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Hi from Sydney Australia

Catkysydney said:
Thank you very much, @Daibell, for your kind reply !
Metformin made me very unwell..., that’s why doctor gave me Januvia instead.
When I did 4 hour glucose tolerance test, I was also told I had to eat a lot if rice for three days before test, that was a part of testing.. I am not sure why... after 4 hours from the drinking glucose, I had a headache and started trembling, which I have had a symptom from high school. I always had low blood glucose.
But now after meal I have a high glucose.
Januvia starts working within a day? I still have a high glucose after dinner. It may not working for me. I will see my doctor again and discuss about this.
Thank you very much for your information.
Very valuable.
Click to expand...

Sorry, just noticed this,
I also take Januvia, which is an inhibitor.
It works to increase your initial insulin response to a meal, it lowers the spike from the meal.
This should lessen the amount of insulin necessary from a secondary insulin response.
But, that is it, my last eOGTT, I still went hypo despite only getting as high as 8mmols, the excess insulin after my secondary insulin response sent me hypo.
It is not a magic pill, it just helps if you have a very low carb diet. Especially if you eat too many carbs.
You should realise, that your dietary lifestyle will have to change.

Hope this helps,

Best wishes
 
Lamont D said:
Hi, @Catkysydney
Welcome to our forum.
We do have a reactive hypoglycaemia forum.

Your test results are typically reactive hypoglycaemia.
I know because they are similar to my test results to an extended oral glucose tolerance test. (eOGTT).
I too have lactose intolerance because of the lactose, which because of the way our pancreas works after a glucose test or a carb laden meal.
I too have an intolerance to oils.
I have an intolerance to wheat.
I have an intolerance to carbs, period!

I also got a diagnosis of T2!

However, the doctors could not understand why my fasting and hba1c levels were normal and only went into diabetic range after eating certain foods.
Your test shows that you have diabetic levels after an hour, but that is temporary as you have what is known as an overshoot of insulin, which causes the hypoglycaemic episodes.
It was a specialist endocrinologist who noticed that I was having frequent episodes of Hypoglycaemia, he started tests to diagnose me. He also said that I did not have diabetes.
I have ' Late Reactive Hypoglycaemia'. Which by your test result seems highly probable. But, you need further tests to actually get a true diagnosis, because similar results can be a pancreatic condition, the next tests after an eOGTT, will hopefully eliminate these.
Do please, let us know how you get on.
I would also hope you read our forum. It has plenty of great information on RH.
Finally, I would ask you to ask your doctor to do specific tests to consider a diagnosis of reactive hypoglycaemia because there are a lot of doctors out there, that are unaware of such endocrine conditions.
RH is a controllable condition by diet.
The wow factor comes later, when you discover why and how RH controlled, is something that can and will make you healthy again.
Best wishes.
Click to expand...

Thank you very much for your very kind reply, @Lamont D !! I learned a lot from you ! I have never heard about “Late Reactive Hypoglycemia “.. it is for endocrinologist area, right ? I may need him/her. Is your blood glucose level high after meal ? And drop very low, like mine ? And you are not diabetic.. I may be a similar situation like you.
I would like to read RH here, but I could not get it... I will try again .
Thank you again for your very valuable information!! Wow !
 
Brunneria said:
Hi and welcome @Catkysydney :)

Looking at your test results, you clearly go low at the end of the test. This is a symptom of reactive hypoglycaemia, which may occur alongside or independent of type 2 diabetes.

Obviously none of us here on the forum can give you a diagnosis, or advise you on medication, since we are not qualified medical professionals. However, i would encourage you to have a read up about Reactive Hypoglycaemia.
There is a good intro on the subject in Wikipedia, and this section on this forum discusses RH.
https://www.diabetes.co.uk/forum/category/reactive-hypoglycemia.70/

Most medical advice for RH is to treat the hypo symptoms - basically eat carbs all the time and keep blood glucose up.
However, many of us here on the forum find that reducing carbs stops the blood glucose from rising to high and then dropping sharply. So we reduce carbs, and prevent the hypos from happening in the first place (because the spike-and-drop doesn’t happen).

Have a read and a bit of a research, and see if it resonates with you. If so, maybe discuss it with your doc.

And you can ask anything you like here. :)
Click to expand...

Hi @Brunneria,
I tried to access RH here, but the link does not work.. how can I find that forum, please ?
I would appreciate your great help !!
Thank you again !
 
Catkysydney said:
Thank you very much for your very kind reply, @Lamont D !! I learned a lot from you ! I have never heard about “Late Reactive Hypoglycemia “.. it is for endocrinologist area, right ? I may need him/her. Is your blood glucose level high after meal ? And drop very low, like mine ? And you are not diabetic.. I may be a similar situation like you.
I would like to read RH here, but I could not get it... I will try again .
Thank you again for your very valuable information!! Wow !
Click to expand...

Yes, it is specialized endocrinologist area. And you will need him/her for the next lot of tests to get a definitive diagnosis.
If I ate the wrong foods, yes, I would spike high, and drop to a low level after a few hours, known as a hypo! And, yes, I'm not diabetic!
One of the other knowledgeable diabetic on here has given you the link to the RH forum, there are lots of threads and posts about the many types of Hypoglycaemia, like diabetes, there are many types, but the rarity of the condition is not as well known as it should be, due to it being a specialist area. Not many GPS have even seen a patient, more likely a woman, a man with RH is even rarer!
After you have posted a few more posts on the forum, you will have access to a lot more information and you will be able to gain access to my blogs, which @Brunneria will be able to give you a link.

I'm certain that you have many questions, we will try and answer them.
Hope that helps.

Best wishes and g'day.
 
@Lamont D
You can tell anyone to find your blog by simply clicking on your profile name and then selecting the blog option.
You don’t need me for that! ;)
 
Lamont D said:
Yes, it is specialized endocrinologist area. And you will need him/her for the next lot of tests to get a definitive diagnosis.
If I ate the wrong foods, yes, I would spike high, and drop to a low level after a few hours, known as a hypo! And, yes, I'm not diabetic!
One of the other knowledgeable diabetic on here has given you the link to the RH forum, there are lots of threads and posts about the many types of Hypoglycaemia, like diabetes, there are many types, but the rarity of the condition is not as well known as it should be, due to it being a specialist area. Not many GPS have even seen a patient, more likely a woman, a man with RH is even rarer!
After you have posted a few more posts on the forum, you will have access to a lot more information and you will be able to gain access to my blogs, which @Brunneria will be able to give you a link.

I'm certain that you have many questions, we will try and answer them.
Hope that helps.

Best wishes and g'day.
Click to expand...

Thank you very much for your very kind reply, @Lamont D !
I have a link to RH, but it does not work...
I definitely have RH, but also I have high blood glucose after dinner... so my doctor diagnosed that I have diabetes... but I may not have it....
Interesting. I will discuss about this with my doctor.
When I did 4 hour glucose tolerance test, even the pathologist did not diagnose that I have RH because 3.2 is not lower than 3.0, but after that I felt shaky and headache.. but their definition of RH should be lower than 3.0.
I have been having symptoms for long long time....
Thank you very much for your very kind reply !! Very valuable to me !
Thank you !
 
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