Discovery22
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Thank you for replying. Yes the 72hr fast was to test for that but because it didn’t go down to 2.2 they said it was inconclusive. However I really suffer with thirst and can sometimes drink as much as 7L of water in a day and still be thirsty. They have no answer to that although one dr did mention diabetes insipidus (nothing to do with diabetes) but nothing has been looked into. They haven’t even checked my pancreas which I find confusing since it that that’s producing all this insulinOh Discovery, I am so sorry to read this. How frightening for you!
Have they checked you out for an insulinoma?
I was told that it cannot be insulinoma if it doesn't drop to 2.2 but at 2.5 being so close is it possible he could be wrong?
Thanks for replying. I definitely have RH and have done for 19 years and reacted highly to the Extended GTT but I've always been able to control it by avoiding triggers (99% of the time.) That's until 2 years ago. If I eat a trigger I will crash around 2 hours after as before but over the last 2 years I drop regardless of what I eat or drink and if I don't eat or drink. But some days will be less so than others with the non explanatory drops. I guess what I'm trying to say is that I have another condition causing problems in top of my RH. Just wasn't sure if anyone could spead any light on what else could be going on. Apologies for doing this thread on top of the other. Im just feeling so desperate to not have this each day. I can't go on living like this. I have no life with these hypos and the exhaustion that comes with it. I'm close to giving up if I'm honest
Thanks again. It’s possible I may have more triggers now, I’m not certain, but what is fine one day is not fine the next. This morning my fasting levels are at 4.4 but I know for certain if I try to do any housework or anything before eating I WILL go hypo. But then the chances are I’ll go hypo later anyway....that is unless my body decides I’ll have a good day then I’ll be fine.
It’s all very inconsistent as even if I follow exact patterns by eating exactly the same thing at the same time 2 days running I can get 2 completely different results. The only thing that is consistent is my normal trigger I’ve had for years where if I eat/drink anything sweet I WILL crash
The speed of the drop varies too and sometimes I can drop a whole unit within 20 mins (which leaves me really shaky) sometimes it will drop so slowly I don’t notice it until quite late. 3 times I’ve lost consciousness but luckily the worst time I was in hospital and I woke up with everyone round me and on a glucose drip
That gives me more information about your day then you probably realise.
I have to be careful with my exercise or what I do at work. It has improved as I have worked for quite a while but I get the warning signal of a possible hypo if I do too much! And yes it is so inconsistent!
What happens if you do too much, is your brain tells your pancreas that because of the energy already being used that it may need more and that comes from what is called a liver dump. This will give you glucose, glucagon that will trigger the hyper/hypo. If I feel symptoms or similar I will always have a very low carb meal or snack to offset the liver dump. The less carbs the better because your gut is deceiving the brain's message to cause a liver dump, because a very low carb snack as cheese will satisfy your stomach quickly. If you have carbs, it won't satisfy and will want more, hence the hunger, craving and wanting to empty your fridge or cupboard!
I walk a lot, I work at a steady pace and try not to overdo it.
4.4 is perfect, if your breakfast is not low carb enough, your day will be just a succession of ups and downs.
I don't believe I have had sugar in any form for about six years now. No spuds, no rice, as little carbs that I can. It has worked for me.
I always cook fresh or have protein that is very low carb if I'm on my travels, we have a dietary problem and should not be expected to eat carbs in whatever form they maybe in. A carb is a carb, and I have problems with how it effects my body and the reaction to carbs. Even those that are supposed to be healthy, they are not!
We have a rare condition, we don't have Diabetes! We have a hypoglycaemic episode when we digest carbs.
We are healthier when not having carbs, low GI is bad for us, most dietary advice is wrong for us and most GPs, even some endocrinologists have never come across a condition such as we have, and don't know how to treat it!
I was surprised to find that you had a glucose drip or what is worse a glucagon injection if you're are in a coma. I was told that this is a last resort treatment as a T1 patient would be treated. I spoke at length to my specialist about this and he advised a slow release drink would have worked just as well, something like a spoon of sugar in water, would have helped after. The rebound effect from the drip must have been horrendous! I do hope you have recovered from it.
I have a card in my wallet to advise against this action if I'm hospitalised or an ambulance call.
I do know that I've crashed hard before diagnosis and have conked out and been found apparently asleep and woken up, when I've had too much sleep and still found myself not with the usual sleep patterns. And the awful dreams because of the overnight hypos!
I was once helped in a shop, and I still can't remember why, how or what I was there for! My memory around that time is littered with forgetfulness and I have missed so much of my family growing up.
It's so horrible!
Along with the anxiety and possibly depression that are symptoms, I do empathise and sympathise with what is going on with you at this time.
I do know that if you can get really good control, your health improves and your life will change for the better, but as always, you have to understand why and what the triggers are!
My best wishes
Hi, again.Thank you for your advice. It’s all so much to take in and to try to understand so I’ll,need to read through it a few times. It doesn’t help when I have so called professionals...those who you really trust...telling you to eat as many complex carbs as possible for slow release energy, a dietitian telling me to eat porridge every morning and potato’s and pasta through the day.
All these things I’ve tried and one day I’ll be fine and the next I’ll have hypo after hypo and I don’t know what the hell I’m doing and I can’t function and feel permanently exhausted and drained from living with them day in and day out. I went to watch my daughter play in a rugby match today and fell asleep on the floor in a hypo propped up against the clubhouse and was woken by some man asking if I’m ok. I have no idea if I’m ok all I know is I want to sleep.
It’s ridiculous that even walking upstairs to the bathroom can trigger a hypo. Or even ironing??
My window of feeling desperately hungry is far smaller now and I get to a point where actually I can’t be bothered to eat or treat it. I’d prefer to sleep. Or sometimes I don’t actually recognise I’m having a hypo and it’s only when I get really aggy or confused or falling all over the place I take my sugars and they’re low. (Around 2.0)
I don’t even know the correct way of treating a hypo? In hospital they either give me fresh orange juice or glucogel/glucotabs and it works fast so that’s what I do at home but I have less of it at home so it’s just enough to lift it to around 4.5
Sometimes I wish it would just take me as I’m too tired to cope with this now. Having this forum is giving me a small ray of hope that maybe I can work out exactly what all the triggers are (which seems impossible due to inconsistencies) and maybe even claim my life back. Thank you
Hi @Discovery22
I know you addressed Lamont with your questions, but here is my take on them:
RHers don’t need a blood glucose spike to cause a hypo. They just need to eat too many carbs which causes excess insulin production.
- I wouldn't count anything above 3.5 as a hypo, because I am not on medication. That is my experience of my body. Not necessarily transferable to anyone else!
- I would never treat a hypo with more than a mouthful of milk OR juice. Then I would eat nuts, or a proper low carb meal of plenty of fat and protein to even out my blood glucose.
- I would never consider having bread at any time of the day or night. I have things like egg mayo, pate, crustless quiche, etc with a fork, not a slice of bread. They can also be eaten with veg, or salad. Celery, cucumber and raw veg can act as dipper and scoops. You can substitute carbs like rice, potato, pasta and bread in many ways. These include cauliflower mash, cauliflower cheese, cauliflower rice, konjac or buckwheat noodles, oomi noodles, swede, celeriac, turnip, courgette noodles, soy pasta, lentil pasta, low carb breads (there are pre-made protein breads and a million different low carb bread recipes. The options are well nigh limitless.
My preference is to eat good quality low carb slow release foods, in generous sized portions, and prevent the hypos from developing in the first place. Today I had a 500ml bowl of homemade chicken soup with real lumps of chicken in it for breakfast (blob of cream cheese floating on top). No carbs. Lunch was a 500ml mug of low carb hot chocolate (100% cocoa powder, erythritol, double cream and hot water). Minimal carbs in the cocoa powder. Supper will be a 10oz ribeye steak and 100g of halloumi (cheese) fries. No carbs. If I wanted veg with any of those I could have huge portions of low carb salad or cooked veg, jazzed up with herbs, spices, seasonings, mayo, grated cheese or butter. (Today was an unusual day in that i ate 3 meals, due to a heavy schedule. Normally i only eat twice).
All of my food choices are flavourful, satisfying, nutritious and my blood glucose stays steady all day, with no hypos and no need to use any hypo treatments - which would overload my carb capacity and start me back on the RH rollercoaster again.
Back before I deleted the carbs from my menu, I used to have daily hypos, usually a couple of times a day, and you could have set your clock by them. Giving up carbs was the best thing I have ever done for my health.
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