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Does this sound like Reactive Hypoglycemia?
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<blockquote data-quote="Brunneria" data-source="post: 684496" data-attributes="member: 41816"><p>Hi Emma, and welcome!</p><p></p><p>There are a few of us on the forum with experience of RH, so you may find a few of your answers on here.</p><p></p><p>Have a look at this thread, and see if any of the info fits...</p><p><a href="http://www.diabetes.co.uk/forum/threads/please-can-we-have-a-forum-section-on-reactive-hypoglycaemia.65454/" target="_blank">http://www.diabetes.co.uk/forum/threads/please-can-we-have-a-forum-section-on-reactive-hypoglycaemia.65454/</a></p><p></p><p>I agree with the suggestions people have made that you need to capture a few blood glucose readings during your symptoms. But in the meantime, here are a few suggestions.</p><p></p><p>Frequent excessive urination is a symptom of high blood glucose (usually over 10mmol/l)</p><p>So, if your blood glucose is going that high, at any point in the day, you need to know when.</p><p>Usually, our bg shoots up after a carby meal, reaching a peak at around 45-75 mins after starting to eat. then it falls away. This is why we test at 2 hours - the peak is past, and we can see if there are any lingering problems as the peak subsides.</p><p></p><p>How about you do a few tests after typical meals, every 15 or 30 mins, and see how high you are going up. Map the readings all the way until your bg has returned to its pre-meal figure, even if that takes several hours.</p><p></p><p>I should do the same over the period you usually get your fatigue slump. That will map things out nicely. Have you got an app for your phone where you can plot your meter readings on a graph? Well worth getting, if you haven't.</p><p></p><p>This kind of information is never available to doctors. they just run the standard range of bg tests, and lose interest if your numbers don't flag up within their easily identified worry-zone.</p><p></p><p>We have a member on here ([USER=85785]@nosher8355[/USER] ) who fought and fought with his GP to be referred. He was eventually sent to a hospital clinic where they ran 72 hour fasting tests, and extended oral glucose tolerance tests. These are the only things that will identify RH in a way that the NHS will acknowledge - and it is terribly difficult to get that clinic referral in the first place!</p><p></p><p>One thing that crosses my mind, is your fatigue. I wonder if at least part of your symptoms may be a food intolerance. I get extreme fatigue after wheat. Yawning, sleepy, barely able to keep my eyes open... happens about 2-3 hours after bread. or pasta.</p><p>If you have a similar thing, then your blood glucose monitor will help to identify that very very quickly. As soon as you start to yawn and need to snooze, whip out the testing kit. If your BG is showing your normal range of numbers, and is not unusually low, then this may be an explanation.</p><p></p><p>But please do have a look at the link I posted above. And join us on that thread, if you like. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /> the more, the merrier!</p></blockquote><p></p>
[QUOTE="Brunneria, post: 684496, member: 41816"] Hi Emma, and welcome! There are a few of us on the forum with experience of RH, so you may find a few of your answers on here. Have a look at this thread, and see if any of the info fits... [url]http://www.diabetes.co.uk/forum/threads/please-can-we-have-a-forum-section-on-reactive-hypoglycaemia.65454/[/url] I agree with the suggestions people have made that you need to capture a few blood glucose readings during your symptoms. But in the meantime, here are a few suggestions. Frequent excessive urination is a symptom of high blood glucose (usually over 10mmol/l) So, if your blood glucose is going that high, at any point in the day, you need to know when. Usually, our bg shoots up after a carby meal, reaching a peak at around 45-75 mins after starting to eat. then it falls away. This is why we test at 2 hours - the peak is past, and we can see if there are any lingering problems as the peak subsides. How about you do a few tests after typical meals, every 15 or 30 mins, and see how high you are going up. Map the readings all the way until your bg has returned to its pre-meal figure, even if that takes several hours. I should do the same over the period you usually get your fatigue slump. That will map things out nicely. Have you got an app for your phone where you can plot your meter readings on a graph? Well worth getting, if you haven't. This kind of information is never available to doctors. they just run the standard range of bg tests, and lose interest if your numbers don't flag up within their easily identified worry-zone. We have a member on here ([USER=85785]@nosher8355[/USER] ) who fought and fought with his GP to be referred. He was eventually sent to a hospital clinic where they ran 72 hour fasting tests, and extended oral glucose tolerance tests. These are the only things that will identify RH in a way that the NHS will acknowledge - and it is terribly difficult to get that clinic referral in the first place! One thing that crosses my mind, is your fatigue. I wonder if at least part of your symptoms may be a food intolerance. I get extreme fatigue after wheat. Yawning, sleepy, barely able to keep my eyes open... happens about 2-3 hours after bread. or pasta. If you have a similar thing, then your blood glucose monitor will help to identify that very very quickly. As soon as you start to yawn and need to snooze, whip out the testing kit. If your BG is showing your normal range of numbers, and is not unusually low, then this may be an explanation. But please do have a look at the link I posted above. And join us on that thread, if you like. :) the more, the merrier! [/QUOTE]
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