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Would you recommend Sitagliptin? so as to control the spikes and hypos or just continue with diet? I can't do full keto as i cannot digest the fibrous meats such as steaks and i don't want to eat bacon and sausages as they tend to be highly processed the same holds true for lunch meats.

It was my endo that prescribed them for me. And I already know about the acidosis side effects. They wanted me to go on ozempic and then acterbose and blood pressure meds but those all have adverse side affects and my hypos are not really improving much not sure why as i've changed my diet and...

Has anyone with reactive hypoglycemia been given metformin and does it cause or have they experienced lactic acidosis?

after midnight stint

If you have hypoglycaemia then what ever you do do not let your blood sugar go below 3.3 as 3.3 is the beginning of a hypo and you should eat something to increase your blood sugar back up to between 4 or 5 mmol

Update: Did the mixed meal test today, there was nothing mixed about it as it was all carbs. The meal consisted of cornflakes, banana cake, crackers, white bread. appointment time was 9am where they drew my first set of baseline bloods as a base point then every half hour there after. My meal...

Fruit is funny as i cannot eat most of them as they will spike me. The only things that i can consume is strawberries, blueberries. Apples with peanut buttter or cheese or with nuts and the same goes for oranges. Everything else is off bounds to spiking.

I don't think sandwiches and apple juice where something they wisely thought about when they offered them as a meal. Most hospital staff are not even versed on hypoglycaemia and or what it does to the body on ingesting carbs. More often than not i had to educate the nursing staff that reactive...

Fasting on day one and two was ok , not hungry. But by day three i was craving sweets and i'm assuming it was due to the depletion of my glycogen levels and this was a way for my body to tell me i needed glucose for replenishment. Energy wise, i was feeling depleted as even though i wasn't...

Update: I've finished my four day stay in hospital being nil by mouth with no hypo. The Doctor was able to rule out adrenal/cortisol issues, pancreatic and pineal gland cancers as well as Adison's disease. What i have learned is that the six meals a day to keep blood sugar steady is a fallacy...

You might find some answers in here https://www.diabetes.org.uk/diabetes-the-basics/other-types-of-diabetes/steroid-induced-diabetes but remember always discuss with your doctor first before you take any action.

Martha, I'm so sorry that you are going through all this pain. I can sympathize. It's not easy at this stage to control especially when there's no rhyme or reason as to why our BC rises and falls with symptoms at both ends of the spectrum. Sometimes it renders me so fatigued that i can't do...

Update: Last Friday had a cortisol test. Something must have come up in the test because i am now booked in for a short synacthen test next Tuesday. I don't want to assume or get a head of myself but this either leads to Addison's disease or a problem with the pituitary gland/ adrenals.

Thank you. I'll keep you up to date with what happens and the final results. Just waiting to get the hospital invite. Again, very scary.

I tend to use benefiber in my tea, coffee, cereal etc. it's tasteless and gentle on the stomach...

Yesterday i saw my endocrinologist she wants me to go into hospital to a 78 plus hour glucose test where i will have nil by mouth and they will try to induce a hypo under clinical studies. She wants to rule out pancreatic cancer, adrenal and cortisol induced hypoglycaemia and other possible...

Thank you for your reply, I have to admit that it's quit the struggle at the moment.

Lately i'm finding that i'm getting the shakes at 6.5 6.6 and when i eat i also feel much better. This is also as well as when going down to 3.8 or below i get the other symptoms also. Very confused right now.

Lamont, Thank you so much for your wise words and the sharing of your experience. You are not only helping me but many others also who have come into this illness blindly and have no-one to not only advise them but to also share and to bounce back off of. The medical community is so very...