Fasting hypoglycemia

[Catkysydney]

I have reactive hypoglycemia, but also I have fasting hypoglycemia as well .
This morning I had gastroscopy and colonoscopy, so I was fasting 36hours with just clear fluid diet for preparation. A nurse tested my blood sugar , it was 4.9mmol/L. Still in normal range, but usually around 6.0..
I had fasting hypo before, but not recently. I mentioned I have reactive hypoglycemia to anaesthetist, so my concern is hypo.. then they gave me 2 apple juice to raise my blood sugar to prevent hypo. I felt being well looked after by their medical team.
I felt going lower at that time ( I had a headache).. now I am aware that I have both reactive hypoglycemia and fasting hypoglycemia..
Is there anyone have both ??

 

[Lamont D]

Hi @Catkysydney, it's good to hear from you again.

I have reactive hypoglycemia, but also I have fasting hypoglycemia as well .
This morning I had gastroscopy and colonoscopy, so I was fasting 36hours with just clear fluid diet for preparation. A nurse tested my blood sugar , it was 4.9mmol/L. Still in normal range, but usually around 6.0..
I had fasting hypo before, but not recently. I mentioned I have reactive hypoglycemia to anaesthetist, so my concern is hypo.. then they gave me 2 apple juice to raise my blood sugar to prevent hypo. I felt being well looked after by their medical team.
I felt going lower at that time ( I had a headache).. now I am aware that I have both reactive hypoglycemia and fasting hypoglycemia..
Is there anyone have both ??

I am a bit perplexed at the fasting hypoglycaemia.
I am not in any way dismissing the reason for it..

Did you fast the total number of hours required before the procedure?
Did you go below, 3.5mmols?

The reason, I believe, for the headache, would be the apple juice it is no doubt, concentrated.
My first sign of my BG levels going high quickly is a headache.

How did the tests go, when I had mine, I was told quite quickly the results.
A letter confirmed it later.

As someone who was diagnosed as RH, after a fasting test.
And others have been diagnosed the same way.
This is why I am asking and of course curious?

How did you get on on your trip?

Best wishes.

 

[Catkysydney]

Yes, Lamont , I am curious too ..
Before I had fasting hypoglycemia , one example is when I drove my car ( nearly 2 hours ) to my friend’s garage for service without breakfast. I had to ask them for a warm water with sugar when I arrived there.

I did not have fasting hypo recently, my fasting blood sugar is usually around 6.0 or higher. Sometimes 7.0…
So 4.9 ( with headache ) is relatively lower than usual. I was fasting 36hours. Normally I do not have below 6.0 recently.
when I mentioned about my concern of hypo to anaesthetist, he gave me 2 apple juice. Then my blood sugar became 6.2, they were happy to do procedure.

I have insulin sensitive, I heard most of reactive hypoglycemia people are insulin resistant. So no fasting hypo..

I think insulin sensitive contributes fasting hypo.. I suspect it.

Also exercise made me hypo .. but this happens to all reactive hypoglycemia people, right ? I always eat sweets before exercise or straight after it.

Hypo is complicated.. I am very curious how many reactive hypoglycemia people have fasting hypo …

Oh my gastroscopy and colonoscopy were both normal.. what a relief ! Thank you very much for asking , Lamont !

I had a lot of medical procedure recently.. all Fridays I have appointments.

Even I have developed lots of allergies .. now my eyes were painful and watery, antihistamine eyedrop fixed it . ( Sydney is early spring now , so pollen season ). Eye specialist told me about remedy ( he told me my eyelids were inflamed) but it did not work ..

Also my a European trip was fun and also stressful too .

In London , we paid for 5 nights already, but the room was too hot ( no air conditioning) and air did not come in even when we opened the window. We stayed only 1 night and checked out to go to a different hotel with air conditioning. What a waste of money .. also they did not have hair dryer and iron facilities.. it was awful. Website told us a lie.

We are planning another European trip next year ! We will go to London again !
We enjoyed Midsomer Murders tour a lot ! My partner enjoyed pub tour.. I went Notting Hill market ! It was great ! We would like to do it again !

Rome was too hot 37 degree.. I became sick.. I had a bit of trouble for food in Italy , most of food contain tomatoes, which I am allergic to .

Thank you very much for asking me, Lamont !

My tummy had a pain after procedure.., so I eat rice or noodles ( gentle for tummy ). But my blood sugar was not too bad ( 7.8 ).

Nice talking to you , Lamont !!

Very best wishes !!!

 

[Melgar]

Interesting @Catkysydney the previous day I was running sorry pressed the send button by mistake putting my iPad down. Yes, I was running high for most of the day then around 2 am I went low , around 3.4. My liver did a correction and it rose to 4.5 then down it went again to 2.8 for around an hour . I didn’t wake up , but I did feel like **** when I woke up. My liver did eventually correct this long low and it eventually reached 5.5 , dropped again before going to 8 . What a roller coaster.
So @Catkysydney I can relate .
Edited as I pressed send before I had finished, so finished what I was saying.

 

[Lamont D]

Hi @Catkysydney,
So glad your procedures were normal.

Yes, Lamont , I am curious too ..
Before I had fasting hypoglycemia , one example is when I drove my car ( nearly 2 hours ) to my friend’s garage for service without breakfast. I had to ask them for a warm water with sugar when I arrived there.

I did not have fasting hypo recently, my fasting blood sugar is usually around 6.0 or higher. Sometimes 7.0…
So 4.9 ( with headache ) is relatively lower than usual. I was fasting 36hours. Normally I do not have below 6.0 recently.
when I mentioned about my concern of hypo to anaesthetist, he gave me 2 apple juice. Then my blood sugar became 6.2, they were happy to do procedure.

I have insulin sensitive, I heard most of reactive hypoglycemia people are insulin resistant. So no fasting hypo..

I think insulin sensitive contributes fasting hypo.. I suspect it.

Also exercise made me hypo .. but this happens to all reactive hypoglycemia people, right ? I always eat sweets before exercise or straight after it.

Hypo is complicated.. I am very curious how many reactive hypoglycemia people have fasting hypo …

Oh my gastroscopy and colonoscopy were both normal.. what a relief ! Thank you very much for asking , Lamont !

I had a lot of medical procedure recently.. all Fridays I have appointments.

Even I have developed lots of allergies .. now my eyes were painful and watery, antihistamine eyedrop fixed it . ( Sydney is early spring now , so pollen season ). Eye specialist told me about remedy ( he told me my eyelids were inflamed) but it did not work ..

Also my a European trip was fun and also stressful too .

In London , we paid for 5 nights already, but the room was too hot ( no air conditioning) and air did not come in even when we opened the window. We stayed only 1 night and checked out to go to a different hotel with air conditioning. What a waste of money .. also they did not have hair dryer and iron facilities.. it was awful. Website told us a lie.

We are planning another European trip next year ! We will go to London again !
We enjoyed Midsomer Murders tour a lot ! My partner enjoyed pub tour.. I went Notting Hill market ! It was great ! We would like to do it again !

Rome was too hot 37 degree.. I became sick.. I had a bit of trouble for food in Italy , most of food contain tomatoes, which I am allergic to .

Thank you very much for asking me, Lamont !

My tummy had a pain after procedure.., so I eat rice or noodles ( gentle for tummy ). But my bloods sugar was not too bad ( 7.8 ).

Nice talking to you , Lamont !!

Very best wishes !!!

I am still unsure of the fasting hypo.
Going hypo with the majority of RH ers happens mostly after 3 hours, sometimes later. After food (carbs)

Going hypo without eating (no breakfast) could be associated with something else, such as you mention exercise or stress or in extreme heat, or I have found out, just a cold.
The body reacts to hormones, and cause a liver dump, such as in exercise.
But, that for me seldom happens.
Did you check your BG levels when it happens?
Insulin resistance and sensitivity are related and without researching too much, I would imagine, we all have it.
The long fasting you can do, tends me to think, that, the fasting hypoglycaemia is just part of the RH experience.
And as always what I would do, is to keep testing and be aware of checking your BG levels, if you feel the symptoms, even double checking with a finger prick test.

Who would have believed it, that you got ripped off in London?
I'm certain you could claim compensation with the tour operator.
Yes, Italy is hot at this time of the year. But Rome is a spectacular historical city, so much to see. As is the tourist industry in London. My favourite place is the Tower. And of course Wembley.
Best wishes.

 

[Catkysydney]

Interesting @Catkysydney the previous day I was running sorry pressed the send button by mistake putting my iPad down. Yes, I was running high for most of the day then around 2 am I went low , around 3.4. My liver did a correction and it rose to 4.5 then down it went again to 2.8 for around an hour . I didn’t wake up , but I did feel like **** when I woke up. My liver did eventually correct this long low and it eventually reached 5.5 , dropped again before going to 8 . What a roller coaster.
So @Catkysydney I can relate .
Edited as I pressed send before I had finished, so finished what I was saying.

Wow ! That is a trouble for you .. hypo during night is hard . But if it is reactive hypoglycemia, it corrects itself soon . That happened to me..
Yes, it was like a roller coaster .. it is very hard .. we all have that . I heard it was worse than always high people. So I tried keto diet, but it gave me a severe constipation, no oral laxative worked. I will do a low carb diet .
I have lactose intolerance, gluten intolerance and some food allergies, such as bananas , tomatoes, avocados , strawberries and macadamia nuts. Also I have IBS. I cannot digest fat/oil either ..
I will discuss with dietitian, what I can eat ..
Let’s survive together !!

 

[Catkysydney]

Hi @Catkysydney,
So glad your procedures were normal.

I am still unsure of the fasting hypo.
Going hypo with the majority of RH ers happens mostly after 3 hours, sometimes later. After food (carbs)

Going hypo without eating (no breakfast) could be associated with something else, such as you mention exercise or stress or in extreme heat, or I have found out, just a cold.
The body reacts to hormones, and cause a liver dump, such as in exercise.
But, that for me seldom happens.
Did you check your BG levels when it happens?
Insulin resistance and sensitivity are related and without researching too much, I would imagine, we all have it.
The long fasting you can do, tends me to think, that, the fasting hypoglycaemia is just part of the RH experience.
And as always what I would do, is to keep testing and be aware of checking your BG levels, if you feel the symptoms, even double checking with a finger prick test.

Who would have believed it, that you got ripped off in London?
I'm certain you could claim compensation with the tour operator.
Yes, Italy is hot at this time of the year. But Rome is a spectacular historical city, so much to see. As is the tourist industry in London. My favourite place is the Tower. And of course Wembley.
Best wishes.

Yes, Lamont ,
I had received the result of gastroscopy, it was normal . What a relief ! My father and uncle passed away with stomach cancer …. So I was worried ..

London hotel was awful, which I thought it awful before hand . Next one was good !

Rome was too hot , we had to withdrew in the middle of the Colosseum tour . We went to a cafe and had a cold Coke Zero to cool us down .

We have booked our next European trip .. we have booked airplanes already and also another river cruise in next June…
We will go to Paris, Rome and London again . We love there so much .. this time it will not be too hot , I hope .

I enjoyed Notting Hill market ! ( I bought 3 tshirts and 1 jacket. That was my highlight of my travel… lol…

Next time we have to be very careful for hotel booking . I need air conditioning.

You don’t have hypo from exercise ? I had it always before …. I have to bring protein bars and shake with me .. I thought everyone will have hypo from exercise..

I still glucose intolerance.. also I have insulin sensitive , they may contribute for all of my hypos..

So I have to take low carb diet ..
I failed Keto .. I cannot digest fat/oil. This makes hard for Keto …. Also I have IBS, lactose intolerance, gluten intolerance and food allergies .. not much food for me to eat safely.. I will discuss with my dietitian…

Your hypo happens so quickly after high carb ( sugar ) , right ? Mine is very slowly happening. So usually I eat before having a hypo ..

During travel , I had a hypo only once . I ate cookies straight away . I ate a lot of carbs, so I expect my next HbA1c will be higher …

Thank you very much for your knowledge..

With Best Wishes !!!

 

[Melgar]

I can’t fast as I go low. And the other thing is that my lows come in clusters. I can go weeks with my blood sugars simply high with no lows then for no reason I start going low again. I don’t like the fact that my lows can go in the 2’s and stay low for up to an hour. I’ve thought about asking my Dr for an antibody test for insulin antibodies (IAA) .

 

[Lamont D]

English weather is totally unusual, no two days are the same, you could have a winter's day similar to a spring day, or a summers day of five versa, today has seen rain, cloudy and cool, warning up as the cloud breaks, then to now clouding and cooling again.
We do have warm but seldom have temperatures over 30 degrees.

My timetable for a hypo I straight terms are.

40-50 minutes after carbs, I spike abnormally high.
An hour to an hour and quarter, sometimes a double spike.
2 and a half hours to 3 hours. I return sharply to normal levels
3 - 4 hours after carbs, my BG levels are in hypo low levels.

And as you say unless I have something else to eat before the hypo happens.
And low carb stops the symptoms.


I do think that having too many carbs, is similar to the rebound effect.
I know you have issues with your diet, who doesn't?
But knowing how high the spike to trigger the reaction, might give you an idea, what carbs you have.
It should be low, and take note of which ones you can.

It is nice that you seem to be coping better, it's not easy and it is a minefield.


I do get hypos from strenuous exercise, but something as mild exercise, walking, swimming, doing chores etc, don't, again, trying things, is the way to find out.
Snakes are concentrated ingredients, and are likely to contain more quick acting sugars, wether natural or industrial sugars.

Best wishes.

 

[Melgar]

As I type I’m running at 7.8 mmol/ls I’ve just come back from a 4 k brisk walk with the dog. He’s a Field Golden Retriever so like a Border Collie he’s high energy so I have to match him. My lows can be spontaneous, I can have them when at 7 , 10, 12 mmol/ls before dropping around 4 hours later. My liver often fails to correct or if it does, it’s a very weak response and I go low again, which is what happened a few days ago. Like you my sugars rise around 45 - 60 mins after eating. Then they disappear and I can be at 9 for several hours and they settle at 6 mmol/ls and they drop no further. It defies logic. I can have a very small quantity of carbs, and whoosh they are over 10, but I don’t necessarily go low after. They are simply unstable. These low events come in clusters. Interestingly when I’m going through one of these periods of low events, I’m fatigued, not just tired, but seriously fatigued. So something is going on. I don’t think it’s RH because it doesn’t seem the same. As well I did the very low carb, under 35 grams per day and my blood sugars barely changed and remained elevated through the 9 months I was very low carb. So that’s why I’m thinking autoantibodies to insulin.

 

[Catkysydney]

I can’t fast as I go low. And the other thing is that my lows come in clusters. I can go weeks with my blood sugars simply high with no lows then for no reason I start going low again. I don’t like the fact that my lows can go in the 2’s and stay low for up to an hour. I’ve thought about asking my Dr for an antibody test for insulin antibodies (IAA) .

Oh no… in the 2’s ? It is too low , Melgar.. you can’t fast like me ..
I also asked C-peptide and autoantibodies, just in case . The result was I am not type 1. We’d better check it. Reactive hypoglycemia may develop type 1 or 2 diabetes..
Hypo is so complicated ..
Are you insulin sensitive ? Most of reactive hypoglycemia people are insulin resistant…

 

[Melgar]

Yes I’m insulin sensitive @Catkysydney. Nobody seems to know so I‘m just shoved in the Type 2 category, but with nobody knowing what’s causing it, so a bit of confirmation bias going on. The medical profession tend to assume every diabetic adult is type 2 until proven otherwise. It’s a mess.

Edited for clarity.

 

[Catkysydney]

English weather is totally unusual, no two days are the same, you could have a winter's day similar to a spring day, or a summers day of five versa, today has seen rain, cloudy and cool, warning up as the cloud breaks, then to now clouding and cooling again.
We do have warm but seldom have temperatures over 30 degrees.

My timetable for a hypo I straight terms are.

40-50 minutes after carbs, I spike abnormally high.
An hour to an hour and quarter, sometimes a double spike.
2 and a half hours to 3 hours. I return sharply to normal levels
3 - 4 hours after carbs, my BG levels are in hypo low levels.

And as you say unless I have something else to eat before the hypo happens.
And low carb stops the symptoms.


I do think that having too many carbs, is similar to the rebound effect.
I know you have issues with your diet, who doesn't?
But knowing how high the spike to trigger the reaction, might give you an idea, what carbs you have.
It should be low, and take note of which ones you can.

It is nice that you seem to be coping better, it's not easy and it is a minefield.


I do get hypos from strenuous exercise, but something as mild exercise, walking, swimming, doing chores etc, don't, again, trying things, is the way to find out.
Snakes are concentrated ingredients, and are likely to contain more quick acting sugars, wether natural or industrial sugars.

Best wishes.

Wow ! England weather is so temperamental?
I was rather lucky , when I stayed there weather was fine , only one day a bit of rain when I went to palace.

Your blood sugar pattern is similar to mine , but mine is going low a bit slower.

I can eat buckwheat noodles ( it raised 7.5 not too bad ), even brown rice ( it raised 7.8 also not too bad ) so I can eat carbs without having a hypo .

Yesterday I had a Vietnamese chicken salad ( they don’t use tomato ! Great ! I am allergic to it ) , but 2 hours later my blood sugar was 9.8.. oh no .. I think I should avoid it .. their dressing may contains sugar . ( it was so delicious though )

I started using MCT oil , I heard it is easier to digest ( I cannot digest fat/oil ). I may be able to do near Keto diet ( low carb probably or Atkins )

I have double toe nail .. it is a very rare condition . It may be caused by high blood sugar .. I will ask my podiatrist. It is weird. A new nail growing on top of old nail . My podiatrist diagnosed. I don’t know why I have so many rare ailments. Started from Stevens-Johnson Syndrome .. it damaged my digestive system completely and i have developed a lot of allergies. Even in hospital, nurses said , “She has a lot of allergies “. I have to warn surgeons I have latex allergy. I have become tired of being sick …. Even during travel, I used 10 boxed of Imodium and ran out. I bought one in Amsterdam and London . Because I have IBS..

I have to sort it out to prioritise to treat my ailments.. first is reactive hypoglycemia. I am pre diabetes as well . Usually fasting blood sugar level is high .. ( used to be low ).. so more diabetic now.

I sincerely appreciate your support, Lamont ! I could not handle my ailment by myself .. I was panicking before gastroscopy/colonoscopy, I accidentally paid doctors twice ( I did not know what I was doing )… they refunded me…lol.. but I was very well looked after by them .

I think if I don’t cause hypo , I will eat carbs. I failed Keto … I love that idea , but my body could not handle..sad.. so I will do low carb.

Fortunately my GP is supporting low carb and Keto !

Next month I will see my dietitian again , so I need to ask her to make my diet plan . I don’t know what I can eat safely…

At the moment I am not confident to handle my ailments… too many …

I need a shopping to cheer me up ! We said ,”Retail is cheaper than therapy “. Yes retail therapy..‍

Thank you very much for your support always !!

With Best Wishes ‍‍

 

[Lamont D]

Wow ! England weather is so temperamental?
I was rather lucky , when I stayed there weather was fine , only one day a bit of rain when I went to palace.

Your blood sugar pattern is similar to mine , but mine is going low a bit slower.

I can eat buckwheat noodles ( it raised 7.5 not too bad ), even brown rice ( it raised 7.8 also not too bad ) so I can eat carbs without having a hypo .

Yesterday I had a Vietnamese chicken salad ( they don’t use tomato ! Great ! I am allergic to it ) , but 2 hours later my blood sugar was 9.8.. oh no .. I think I should avoid it .. their dressing may contains sugar . ( it was so delicious though )

I started using MCT oil , I heard it is easier to digest ( I cannot digest fat/oil ). I may be able to do near Keto diet ( low carb probably or Atkins )

I have double toe nail .. it is a very rare condition . It may be caused by high blood sugar .. I will ask my podiatrist. It is weird. A new nail growing on top of old nail . My podiatrist diagnosed. I don’t know why I have so many rare ailments. Started from Stevens-Johnson Syndrome .. it damaged my digestive system completely and i have developed a lot of allergies. Even in hospital, nurses said , “She has a lot of allergies “. I have to warn surgeons I have latex allergy. I have become tired of being sick …. Even during travel, I used 10 boxed of Imodium and ran out. I bought one in Amsterdam and London . Because I have IBS..

I have to sort it out to prioritise to treat my ailments.. first is reactive hypoglycemia. I am pre diabetes as well . Usually fasting blood sugar level is high .. ( used to be low ).. so more diabetic now.

I sincerely appreciate your support, Lamont ! I could not handle my ailment by myself .. I was panicking before gastroscopy/colonoscopy, I accidentally paid doctors twice ( I did not know what I was doing )… they refunded me…lol.. but I was very well looked after by them .

I think if I don’t cause hypo , I will eat carbs. I failed Keto … I love that idea , but my body could not handle..sad.. so I will do low carb.

Fortunately my GP is supporting low carb and Keto !

Next month I will see my dietitian again , so I need to ask her to make my diet plan . I don’t know what I can eat safely…

At the moment I am not confident to handle my ailments… too many …

I need a shopping to cheer me up ! We said ,”Retail is cheaper than therapy “. Yes retail therapy..‍

Thank you very much for your support always !!

With Best Wishes ‍‍

The bloomin weather....
Today in the Liverpool region, rain overnight, dense cloud and gloomy, cool, high of 15 degrees.with a northerly wind.
Tomorrow, sunny and bright, forecast high of 22 degrees., Warm wind from south.
maybe Sunday even warmer.
then rain forecast monday.

it will more than likely the dressing on the salad.
can you, have you tried 100% virgin olive oil as an alternative?
it is supposed to help with digestion, but only a teaspoonful.
I did try once, but it didn't agree with me.
But with your other issues, I'm just guessing.
I have not heard of a double toenail, fascinating but painful
My grandson had a couple of double teeth, had to have them taken out.
Also Mrs L has issues with her toenails and sees the podiatrist often.


Shopping........... Aaasgghhhh!
I have had to do the shopping for quite a number of years.
And I hate it with a passion.
I go over to the local shop nearly every day, the butchers for my fresh meat and farm eggs.greengrocers for my salad veg. And a big shop for the rest for when the family comes round.
But I do that on line and get it delivered.

Having a (more than one) rare condition is very troubling mentally.
It takes someone special and resilient (and weird) to get through it.
I know from your posts, the determination you have shown, you have not shirked the obvious drawbacks with RH and your other conditions, asking the right questions, applying it to you.

I believe, you have an open mind, to take some unbelievable ideas about how good is the cause of the condition.
I wish you well.
Best wishes.

 

[Catkysydney]

The bloomin weather....
Today in the Liverpool region, rain overnight, dense cloud and gloomy, cool, high of 15 degrees.with a northerly wind.
Tomorrow, sunny and bright, forecast high of 22 degrees., Warm wind from south.
maybe Sunday even warmer.
then rain forecast monday.

it will more than likely the dressing on the salad.
can you, have you tried 100% virgin olive oil as an alternative?
it is supposed to help with digestion, but only a teaspoonful.
I did try once, but it didn't agree with me.
But with your other issues, I'm just guessing.
I have not heard of a double toenail, fascinating but painful
My grandson had a couple of double teeth, had to have them taken out.
Also Mrs L has issues with her toenails and sees the podiatrist often.


Shopping........... Aaasgghhhh!
I have had to do the shopping for quite a number of years.
And I hate it with a passion.
I go over to the local shop nearly every day, the butchers for my fresh meat and farm eggs.greengrocers for my salad veg. And a big shop for the rest for when the family comes round.
But I do that on line and get it delivered.

Having a (more than one) rare condition is very troubling mentally.
It takes someone special and resilient (and weird) to get through it.
I know from your posts, the determination you have shown, you have not shirked the obvious drawbacks with RH and your other conditions, asking the right questions, applying it to you.

I believe, you have an open mind, to take some unbelievable ideas about how good is the cause of the condition.
I wish you well.
Best wishes.

Thank you very much for your warm words, Lamont !

I don’t know why I have quite a few rare conditions .. I used to have fasting, reactive and exercise hypoglycemia.. but now it is better !
Today I had ham and cheese croissant at our regular cafe , 2 hours later my Blood sugar was 6.6 ! I was impressed. Less than 7.0 from a large croissant!
Even dinner , I ate buckwheat noodles and cucumber, then blood sugar was 7.7 … not too high !
I can eat carbs.. I found my fasting blood sugar was affected by dinner from the night before.. so if I am careful about dinner, fasting sugar may be OK , I hope

But I have quite a few ailments at the moment ( inflamed eyelids, double toenail and hemorrhoids, which, I think , is caused by too many colonoscopy). In addition food allergy, intolerance and IBS.. so I felt depressed..
I asked my doctor to give me antidepressants but he told me that it was related with my high blood sugar , so keep doing low carb diet .

I had Ozempic before , but my new doctor stopped it , it may affect my fasting blood sugar and depression. When I had Ozempic my fasting blood sugar was always OK …

My doctor told me that reactive hypoglycemia and diabetes are the highest priority to be looked after . Other ailments are not serious ( but uncomfortable though ). It could be true . I will do low carb diet and checking blood sugar often..especially fasting blood sugar.. I will have HbA1c test in 2 weeks time. It is interesting.

My retail therapy is going well…lol..

We are planning to go to Europe next June . I hope I will be OK. The first 6 days of my last travel were chaotic, half of my large luggage was occupied by medical stuffs..

My partner wants to do another pub tour in London.
A girl ( we met from the cafe )from London gave me her telephone number so that we could meet up in London , that would be very nice .

My concern is long flight, last time we use premium economy, but my left leg was swollen. When we flew back to Sydney , I took my partner’s blood thinner to prevent blood clots. I was wearing compression stockings, but my skin became red with blisters.. allergies from latex .. I need to find different one without latex . Funny thing is that blood thinner gave me nausea, I had to take Zofran, which gave me headache, so I needed to take Panadeine Fort.. I cannot win …lol..

I will keep eye on my blood sugar level.. good thing is I can eat carbs…. So I can avoid constipation ..

Your journey is incredible, Lamont . You had several OGTTs.. I had only once . It was very hard …. I don’t have insulin resistance.., this is another unusual situation for reactive hypoglycemia.

Your warm advice is always appreciated.

With best wishes to you …‍‍

 

[Lamont D]

Thank you very much for your warm words, Lamont !

I don’t know why I have quite a few rare conditions .. I used to have fasting, reactive and exercise hypoglycemia.. but now it is better !
Today I had ham and cheese croissant at our regular cafe , 2 hours later my Blood sugar was 6.6 ! I was impressed. Less than 7.0 from a large croissant!
Even dinner , I ate buckwheat noodles and cucumber, then blood sugar was 7.7 … not too high !
I can eat carbs.. I found my fasting blood sugar was affected by dinner from the night before.. so if I am careful about dinner, fasting sugar may be OK , I hope

But I have quite a few ailments at the moment ( inflamed eyelids, double toenail and hemorrhoids, which, I think , is caused by too many colonoscopy). In addition food allergy, intolerance and IBS.. so I felt depressed..
I asked my doctor to give me antidepressants but he told me that it was related with my high blood sugar , so keep doing low carb diet .

I had Ozempic before , but my new doctor stopped it , it may affect my fasting blood sugar and depression. When I had Ozempic my fasting blood sugar was always OK …

My doctor told me that reactive hypoglycemia and diabetes are the highest priority to be looked after . Other ailments are not serious ( but uncomfortable though ). It could be true . I will do low carb diet and checking blood sugar often..especially fasting blood sugar.. I will have HbA1c test in 2 weeks time. It is interesting.

My retail therapy is going well…lol..

We are planning to go to Europe next June . I hope I will be OK. The first 6 days of my last travel were chaotic, half of my large luggage was occupied by medical stuffs..

My partner wants to do another pub tour in London.
A girl ( we met from the cafe )from London gave me her telephone number so that we could meet up in London , that would be very nice .

My concern is long flight, last time we use premium economy, but my left leg was swollen. When we flew back to Sydney , I took my partner’s blood thinner to prevent blood clots. I was wearing compression stockings, but my skin became red with blisters.. allergies from latex .. I need to find different one without latex . Funny thing is that blood thinner gave me nausea, I had to take Zofran, which gave me headache, so I needed to take Panadeine Fort.. I cannot win …lol..

I will keep eye on my blood sugar level.. good thing is I can eat carbs…. So I can avoid constipation ..

Your journey is incredible, Lamont . You had several OGTTs.. I had only once . It was very hard …. I don’t have insulin resistance.., this is another unusual situation for reactive hypoglycemia.

Your warm advice is always appreciated.

With best wishes to you …‍‍

Im gonna read between the description of your readings at this time.
I believe that you are now stabilising your spikes enough, to get you to a good level overall, that the effect or intolerance levels has reduced to somewhere near normal, that you don't get high enough that will trigger the reaction.
I do think the travelling issues with higher BG levels has been because of the realities of long haul travel, different time zones, different food, different everything really.
And on top of your other conditions on top, always makes it harder to get to.
A lot of symptoms of the others on top of the RH symptoms can disguise what is going on.

Of course the big why? Always comes into your mental attitude of coping with all this.
The answer is, I don't know.
Counselling never answered why.
But it is down to how resilient you have to be.
And always believe that what you are doing, can be beneficial.
And clearly from your post, you are doing really great.
So keeping your BG levels stable in and around normal levels is working.
And the trials and tribulations, the testing is working.

Your hba1c result may be skewed from your travels. So I would accept and keep doing what you have been doing, and the next hba1c, if it's before you go galivanting around the globe again, will give you a clearer picture.


The longest I've been on a plane is just over five hours, when going to Crete.
So I have no personal experience of long haul.

I have no idea how ozempic would work. It has worked on some T2s which is similar in many says but how will it effect our insulin production etc.
On meds, the reason I had more than the obligatory eOGTT, was a trial over a few months about the drug sitagliptin, it worked, tho, the long term, cos of the time of low carb dietary intervention.
Sitagliptin is designed to help with first phase insulin response. This it does.
But unfortunately it doesn't help with stopping hypoglycaemia or the second phase insulin response.
But it did reduce the spike from the glucose given on the eOGTT.

It helps me to help you, so you don't have to keep thanking me.
I'm so glad to read your posts and how you are doing and coping with this rare weird condition.
There isn't that many of us around.

My best wishes as usual.

 

[Catkysydney]

Im gonna read between the description of your readings at this time.
I believe that you are now stabilising your spikes enough, to get you to a good level overall, that the effect or intolerance levels has reduced to somewhere near normal, that you don't get high enough that will trigger the reaction.
I do think the travelling issues with higher BG levels has been because of the realities of long haul travel, different time zones, different food, different everything really.
And on top of your other conditions on top, always makes it harder to get to.
A lot of symptoms of the others on top of the RH symptoms can disguise what is going on.

Of course the big why? Always comes into your mental attitude of coping with all this.
The answer is, I don't know.
Counselling never answered why.
But it is down to how resilient you have to be.
And always believe that what you are doing, can be beneficial.
And clearly from your post, you are doing really great.
So keeping your BG levels stable in and around normal levels is working.
And the trials and tribulations, the testing is working.

Your hba1c result may be skewed from your travels. So I would accept and keep doing what you have been doing, and the next hba1c, if it's before you go galivanting around the globe again, will give you a clearer picture.


The longest I've been on a plane is just over five hours, when going to Crete.
So I have no personal experience of long haul.

I have no idea how ozempic would work. It has worked on some T2s which is similar in many says but how will it effect our insulin production etc.
On meds, the reason I had more than the obligatory eOGTT, was a trial over a few months about the drug sitagliptin, it worked, tho, the long term, cos of the time of low carb dietary intervention.
Sitagliptin is designed to help with first phase insulin response. This it does.
But unfortunately it doesn't help with stopping hypoglycaemia or the second phase insulin response.
But it did reduce the spike from the glucose given on the eOGTT.

It helps me to help you, so you don't have to keep thanking me.
I'm so glad to read your posts and how you are doing and coping with this rare weird condition.
There isn't that many of us around.

My best wishes as usual.

I was so pleased when you mentioned you were taking Sitagliptin, because I was taking it ( I could not take any other medication such as Metformin, Jardiance and Diamicron).. so I felt being lucky to get the same medicine for the reactive hypoglycemia. I was diagnosed with type 2 diabetes.

Reactive hypoglycemia is a rare condition .., but I got much rarer condition, which is Stevens-Johnson Syndrome.. this is a severe allergic reaction from medicine. This has given me lifelong ailment in digestive system and immune system. That is why I have quite a few food intolerance and allergies. But I am a survivor from it ( 30% of patient died ), so I feel lucky . Also it did not affect my eyes. If it did , I could be blind.. it is really scary .. if you google SJS patients images, most of them are suppressed because they are too awful to show.

I have developed another allergy to peanuts now..
But I am well prepared for it, I asked my doctor for anti nausea medicine. It works well !!

Ozempic makes our digestion slower, so our blood sugar does not raise quickly.. also it provides hormone mimicking like we are full , so it suppresses our appetite, then it reduces our weight . Now this medicine is mainly used for weight loss…. Thanks to Hollywood…lol..

Today my blood sugar went down 4.2… but fortunately did not go down further .. so no hypo.

Your blood sugar is affected by a little amount of carbs ? You are more glucose intolerant than me, looks like. Everyone is different, so interesting.

I will see my GP tomorrow regarding my latest HbA1c result. It could be high , because of travelling. ( I eat lots of pastas and bread ) It is very interesting to know.

I always appreciate your advice ! You know more than doctors.

Best wishes for you ‍‍‍

 

[Catkysydney]

I got the result of HbA1c . It was 41 and 5.9% ! I am very happy with it .. I did not do any diet when I was travelling.. before travelling it was 36 and 5.4%. So it became a bit high , but I expect it . Fasting blood sugar was 5.6 mmol/L .. it was not too bad at all ..
I will keep low carb diet .
Thank you for reading my posting..
Best wishes for you ‍‍‍

 

[Lamont D]

Wow!
What a great result @Catkysydney

I got the result of HbA1c . It was 41 and 5.9% ! I am very happy with it .. I did not do any diet when I was travelling.. before travelling it was 36 and 5.4%. So it became a bit high , but I expect it . Fasting blood sugar was 5.6 mmol/L .. it was not too bad at all ..
I will keep low carb diet .
Thank you for reading my posting..
Best wishes for you ‍‍‍

I am so pleased for you.
And I wish mine is so good in a couple of weeks.

Yes, I do believe that I'm so intolerant to carbs, that I have to be so careful.
And yes, I have to look at things differently for most of my life, being lactose intolerant and my body not being agreeable to a lot of different foods, not that I haven't tried. On my travels.

I also find it interesting, that, the majority of those with metabolic conditions are always so different. Even those with RH, like you and me, basically its the same but at different stages in the condition journey, but because you and I have different other conditions that may or not effect the RH.
Also, how different certain different carbs affect our BG levels.
Potatoes are my worst, then wheat, I have never thought to try dairy, cos of the reaction to dairy, but it is awful.
It will be different for you.
So many differences.

Keep updating, keep asking questions.
Let us know how you are doing.

Best wishes.