- Messages
- 10
- Type of diabetes
- Reactive hypoglycemia
- Treatment type
- Diet only
Brief background:
[I don't have diabetes (that I'm aware of) and do not take any medication that would lower my blood glucose]
Two days ago, I was accidentally given 800ml rather than 200ml 10% glucose solution over an hour to resolve hypoglycaemia and dehydration in A&E (ER) secondary to GI dysmotility. This sent my glucose from 2.7mmol/L to an undetectably high value (according to both a meter and the lab machine - so at least 35+mmol/L) in an hour alongside a ketone level of 3.6 (as I hadn't eaten in 7 hours) and a low pH (non-diabetic hyperglycaemic metabolic acidosis?). Over the next 12 hours my glucose levels fluctuated dramatically, tending to plummet to below 3mmol/L when not on a glucose drip (rebound hyperinsulinaemia?) and ketone levels initially dropped to 0.4, then crept back up to 1.5mmol/L.
So my question is now how long might it take for my insulin to return to normal and the risk of hypoglycaemia to reduce? Could the hyper-insulinaemic state I would have been in the other day due to the hyperglycaemia cause me to be more prone to hypoglycaemia until the high insulin resolves, as today I had an episode of symptomatic low blood glucose (3mmol/L, so not dangerously low but enough to feel shaky and tearful suddenly) which was 30mins after eating 80g plain greek yoghurt and 2hours after steak and halloumi, therefore not because I hadn't eaten for some time.
[I don't have diabetes (that I'm aware of) and do not take any medication that would lower my blood glucose]
Two days ago, I was accidentally given 800ml rather than 200ml 10% glucose solution over an hour to resolve hypoglycaemia and dehydration in A&E (ER) secondary to GI dysmotility. This sent my glucose from 2.7mmol/L to an undetectably high value (according to both a meter and the lab machine - so at least 35+mmol/L) in an hour alongside a ketone level of 3.6 (as I hadn't eaten in 7 hours) and a low pH (non-diabetic hyperglycaemic metabolic acidosis?). Over the next 12 hours my glucose levels fluctuated dramatically, tending to plummet to below 3mmol/L when not on a glucose drip (rebound hyperinsulinaemia?) and ketone levels initially dropped to 0.4, then crept back up to 1.5mmol/L.
So my question is now how long might it take for my insulin to return to normal and the risk of hypoglycaemia to reduce? Could the hyper-insulinaemic state I would have been in the other day due to the hyperglycaemia cause me to be more prone to hypoglycaemia until the high insulin resolves, as today I had an episode of symptomatic low blood glucose (3mmol/L, so not dangerously low but enough to feel shaky and tearful suddenly) which was 30mins after eating 80g plain greek yoghurt and 2hours after steak and halloumi, therefore not because I hadn't eaten for some time.