Help controlling hypos

[Leara86]

Hi everyone! I'd love some help figuring out how to control my RH. I was officially diagnosed with RH after a 3 hour OGTT with insulin readings. Ive been having issues with hypos for 10+ years, though no-one put a name to it until 2019. I was also diagnosed with T2 diabetes in 2014, which I think was iatrogenic, because I went into remission after stopping certain medications. For the past 3 years my hba1c has been between 4.2% and 4.5%, so very much in the non diabetic range.

My issue is that my hypos (mostly between 2.4 to 3.7) are becoming more frequent, and I feel like **** a lot of the time. Sometimes I'm having 5+ hypos a day! I'm aware of the bsl rollercoaster that comes from over compensating when treating hypos, so ill just eat something small and protein rich. Or nothing at all if its above 3.5.

I've tried low carb and intermittent fasting, and nothing seems to really help. I'll have meat and veg for dinner at 6:30, and wont eat until the next morning. My fasting bsl's are always between 3 and 3.6. I always thought that RH happened in response to food, so the fasting lows are very confusing. I check my bsl 30 mins, 1 hour and 2 hour post food, and I've never had a reading higher than 7. It's usually between 4 and 6.9. So how high do the highs have to be to cause the lows? And what about lows that happen 6, 8, 10 hours after the last food intake?

I would really appreciate some help or insight. Thanks so much for taking the time to read my saga!

 

[Lamont D]

Hi @Leara86 welcome to our forum,
A couple of questions first, if I may?
What other tests have you had?I
What are your blood levels after a few hours fasting?

Your hba1c and fasting is in non diabetic numbers.
Your fasting readings are low, are you using a cgm?

The thing is, that if your fasting reading are correct and Hypoglycaemic, then it might not be RH.
RH, as you say is food orientated, so it could be a pancreatic condition.

However, if it is RH and those readings are not hypoglycaemic, then only very low or zero carb will in my experience stop the hypos. That is why you are feeling ill, and not been in control, plenty of symptoms.
Going low carb is not easy, it won't make you feel better for well over a week if not more, it may make it easier if you can fast for a couple of days as you start, that is if you can fast.

For me, it doesn't take much above normal levels to trigger the insulin overshoot which causes the hypo. So I stay in ketosis as much as possible and it works for me. Others do have different intolerance to carbs. Dependent on it like me, I have lactose intolerance since childhood. But it is the quick spike that triggers the reaction.

I do hope that helps and answers some of your questions.

best wishes. And I like or can't help writing long posts!

Hi everyone! I'd love some help figuring out how to control my RH. I was officially diagnosed with RH after a 3 hour OGTT with insulin readings. Ive been having issues with hypos for 10+ years, though no-one put a name to it until 2019. I was also diagnosed with T2 diabetes in 2014, which I think was iatrogenic, because I went into remission after stopping certain medications. For the past 3 years my hba1c has been between 4.2% and 4.5%, so very much in the non diabetic range.

My issue is that my hypos (mostly between 2.4 to 3.7) are becoming more frequent, and I feel like **** a lot of the time. Sometimes I'm having 5+ hypos a day! I'm aware of the bsl rollercoaster that comes from over compensating when treating hypos, so ill just eat something small and protein rich. Or nothing at all if its above 3.5.

I've tried low carb and intermittent fasting, and nothing seems to really help. I'll have meat and veg for dinner at 6:30, and wont eat until the next morning. My fasting bsl's are always between 3 and 3.6. I always thought that RH happened in response to food, so the fasting lows are very confusing. I check my bsl 30 mins, 1 hour and 2 hour post food, and I've never had a reading higher than 7. It's usually between 4 and 6.9. So how high do the highs have to be to cause the lows? And what about lows that happen 6, 8, 10 hours after the last food intake?

I would really appreciate some help or insight. Thanks so much for taking the time to read my saga!