wasn't until my current endocrinologist, recognised the symptoms and did tests including the prolonged fasting test that gave him the diagnosis.
There is a lack of training in blood glucose disorders like ours that GPs and most endocrinologists don't know about. Mine has often referred to how lucky I was to find him, so I could get the tests.
My fasting bloods, my Hba1c, and other blood tests all appear normal and if I don't eat, my bloods stay normal, for ever!!
It isn't until I eat carbs and sugar that it triggers a hyper, then a hypo because of the excess insulin.
You must have a very good awareness of when your bloods start to go low, I do now!
But not always.
I eat a very low carb lifestyle so my bloods literally flat line. There is a certain amount of carbs that you have to eat, but meat and salad veg and eggs, plus others have little or none.
There is still an objection to very low carbing because, which ever dietician or doctor including my endo insist I eat some carbs, the problem I see, is I've been very low for two years and my health has not been better for a long time, decades!
If you do not want to eat that which makes you feel that way, then why do it?
I have learnt not to! Why do I have to?
I have a very active life and work hard, this is only because of since diagnosis and very low carbing.
I recommend because it works. It's hard, and it does get on your nerves and be frustrating because it is a rare condition especially in men.
Yes, you are unique and your RH is slightly different to mine, but to treat it is exactly the same, as the others, who are all different and unique.
We all have different problems with RH, Brun did have a survey, about certain things like can you have dairy and so on. And the results were surprising.
I'm sure she will give you the link to it!
Gordon, there are now many of us, that are getting knowledge of this condition and we want to support and encourage, read the threads and also read the low carb forum about what you can eat, even low carb bread.
You don't have to eat the baddies, there is an alternative to them.
Welcome to our unique club.
 

Lamont D

Oracle
Messages
15,939
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
The higher the drop, the harder it hits. But drops of even 1 mmol/l produce profound effects that keep getting worse until I consume carbs.

Is that test the same as the 'prolonged oral glucose tolerance test' that @Kaz261 mentioned, or something else?



Yes, I'm starting to think going private may be the best plan too - I grudgingly, since I should be able to get good care on the NHS, but maybe I should stop being so stubborn on that. On the other hand, I know that many NHS consultants also do private work... so knowing my luck I'd end up with same one!

The prolonged oral glucose test, is done in hospital, it involves drinking a glucose load normally 75gms. It is a fasting test.
Bloods are taken before and every half hour after, also take bloods in vials from a cannula, to send to labs, to rule out other conditions.
Usually, you have a spike within the first hour, then gradually come down towards normal levels, but continue into hypo. After about three and a half hours to four sometimes five hours, as we are all different.
Once you hypo low enough and bloods are taken. Then the test will stop and you will need something to slowly bring you back up to normal levels.
If you hypo, the specialist will probably want more tests, breakfast test, or a 72 hour fasting test to rule out other conditions.
Hope this helps