I have reactive hypoglycaemia and borderline T2.
I do not have epilepsy.
I was diagnosed over a decade ago, nearly 13 years now.
Firstly the reason why you have T2, is probably the amount of time you have eaten carbs.
As you say, carbs don't like you. They certainly don't like me.
I have talked to a lot of doctors and describe RH as carb intolerant.
I also have an intolerance to most sugars or anything ending in ose, such as lactose, not had dairy, since discovered young. The rest followed in late forties to fifties.
I can go through the science with you, as it does tell the story of how your system reacts to those foods.
A question?
How can a doctor ask you to eat carbs, when the doctor knows how it can impact on your day?
Eating spuds is starch which is high in carbs...... It doesn't make sense.
My endocrinologist stopped my taking of metformin. Because of the effect it has on by BG levels if going into hypoglycaemia. It can prevent the natural action of glucogenisis, which is vital when going low.
Other meds, diabetic meds such as acerbose, are to slow down carb digestion. But if you don't eat regularly through the day, once you stop, you still go hypo. ***?
Another question? If you don't mind....
If you were told that carbs were an allergy, similar to a nut allergy, your doctor would advise what?
Having an intolerance, is not as clinically bad, but going hypoglycaemic is also dangerous, isn't it?
You could be really ill, with a very low hypo, and you have described that.
Others above have given good advice about how food will help with the RH and the T2. The body responds to food producing a spike, that the pancreas responds with more insulin, in fact it floods the blood, it anything like mine does. It is called an overshoot. This is why you go hyp.
The high abnormal spike, triggers the overshoot, you go hypo.
So logically think, that no carbs means no spike, no spike, no trigger, no overshoot, no hypo.
It's not easy, in fact it's bloody horrible!
But because there is no cure, no magic pil , no course of treatments. Just dietary control.
This is what I do.
I have a balanced diet of protein, good saturated fats, good low carb vegetables and and I assure you, this is what you need.
I don't eat carbs.
I use fasting and intermittent fasting.
My body actually, prefers me not to eat, but you do for the nutrition.
I feel better without food, my brain is better fasting.
I have really good energy levels.
It is the carbs and sugars that make me ill.
Finally, I get the rarity of RH, and having RH with T2. But the majority of doctors don't understand why it happens.
They just don't understand the science of it all.
I was very lucky to get my endocrinologist and having had the diagnostic tests to get a true diagnosis, we went on to understand the science behind it.
Keep asking, I have had to spend time away from the frum. But I will catch up.
Do have a read of the RH sub forum, lots of information there.
Best wishes.