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Reactive Hypoglycemia
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<blockquote data-quote="Lamont D" data-source="post: 2161850" data-attributes="member: 85785"><p>Hi, [USER=516388]@GreenUmbrella[/USER] and welcome to our forum.</p><p>Even though you have had some tests and the tests were inconclusive, this does not mean that there isn't something going on.</p><p>I certainly can't diagnose you, but there are a lot of things that I can relate to.</p><p>How long was your OGTT?</p><p>Ask for the results, you have the right to know.</p><p>Did the person who did the OGTT, test every fifteen minutes or half an hour, pre test. Also take bloods from a cannula during the test. And a c-peptide and GAD tests.</p><p>And of course insulin tests.</p><p>You cannot get an all round picture without these tests.</p><p></p><p>You are correct about insulin response to carbs, it is closely linked to insulin resistance and hyperinsulinaemia, (high insulin levels!)</p><p>There has also been an awareness of what high circulating insulin levels, will give you symptoms as you describe.</p><p></p><p>Symptoms as you describe are different from person to person, they are similar to most metabolic conditions, were blood sugar levels rise and fall abnormally. It is the imbalance in hormones that triggers the symptoms.</p><p>I would also add, that other hormones might be in play here, but any hormonal imbalance concerning dietary intake is pretty likely.</p><p></p><p>There are other hypoglycaemic conditions similar to what you have suggested.</p><p>Even a couple were the patient does not go hypo!</p><p></p><p>From your description, I would say that you do suffer from something similar to glucose dumping, which is when glucose that is derived from carbs, wether low carb or not, you will get a high spike, because your initial insulin response is weak, probably because of insulin resistance. And then when you do get the triggered insulin response, your blood sugar levels drop to in or near normal range. Without going hypo!</p><p>If this is so, as you have experienced, low carb relieved the symptoms, the longer you stay low carb, the better you feel.</p><p></p><p>Most of Hypoglycaemia cases are individual for many reasons, my insulin response is different from yours, so my intolerance to certain foods is different, either higher or lower.</p><p>This is why, an endocrinologist who has experience in these rarer types of metabolic conditions are much more knowledgeable about the tests required to get a true diagnosis and obviously getting the right tests to find out what is happening every time you eat.</p><p>I will add that intermittent fasting has helped me so much, avoiding the foods that trigger the spikes and triggers hypos, also keep me from feeling awful.</p><p>Hypoglycaemia or similar is most likely.</p><p>Do you keep a food diary?</p><p>It is a useful tool to find out what happens when you eat food!</p><p>That is how I found out about potatoes.</p><p>How can potatoes make ill?</p><p>I know now, but not before I started recording results from my meals.</p><p>You must learn to use your glucometer to get the best results from it.</p><p>It will surprise you, I'm sure!</p><p></p><p>There is a lot of information in our forum, so many different people with individual rare conditions, that our medical professionals have not gained the knowledge or come across such conditions to help in any way whatsoever.</p><p>There hasn't been enough research in these conditions, and because they don't understand, what happens, they guess that it could be prediabetic or diabetes itself.</p><p>Most GPs and even some endocrinologists, have never come across Hypoglycaemia or related conditions!</p><p>So, of course, they advise, that a diabetic treatment is the best option eating healthy complex carbs!</p><p>But they still trigger the spike and hypo and make you feel dreadful!</p><p></p><p>If you have further questions about anything, we will try and help you.</p><p></p><p>Best wishes</p></blockquote><p></p>
[QUOTE="Lamont D, post: 2161850, member: 85785"] Hi, [USER=516388]@GreenUmbrella[/USER] and welcome to our forum. Even though you have had some tests and the tests were inconclusive, this does not mean that there isn't something going on. I certainly can't diagnose you, but there are a lot of things that I can relate to. How long was your OGTT? Ask for the results, you have the right to know. Did the person who did the OGTT, test every fifteen minutes or half an hour, pre test. Also take bloods from a cannula during the test. And a c-peptide and GAD tests. And of course insulin tests. You cannot get an all round picture without these tests. You are correct about insulin response to carbs, it is closely linked to insulin resistance and hyperinsulinaemia, (high insulin levels!) There has also been an awareness of what high circulating insulin levels, will give you symptoms as you describe. Symptoms as you describe are different from person to person, they are similar to most metabolic conditions, were blood sugar levels rise and fall abnormally. It is the imbalance in hormones that triggers the symptoms. I would also add, that other hormones might be in play here, but any hormonal imbalance concerning dietary intake is pretty likely. There are other hypoglycaemic conditions similar to what you have suggested. Even a couple were the patient does not go hypo! From your description, I would say that you do suffer from something similar to glucose dumping, which is when glucose that is derived from carbs, wether low carb or not, you will get a high spike, because your initial insulin response is weak, probably because of insulin resistance. And then when you do get the triggered insulin response, your blood sugar levels drop to in or near normal range. Without going hypo! If this is so, as you have experienced, low carb relieved the symptoms, the longer you stay low carb, the better you feel. Most of Hypoglycaemia cases are individual for many reasons, my insulin response is different from yours, so my intolerance to certain foods is different, either higher or lower. This is why, an endocrinologist who has experience in these rarer types of metabolic conditions are much more knowledgeable about the tests required to get a true diagnosis and obviously getting the right tests to find out what is happening every time you eat. I will add that intermittent fasting has helped me so much, avoiding the foods that trigger the spikes and triggers hypos, also keep me from feeling awful. Hypoglycaemia or similar is most likely. Do you keep a food diary? It is a useful tool to find out what happens when you eat food! That is how I found out about potatoes. How can potatoes make ill? I know now, but not before I started recording results from my meals. You must learn to use your glucometer to get the best results from it. It will surprise you, I'm sure! There is a lot of information in our forum, so many different people with individual rare conditions, that our medical professionals have not gained the knowledge or come across such conditions to help in any way whatsoever. There hasn't been enough research in these conditions, and because they don't understand, what happens, they guess that it could be prediabetic or diabetes itself. Most GPs and even some endocrinologists, have never come across Hypoglycaemia or related conditions! So, of course, they advise, that a diabetic treatment is the best option eating healthy complex carbs! But they still trigger the spike and hypo and make you feel dreadful! If you have further questions about anything, we will try and help you. Best wishes [/QUOTE]
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