I'm currently living int he Philippines as an expat and have recently been diagnosed with hyperinsulinemic hypoglycemia based on a 75 g OGTT with samples at fasting (t=0), 1 hr and 2 hr with tests for both glucose and insulin levels. The appear to be conclusive:
Blood sugar
Fasting: 4.6 mmol/L
1hr: 4.8 mmol/L
2 hr: 3.1 mmol/L
Insulin:
Fasting: 5.74 uU/mL (ref range: 2.7-10.4)
1 hr: 18.06 uU/mL (ref range 2.7-10.4) - result was re-checked
2 hr: 11.93 (ref range 2.7 0 10.4) - result was re-checked
I also did the OGTT about a year ago with only blood glucose tested -- the results were similar but the 1hr and 2 hr were actually a little lower.
The Endo interpreted the results to mean I have pre-diabetes (T2), which is, unfortunately, very, very common in the Philippines. I'm not convinced of this interpretation because I have ZERO risk factors for T2 -- I'm 5'7" at 127 lbs and have never been overweight (and don't carry weight in my abdomen -- i'm more of a pear!), I exercise regularly (run, weight train, and have always participated in sports), eat a very healthy diet (can't even remember the last time I ate white bread or pasta -- even growing up my mum was a health nut!), and have no family history. Dr. Google has suggested various (though more rare) potential causes, including insulinomas and nesidioblastosis.
My question is: are there any additional tests (bloodwork, imaging, other) I should request to be done?
I'll be repatriating in about 6 months, but before I return can take advantage of the Philippine system where you can get essentially any test as long as you pay for it (which my private insurance covers when requested by a Dr.).
Many thanks!
Blood sugar
Fasting: 4.6 mmol/L
1hr: 4.8 mmol/L
2 hr: 3.1 mmol/L
Insulin:
Fasting: 5.74 uU/mL (ref range: 2.7-10.4)
1 hr: 18.06 uU/mL (ref range 2.7-10.4) - result was re-checked
2 hr: 11.93 (ref range 2.7 0 10.4) - result was re-checked
I also did the OGTT about a year ago with only blood glucose tested -- the results were similar but the 1hr and 2 hr were actually a little lower.
The Endo interpreted the results to mean I have pre-diabetes (T2), which is, unfortunately, very, very common in the Philippines. I'm not convinced of this interpretation because I have ZERO risk factors for T2 -- I'm 5'7" at 127 lbs and have never been overweight (and don't carry weight in my abdomen -- i'm more of a pear!), I exercise regularly (run, weight train, and have always participated in sports), eat a very healthy diet (can't even remember the last time I ate white bread or pasta -- even growing up my mum was a health nut!), and have no family history. Dr. Google has suggested various (though more rare) potential causes, including insulinomas and nesidioblastosis.
My question is: are there any additional tests (bloodwork, imaging, other) I should request to be done?
I'll be repatriating in about 6 months, but before I return can take advantage of the Philippine system where you can get essentially any test as long as you pay for it (which my private insurance covers when requested by a Dr.).
Many thanks!