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Diabetes Discussion
Reactive Hypoglycemia
HbA1c in RH
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<blockquote data-quote="Lamont D" data-source="post: 1718340" data-attributes="member: 85785"><p>Hi and welcome to the forum, your Hba1c levels are in the normal levels, for a patient with RH your eOGTT is classic. Going hypo between three and four hours is the norm.</p><p>The fasting test not going below three is explained by the rest of your results. Most doctors, specialists and recommendations for hypos is below 3.5mmols. But for the test purposes, they would take the glucometer allowance in variations, as they are not totally accurate. So readings above three is not to low, as to stop the test.</p><p>Also, when you take stress, unusual surroundings, and other issues such as anxiety being away in hospital, the blood glucose levels will be a little bit skewed.</p><p>The fasting test and eOGTT are used to eliminate other pancreatic conditions.</p><p>By staying above hypo levels for the majority of the test, this has eliminated that possibility. This is why a diagnosis of RH was given.</p><p>Have you a glucometer at home?</p><p>Because you will need one to find out which foods are triggering the excess insulin response. You should have had a c-peptide and GAD test at some time during your tests, also tests to see how high your insulin levels are.</p><p></p><p></p><p>I really wouldn't worry too much about your hba1c levels. Being RH your default state for your blood glucose levels is in normal levels and the more time you spend in normal levels, the less you will be either going hyper or hypo.</p><p>Do you have good control?</p><p></p><p>The insulin index is good knowledge to have, but knowing which foods to avoid is more important. This condition is dietary controlled, even low GI foods can cause triggers. I have to avoid most carbs and in particular starchy vegetables like potatoes.</p><p>I have used both to understand why certain foods can give different readings.</p><p>Do you have a food diary?</p><p></p><p>I hope you get a specialist endocrinologist who understands RH and has the knowledge to help you.</p><p>We are here to help you through this, so keep asking and we will try to help you.</p><p></p><p>Best wishes.</p></blockquote><p></p>
[QUOTE="Lamont D, post: 1718340, member: 85785"] Hi and welcome to the forum, your Hba1c levels are in the normal levels, for a patient with RH your eOGTT is classic. Going hypo between three and four hours is the norm. The fasting test not going below three is explained by the rest of your results. Most doctors, specialists and recommendations for hypos is below 3.5mmols. But for the test purposes, they would take the glucometer allowance in variations, as they are not totally accurate. So readings above three is not to low, as to stop the test. Also, when you take stress, unusual surroundings, and other issues such as anxiety being away in hospital, the blood glucose levels will be a little bit skewed. The fasting test and eOGTT are used to eliminate other pancreatic conditions. By staying above hypo levels for the majority of the test, this has eliminated that possibility. This is why a diagnosis of RH was given. Have you a glucometer at home? Because you will need one to find out which foods are triggering the excess insulin response. You should have had a c-peptide and GAD test at some time during your tests, also tests to see how high your insulin levels are. I really wouldn't worry too much about your hba1c levels. Being RH your default state for your blood glucose levels is in normal levels and the more time you spend in normal levels, the less you will be either going hyper or hypo. Do you have good control? The insulin index is good knowledge to have, but knowing which foods to avoid is more important. This condition is dietary controlled, even low GI foods can cause triggers. I have to avoid most carbs and in particular starchy vegetables like potatoes. I have used both to understand why certain foods can give different readings. Do you have a food diary? I hope you get a specialist endocrinologist who understands RH and has the knowledge to help you. We are here to help you through this, so keep asking and we will try to help you. Best wishes. [/QUOTE]
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