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Reactive Hypoglycaemia, 101, blog no 31.
I'd thought that it was about time, I did the basics of what RH is, symptoms, types, causes, and how they treat it. What foods to avoid and finally, why we RH ers are diabetic and others not diabetic.
I have put this in my blog, because, it would probably get lost or eventually too long in the open forum.
This is my opinion and of course you can comment in the usual way.
First what is Hypoglycaemia?
Hypoglycaemia is in response to your blood glucose levels going below a certain percentage of blood sugar.
Usually, depending on personal experience anything below 3.5 is a hypo and should be treated.
There are differing opinions and some hypoglycaemics can live comfortably as low as 3.0.
Reactive Hypoglycaemia, is a condition, where your pancreas overproduces too much Insulin for the meal you have digested.
Reactive Hypoglycaemia or post prandial Hypoglycaemia is a medical term describing recurrent episodes of symptomatic hypoglycaemic occurring within four hours after a high carbohydrate meal or oral glucose load in people who do not have diabetes. It is thought to represent a consequence of excessive insulin release triggered by the carbohydrate meal but continuing past the digestion and disposal of glucose derived from the meal.
So depending on what you eat, your blood glucose response, and your body's ability to cope with carbs and sugars, the excess insulin, and the very quick hyper (high blood sugars) within an hour, then the drop to normal levels, but it continues to drop to a low blood sugar levels (hypoglycaemia).
The condition is unique because the hormonal response to carbohydrates and glucose. We spike quickly! We do not have a lull in our spike, in others, the spike is interrupted in its climb, RH ers don't, we go straight up to our high. Hence the speed of our hyper. When we treat our hypos, we fluctuate wildly between highs and lows, hence the excessive symptoms and why our brain is bombarded with different psychological associated symptoms.
I don't want to make this scientific, there is lots of scientific information in the internet. I said this was basic!
Symptoms vary from Individuals hydration levels according to Wikipedia. The sensitivity of the rate and magnitude of decline of their blood glucose concentration.
Sleep trouble or insomnia
Heart palpitations or fibrillation
Coldness in the extremities
Coma can occur in extreme conditions. In severe untreated episodes.
There are probably others, but it shows how diverse the symptoms are.
I did not have all these symptoms, only a few I missed out on!
Types of hypoglycaemia.
Alimentary hypoglycaemia. Or dumping syndrome. Prevalent after stomach surgery.
Hormonal hypoglycaemia. Hypothyroidism.
Helicobacter hypoglycaemia. Pylori induced gastritis. Bacteria in the gut and through digestion.
Congenital enzyme deficiencies. Fructose intolerance.
Late Reactive Hypoglycaemia. It used to be called idiopathic hypoglycaemia. Because they have not found any known cause and is rare! This is me! Naturally weird!
As I've said I developed my condition naturally.
But usually it is prevalent after stomach surgery.
Fructose intolerant, usually hereditary.
Diet should be in there, but they have not found anything that can make your pancreas overshoot insulin.
This is open to discussion.
However a low carbohydrate intake is usually recommended.
Eating regularly, maybe depending on individual, seven to nine small meals per day. Small plate is important because of protein and calorie intake.
Exercise is important, walking is good for good control of your blood glucose levels.
There are no drugs that have yet to be recognised just for reactive hypoglycaemia. But there are trials and research. There is no known cure for reactive hypoglycaemia.
Foods to avoid.
As the recommended way to treat RH is to low carb. Sugars and carbohydrates are the foods that you don't tolerate well. And you 'react' to them. Obviously you can't not eat some carbs as they are everywhere but the obvious starchy ones and the fructose sugars in fruit. As with all insulin imbalance condition, there are some foods that you can eat very small amounts of, but the only way to know is to test and experiment.
Flour of all grains are to be avoided.
Factory made food is full of what is called production sugars and corn syrup.
Tinned products such as soups.
Fast food, even the meat can be processed.
Some RH ers can be intolerant to lactose.in dairy products.
Low fat or no fat products.
Some patients who have RH, can also have T2 diabetes. But not the other way around.
Diabetic hypoglycaemia can be caused by drugs or not eating regularly.
This does not include T1 and T2 diabetics, who can regularly hypo because they have to have insulin injections.
Most RH ers are not diabetic.
If you have RH and have a fasting hba1c in normal levels, then you are not diabetic.
There is always those that can attain normal levels through diet but still are susceptible to diabetic levels.
As I've said this is basic information from a layman, who has been through the hypo hell, done the tests and tested, experimented and found myself fit and healthy again after a lot of years. I'm in ketosis, permanently, because that's my lifestyle. I can't believe the loss of weight and the well being I find myself, I have my life again!
Hope this helps those who find themselves in need of information.
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