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Diabetes or Reactive Hypo?

C

court10

Active Member
Messages
26
Type of diabetes
Prediabetes
Treatment type
Diet only
So here's where I am currently am.... I am waiting on my antibody blood tests to come back. I guess my confusion lies in my latest results. For my OGTT test i spiked very high in 30 minutes (went from 74 to around 180/190 at 30 min mark) and then dropped extremely fast but my insulin wasn't THAT high. Doc was confused. My insulin started at around 1, then spiked to the 20's at 30 min mark, my proinsulin was slightly high at 21 at the 30 minute mark, fasting was <5. My blood sugars spike very high and drop fast with carbs so of course I am adopting a low carb diet. The other factor that lead to possible diabetes down the line is my c-peptide. Currently it is below normal at .44. Three years ago it was .9 so it's dropped and it's low. Something else that confused my doc and so the GAD and other antibody tests were ordered. Any thoughts on any of this? Is this reactive hypoglycemia or possible diabetes? I don't stay high long unless I eat a good load of carbs. I haven't been feeling well but I am hanging in there.
 
Hi again!
I'm sorry but I can't work out the results of all your tests.
The quick hyper sounds a bit like gastric dumping. Or some form of hypoglycaemia???
Only tests can give diagnosis of RH.

Have a read of my blog, with the link below on RH.
 
If you are eating a lot of carbs,that's why your floods are fluctuating.
Low carbs means reducing your carbs to be in control.
 
No, haven't eaten a lot of carbs in a long while. Get waaaay too sick. I can't eat many without it spiking and having all kinds of symptoms including cravings, headaches, stomach problems, just get pretty sick. I am sticking to low carb right now but still feel very lightheaded.

The low c-peptide might or might not mean something, all I know is the intensive spikes and how I feel means something. No matter what, me cutting out starches, grains, dairy, sugar, fruit is imperative to my health with fats and protein being my staple along with veggies. I just hope this will work to get me feeling better.
 

That sounds a lot like carb flu.
It is likely that it is your body's response to going low carb. It's like doing cold turkey.
You have to stick with it.
You will feel better,but it may take a while yet!
Your body is changing from using carbs and sugars to fuel you. To the muscle fat.
It takes time, but worth it!
 
I'm definitely going to hang there. It's a must!! I have to keep reminding myself because i sometimes i want to turn to the food to feel better and that isn't going to help, if anything it'll make it worse. I am trying to see if upping my salt will help too. I am getting a good amount of water in.

Do you do nuts and nut butters? I find that I start to crave them when I go low carb. It's like my treat or kind of like my 'bread' in a way. Hard to describe but I think I need to be careful of nuts. Any thoughts on that?
 

Yes do the salt and water, if you can increase your full fat.
Yes I do nuts,
My treat is full fat Greek yogurt, a couple of pieces of 85% dark chocolate with a couple of strawberries or other berries and it didn't bother my bloods. Mmmmm!

Hang on in there
 
nosher8355 said:
Hi again!
I'm sorry but I can't work out the results of all your tests.
The quick hyper sounds a bit like gastric dumping. Or some form of hypoglycaemia???
Only tests can give diagnosis of RH.

Have a read of my blog, with the link below on RH.
Click to expand...

Nosher - I have no expertise in RH, but just wanted to comment on something that came up in conversation with a Consultant in General Medicine, Endocrinology and Diabetes, in a social setting, the other evening. As it was a social setting, I couldn't interrogate him as much as I might have liked to, but he was talking testing generally, CGMs and GTTs. Without relating the whole conversation, he was telling me, in his unit, they no longer test GTTs patients at 30 minutes abd ab hour (aside from in special circumstances), because "normal" people can have surprisingly high scores at those time frames. When I asked what he meant, he just said something like, "Oh easily double figures", so I wouldn't necessarily call the OP's 180/190 a hyper. If I take the mid point, as 185, that equates to 10.3.

Bearing in mind the GTT is based on fast acting carbs, I would be unconcerned by that score in isolation. @court10, you then talk about dropping quickly, as a matter of interest, what did you drop to, in what sort of time frame?
 
I dropped to 64 in 30 minutes and was 51 in 45 minutes. It's that response that made me ill. I could care less about the spike number if I wasn't feeling so unwell and having reactions. The up and down is no joke and it doesn't have to be a high spike to cause a problem.
 

I wasn't challenging that you are suffering and have issues. If anything I was challenging 10.3 being called hyper. It's a rise, but at about 30 minutes after a glucose drink, the guy I was talking to seems like he wouldn't bat an eyelid.

I do hope you get things sorted out.
 

My highest spike has been mid teens from a normal fasting level.
RH is unique because we don't have a pause on our upward trend.
When diagnosed because of high carbs, I was middle to high twenties because of my high fluctuating blood glucose levels.
It is not the spike in my condition, it is the 'late' hypo. Which is triggered by most carbs and sugars. If I hyper, the likelihood is I hypo! So I don't hyper or I eat every two to three hours.
It is the fluctuations up and down, high and low, hyper then hypo that creates the horrid symptoms.
If I don't eat, my fasting blood is always in the normal range.
 

You are right 10.3 is not a hyper! It's quite good actually!
Lowest OGGT spike is 8.7, but I put that down to my gliptin. I have noticed that it helps me with my blood glucose levels, to within normal range if I eat to much veg or protein.
 
No no, didn't think you were challenging me, I understand where you are coming from. I don't think the highs are that incredible or alarming, it's the response to the highs. That's what causes the symptoms, the ups and downs.
 
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