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Reactive Hypoglycemia
Doing a fasting test today
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<blockquote data-quote="swttbsy5" data-source="post: 2280284" data-attributes="member: 523075"><p>My Endo has suggested that I do a fasting test to rule out insulinoma, as I have sometimes hypo'd while fasting. She has given me forms to do the blood test if/when my glucoe level drops to 2.7 or below. I have someone who is ready to drive me to the pathology clinic anytime, if need be. The tests she has ordered are for: Glucose, Insulin, c-peptide, cortisol, proinsulin, beta-hydroxybutyrate, sulphonylurea - in the event of low glucose. There is another test form with some extra things on there too: insulin antibodies, FBE, UEC, LFT, TFT, prolactin, ACTH, IGF-1, chromogranin A. I have been fasting since 5 pm yesterday and it's now 9 am and my glucose level is sitting stable at 4.3. The last time I had a hypo while fasting, I got a reading of 2.7 after skipping breakfast one day and then only eating a steak for lunch, then waited about 4 hours while the level slowly dropped. </p><p></p><p>These are my previous results from 2018: </p><p></p><p>Pathology <strong>Jan 2018</strong> EGFR >90 LFT normal TSH 3.61 mIU/L (0.40-3.50) FT4- 12.1 pmol/L (9-19) </p><p>OGTT 75g fasting glucose 4.9, <strong>2-hour glucose 2.1 mmol/L</strong></p><p></p><p>Medical Imaging <strong>Feb 2018</strong> </p><p>CT abdomen and pelvis No focal pancreatic lesion detected. No acute intracranial, intra-abdominal abnormality detected </p><p></p><p><strong>March 2018</strong> </p><p>Pancreatic polypeptide 26.2 pmol/L (<55) </p><p>Cortisol 350 nmol/L </p><p>ACTH 3.9 pmol/L FSH 1.6 mIU/L </p><p>LH 3.1 mIU/L </p><p>C-peptide 0.69 </p><p>Insulin 6 Plasma metanephrines normal: normetanephrine 320 pmol/L (<640), metanephrine 190 pmol/L (<447), 3MT <50 Adrenaline 0.1 nmol/L (<1) </p><p>Noradrenaline 1.8 nmol/L (<3.5) </p><p>Chromogranin A 40 Sulphonylurea screen negative</p></blockquote><p></p>
[QUOTE="swttbsy5, post: 2280284, member: 523075"] My Endo has suggested that I do a fasting test to rule out insulinoma, as I have sometimes hypo'd while fasting. She has given me forms to do the blood test if/when my glucoe level drops to 2.7 or below. I have someone who is ready to drive me to the pathology clinic anytime, if need be. The tests she has ordered are for: Glucose, Insulin, c-peptide, cortisol, proinsulin, beta-hydroxybutyrate, sulphonylurea - in the event of low glucose. There is another test form with some extra things on there too: insulin antibodies, FBE, UEC, LFT, TFT, prolactin, ACTH, IGF-1, chromogranin A. I have been fasting since 5 pm yesterday and it's now 9 am and my glucose level is sitting stable at 4.3. The last time I had a hypo while fasting, I got a reading of 2.7 after skipping breakfast one day and then only eating a steak for lunch, then waited about 4 hours while the level slowly dropped. These are my previous results from 2018: Pathology [B]Jan 2018[/B] EGFR >90 LFT normal TSH 3.61 mIU/L (0.40-3.50) FT4- 12.1 pmol/L (9-19) OGTT 75g fasting glucose 4.9, [B]2-hour glucose 2.1 mmol/L[/B] Medical Imaging [B]Feb 2018[/B] CT abdomen and pelvis No focal pancreatic lesion detected. No acute intracranial, intra-abdominal abnormality detected [B]March 2018[/B] Pancreatic polypeptide 26.2 pmol/L (<55) Cortisol 350 nmol/L ACTH 3.9 pmol/L FSH 1.6 mIU/L LH 3.1 mIU/L C-peptide 0.69 Insulin 6 Plasma metanephrines normal: normetanephrine 320 pmol/L (<640), metanephrine 190 pmol/L (<447), 3MT <50 Adrenaline 0.1 nmol/L (<1) Noradrenaline 1.8 nmol/L (<3.5) Chromogranin A 40 Sulphonylurea screen negative [/QUOTE]
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Doing a fasting test today
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