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Diabetes Discussion
Reactive Hypoglycemia
How to exercise with RH please?
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<blockquote data-quote="Tam123456" data-source="post: 2369128" data-attributes="member: 538657"><p>Hi there, I am waiting to speak to my consultant after a 5 hour GTT but I think will be told I have RH - my glucose went from 4.5 to 9.3 and down to 2.9 after 150 minutes. Insulin went to 63 at 90 minutes and then back down to less than 2. Does that sound like RH to you as you are no doubt familiar with the results of GTT?</p><p></p><p>This forum has really really helped - thank you! I have cut out sugar, starchy veg, most fruit and other carbs (pasta bread rice etc). Eating mainly protein and non starchy veg, nuts and seeds, full fat diary plus small amount of berries as seem to be low carb/sugar. No alcohol either. I monitor my blood glucose currently to keep track. I am slim and don't have much fat to lose which makes ketosis tricky.</p><p></p><p>A couple of questions please? </p><p>- is RH episodic? last week I was doing better with balanced glucose levels, then yesterday I suddenly crashed again - finding it really difficult to stay above 3.2 and going to 2.8 at night - for no apparent reason. Eating the same so what causes that? Driving me mad trying to find some logic and consistency to all of this!</p><p>-is there a specialist in this country who is recognised as an expert in RH? It seems to be a forgotten or neglected area of medicine</p><p>- why does exercise cause my glucose to plummet - even just a moderate walk after 20 minutes? I don't understand why it happens given that it has no relation to what I have eaten (glucose always drops with exercise regardless of whether I have recently eaten or not, what I eat etc)?</p><p>- how do I exercise with RH? I love walking, cycling etc and feel desperate that I end up in a hypo so easily with only mild exercise. It is really upsetting me now! Any guidance would be very much appreciated.</p><p>- does anyone recommend MCT oil, particularly as I am slim (thin)? </p><p>Sorry for all the questions!! So hoping for some help - thank you.</p></blockquote><p></p>
[QUOTE="Tam123456, post: 2369128, member: 538657"] Hi there, I am waiting to speak to my consultant after a 5 hour GTT but I think will be told I have RH - my glucose went from 4.5 to 9.3 and down to 2.9 after 150 minutes. Insulin went to 63 at 90 minutes and then back down to less than 2. Does that sound like RH to you as you are no doubt familiar with the results of GTT? This forum has really really helped - thank you! I have cut out sugar, starchy veg, most fruit and other carbs (pasta bread rice etc). Eating mainly protein and non starchy veg, nuts and seeds, full fat diary plus small amount of berries as seem to be low carb/sugar. No alcohol either. I monitor my blood glucose currently to keep track. I am slim and don't have much fat to lose which makes ketosis tricky. A couple of questions please? - is RH episodic? last week I was doing better with balanced glucose levels, then yesterday I suddenly crashed again - finding it really difficult to stay above 3.2 and going to 2.8 at night - for no apparent reason. Eating the same so what causes that? Driving me mad trying to find some logic and consistency to all of this! -is there a specialist in this country who is recognised as an expert in RH? It seems to be a forgotten or neglected area of medicine - why does exercise cause my glucose to plummet - even just a moderate walk after 20 minutes? I don't understand why it happens given that it has no relation to what I have eaten (glucose always drops with exercise regardless of whether I have recently eaten or not, what I eat etc)? - how do I exercise with RH? I love walking, cycling etc and feel desperate that I end up in a hypo so easily with only mild exercise. It is really upsetting me now! Any guidance would be very much appreciated. - does anyone recommend MCT oil, particularly as I am slim (thin)? Sorry for all the questions!! So hoping for some help - thank you. [/QUOTE]
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