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Message: <blockquote data-quote="Brunneria" data-source="post: 2280327" data-attributes="member: 41816">are you still eating very low carb [USER=523075]@swttbsy5[/USER] to control your reactive hypoglycaemia?IF so, then that could well explain the hypo last time, and the (so far) lack of hypo this time.I'm suggesting that if your body is fat adapted now, then it can maintain your blood glucose nice and steadily in the absence of food, because it has ketones as a fuel source too, possibly even the main fuel source.  Whereas with your previous test, if your body was used to running on carbs and glucose all the time and those carbs were cut off, your blood glucose dropped sharply, and your body wasn't practised at reaching for alternative fuel.Obviously, I am speculating.However, I am speculating because I know how my own reactive hypo prone body functions when on a carby diet compared with a keto diet, and what I have just described is what would happen to me.  It is also something that ketoers report regularly, when fasting.  The more fat adapted and the deeper their ketosis, then the easier fasting becomes for them.  The longer they can fast, and the better they feel during fasting.  In fact, they often advise people to only introduce fasting after they have adapted to keto.Regarding the insulinoma, I am sorry but I don't know how the presence of an insulinoma would impact a ketogenic fasting test.  I guess it would depend entirely on the size of the insulinoma and the output of insulin.</blockquote>

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