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<blockquote data-quote="cugila" data-source="post: 171707" data-attributes="member: 15325"><p>Hi Shirl.</p><p>It would seem that your meals are very carb laden to start with which is where those spikes will come from. </p><p></p><p>You are on max doses of both Metformin (Glucophage) and Repaglinide. Repaglinide can cause hypoglycaemia in rare cases........</p><p></p><p>So on the one hand your Bg levels are consistent with the number of carbs you are consuming hence the 7 - 12 readings. Then 3 - 4 hrs later you are getting 2.5 - 3.5 readings .......hypo's. </p><p></p><p>We can't diagnose but from looking at what you have told me you need to discuss your medication with your GP bearing in mind what I have pointed out above. It may need to be changed. There is also something called re-active hypoglycaemia which is normally found in non-Diabetic's but can also happen with Diabetic's, we have a few members who suffer from this dual condition. Not often diagnosed though. Basically about 3 -4 hrs after a carb rich meal which should elevate Bg levels for a while they in fact drop dramatically as the Pancreas over produces Insulin in response to the glucose in the blood. An over reaction.</p><p></p><p>Just a couple of things that you might like to discuss with your GP or Consultant.</p></blockquote><p></p>
[QUOTE="cugila, post: 171707, member: 15325"] Hi Shirl. It would seem that your meals are very carb laden to start with which is where those spikes will come from. You are on max doses of both Metformin (Glucophage) and Repaglinide. Repaglinide can cause hypoglycaemia in rare cases........ So on the one hand your Bg levels are consistent with the number of carbs you are consuming hence the 7 - 12 readings. Then 3 - 4 hrs later you are getting 2.5 - 3.5 readings .......hypo's. We can't diagnose but from looking at what you have told me you need to discuss your medication with your GP bearing in mind what I have pointed out above. It may need to be changed. There is also something called re-active hypoglycaemia which is normally found in non-Diabetic's but can also happen with Diabetic's, we have a few members who suffer from this dual condition. Not often diagnosed though. Basically about 3 -4 hrs after a carb rich meal which should elevate Bg levels for a while they in fact drop dramatically as the Pancreas over produces Insulin in response to the glucose in the blood. An over reaction. Just a couple of things that you might like to discuss with your GP or Consultant. [/QUOTE]
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