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Message: <blockquote data-quote="Lamont D" data-source="post: 2015729" data-attributes="member: 85785">Hi [USER=488689]@Atlantico[/USER],Hope you are feeling better.As I don't know what tests you have taken already, gastric dumping is usually controlled by dietary intake, where the good fats and proteins usually slow the digestion process. If this is not working, eating smaller meals more regular may help, as this would offset the rise in glucose levels regardless how slight.Any tests, should be used to see which foods are the reason you create too much insulin. Diagnostic testing has been done.Meds often don't help because they are not designed for RH.The doctors usually insist on carbs, but as you are aware, carbs are the last thing we should eat, they have no insight, as to why carbs triggers the overshoot that causes the rollercoaster ride of hypers, then hypos.However, sitagliptin has been used as a help to control the effects of the symptoms.Glucose dumping is caused by insufficient background insulin and insulin response to food.Sitagliptin helps with the initial insulin response to food, which lowers the rise in glucose levels and to some extent the hyper, thus lowering the possibility of a hypoglycaemic episode, it doesn't stop them completely, but as long as you don't have carbs, it helps with control.That is also if you don't get the side effects.!The only other tests I can think of, is allergy tests, or hormonal tests.As well as insulin and glucose imbalance after eating, you could be getting other hormones that is too high, such as adrenaline.I would continue with testing foods, it is important to get the balance right, I get the impression you are still struggling in this respect. Finding it difficult to stay in ketosis, but as always, Keto isn't for everyone. This is where intermittent fasting helps, not having to think about food at set meal times, pleasing yourself with one or two meals a day, exercise is also important, walking after eating has helped so much. It helps with blood sugar levels control.Hope this helps.Please do let us know how you get on, as we can all learn from everyone's experiences.My best wishes.</blockquote>

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