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Is Reactive Hypoglycemia hereditary?

orange32

Newbie
Messages
4
Type of diabetes
Reactive hypoglycemia
Treatment type
Diet only
i doing some digging about diabetes and Reactive Hypoglycemia lately...
i heard lot of time that diabetes tends to run in families, but what about Reactive Hypoglycemia?

I can't really find a clear answer if Reactive Hypoglycemia is also a form of diabetes?

i was also reading somewhere that diabetics have a low insuline sensitivity, and people with reactive hypoglycemia have a super high insuline sensitivity? is this true?
 
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Welcome @orange32
Its certainly true that T1 & T2 seems to run in families although I'm the only one that I know of in my family. Personally I think there are several different causes of diabetes, genetics being just one possibility.
One thing I'm sure of though is that knowing if some of my relatives or ancestors also had T2, doesn't help me deal with it.

I may be wrong but I don't think Reactive Hypoglycaemia is considered to be diabetes. Even T1 & T2 are different conditions that just happen to share a symptom (high blood sugar) and a name

T2's certainly have varying degrees of sensitivity to insulin, we call it insulin resistance.
T1's don't make any of their own insulin but can also have some resistance to the injected insulin.
I think Reactive Hypoglycaemia is more about the insulin response, hence the Reactive part of the title. A poor first stage causing a spike, then an over reaction of the second stage causing a hypo.
I would have thought it is entirely possible for people with Reactive Hypoglycaemia to also have some insulin resistance.

We have a forum dedicated to Reactive Hypoglycaemia you might find helpful https://www.diabetes.co.uk/forum/category/reactive-hypoglycemia.70/
 
i doing some digging about diabetes and Reactive Hypoglycemia lately...
i heard lot of time that diabetes tends to run in families, but what about Reactive Hypoglycemia?

I can't really find a clear answer if Reactive Hypoglycemia is also a form of diabetes?

i was also reading somewhere that diabetics have a low insuline sensitivity, and people with reactive hypoglycemia have a super high insuline sensitivity? is this true?
hi and welcome to our forum.
I asked this of my endocrinologist a few years ago. He has numerous patients with similar hypoglycaemic conditions as mine and written a medical articles on hypoglycaemia.
He doesn't believe so and none of my tribe has it.
Reactive Hypoglycaemia and other hypoglycaemic conditions are non diabetic.
One of the reasons for the insulin overproduction with RH is because my initial insulin response phase is weak. Which means the spike from carbs is higher than normal, and the brain pancreas signals more insulin called an overshoot. This is why I go hypo. And yes, I had insulin resistance. And that is because of the insistence by my medical treatment that I eat carbs as part of my diet. Which is not healthy for me. I am carbs intolerant, and I wasn't aware of it before diagnosis.

Do please read the RH forums there is a lot of information.

Keep safe.
 
hi and welcome to our forum.
I asked this of my endocrinologist a few years ago. He has numerous patients with similar hypoglycaemic conditions as mine and written a medical articles on hypoglycaemia.
He doesn't believe so and none of my tribe has it.
Reactive Hypoglycaemia and other hypoglycaemic conditions are non diabetic.
One of the reasons for the insulin overproduction with RH is because my initial insulin response phase is weak. Which means the spike from carbs is higher than normal, and the brain pancreas signals more insulin called an overshoot. This is why I go hypo. And yes, I had insulin resistance. And that is because of the insistence by my medical treatment that I eat carbs as part of my diet. Which is not healthy for me. I am carbs intolerant, and I wasn't aware of it before diagnosis.

Do please read the RH forums there is a lot of information.

Keep safe.

you said 'i had insulin resistance' you cured? so yes how?
And is insulin resistance and carb resistance the same?
 
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After dietary intervention.
you said 'i had insulin resistance' you cured? so yes how?
And is insulin resistance and carb resistance the same?

I went for a fasting test which was four days, then low carb for months after. When the weight dropped (five stone) my body became healthier. And along with my health improvement, the insulin resistance lessened. Because I didn't need as much insulin due to the diet. So it improved the insulin first phase, but not enough to stop the trigger and the hypo if I eat carbs.
Is carb resistance, the same as carb intolerance. If so, no!
Carb intolerance is not a medical term, but it is easier than the long description of having blood glucose issues with carbs. As in a glucose tolerance test, carb intolerance is similar as in a mixed meal test. The intolerance is how much you can tolerate before your blood glucose is out of normal levels for the amount of carbs.
Insulin resistance is the amount of first phase insulin that is not used to convert into energy.

keep asking.
 
i have made this topic because i have hypo's to within 2 a 3 hours after a meal.
also i have lots of fatigue.

But i don't understand why this happening.
i am 36 years old and athletic with a 15% bodyfat.
So i am far from overweight and i shouldn't have this kind of diabetic like symtoms at all.
Which by the way is very frustrating considering that i know people who are very overweight but don't have these symptoms at all and are much healthier than i am. :S
The only reason I can think of that I have this kind of problems is because diabetes runs in the family or my muscles are super insulin sensitive and they suck all the glucose out of my bloodstream (like a sponge) with hypo as result, or maybe some glucagon issues?

i don't think i am diabetic because my fasting blood sugar is always stable.

Because i am athletic and have i not overweight, i am not sure if my problem is Insulin resistance or carb intolerance.
Is there any difference in symptoms?
 
i have hypo's to within 2 a 3 hours after a meal
People with diabetes have high blood sugar.
Low blood sugar is not a symptom of diabetes its our medication that cause it to go too low.

People with Reactive Hypoglycaemia have hypos due to an over production of insulin when eating carbs.
i am 36 years old and athletic with a 15% bodyfat.
So i am far from overweight and i shouldn't have this kind of diabetic like symtoms at all
Anyone can get diabetes, even young athletic types, you don't have to be old, fat and lazy.
i know people who are very overweight but don't have these symptoms at all and are much healthier than i am.
Might seem unfair to you but that's life, anyone can get sick, you are not immune no matter how athletic you are.
Insulin resistance or carb intolerance.Is there any difference in symptoms?
Carb intolerance is when you lack certain intestinal enzymes and have trouble digestion carbs. The symptoms are diarrhoea, flatulence and bloating. It does not cause high or low blood sugar and has nothing to do with diabetes or Reactive Hypoglycaemia.

Insulin resistance is when your insulin is not very efficient at removing the glucose from your blood.
Your blood sugar goes higher than it should and you are diagnosed with type two diabetes

If you can't make any insulin your blood sugar goes dangerously high. Then you are diagnosed with type one and have to inject insulin.

If when you eat carbohydrates your pancreas reacts by producing too much insulin causing Hypoglycaemia.
Then you are diagnosed with Reactive Hypoglycaemia (not diabetes)
 
i have made this topic because i have hypo's to within 2 a 3 hours after a meal.
also i have lots of fatigue.

But i don't understand why this happening.
i am 36 years old and athletic with a 15% bodyfat.
So i am far from overweight and i shouldn't have this kind of diabetic like symtoms at all.
Which by the way is very frustrating considering that i know people who are very overweight but don't have these symptoms at all and are much healthier than i am. :S
The only reason I can think of that I have this kind of problems is because diabetes runs in the family or my muscles are super insulin sensitive and they suck all the glucose out of my bloodstream (like a sponge) with hypo as result, or maybe some glucagon issues?

i don't think i am diabetic because my fasting blood sugar is always stable.

Because i am athletic and have i not overweight, i am not sure if my problem is Insulin resistance or carb intolerance.
Is there any difference in symptoms?
If you have hypoglycaemia, you have a cause. If it is RH, then overproduction of insulin is because of carbs.
If you are having hypos after every meal then what is in that meal will be the cause and the effect of carbs.

As an athlete myself and was involved with professional sport, it is surprising that our bodies are changing and adapting to what is a challenging condition. You have probably been educated in how your body is more effective while participating in sport, and the pre preparation and post recuperating regime and of course dietary nutritional requirements. As you have done for years. To tell you that now, you need to adapt your dietary requirements so that you can continue your sport.
There are two forms of energy which your body can use. One is from carbs, the other is from ketones.
If I was you and I was in this situation many years ago. I would suggest you have a conversation with someone who is in keto and does not require carbs for energy to use in sport.
I am approaching seventy years of age, my energy levels are very high despite the The last couple of years or so. I still am able to a lot. But and however my RH restricts me from doing strenuous exercise, walking and my chores around the house are the only forms of exercise now. This is because if my liver decided to whilst exercise to boost my energy levels with a liver dump, that would trigger the reaction and my energy levels would drop similar to having a hypo, then I would have a hypo.
Symptoms are similar but not everyone will have the same symptoms.

My blood glucose levels are always in normal levels and that is the best place for it to be.
And with RH it is always susceptible to spike after carbs.
With a meal with carbs in, you spike, you produce too much insulin, you go hypo. To prevent this you don't eat carbs, think of it as an allergy. If a doctor diagnosed an allergy, the doctors advice would be to avoid the source of the allergy. And in this case the condition is carbs.

I feel as if you are in a bit of denial and acceptance of the diagnosis. And I understand the frustration and mindset of it. It has come as a shock and getting your head around it will take time.

Think of it as part of a match, and you need to change tactics, to try and alter the outcome.

This is your health and steps need to be taken for you to remain healthy. Please take your time for it to sink in. Explore the possibilities, education, learning, and have the confidence that you can do this.
Having hypos continuously is not recommended. Why be ill, when you are able, to be perfectly healthy?

Best wishes
Keep asking.
 
If you have hypoglycaemia, you have a cause. If it is RH, then overproduction of insulin is because of carbs.
If you are having hypos after every meal then what is in that meal will be the cause and the effect of carbs.

As an athlete myself and was involved with professional sport, it is surprising that our bodies are changing and adapting to what is a challenging condition. You have probably been educated in how your body is more effective while participating in sport, and the pre preparation and post recuperating regime and of course dietary nutritional requirements. As you have done for years. To tell you that now, you need to adapt your dietary requirements so that you can continue your sport.
There are two forms of energy which your body can use. One is from carbs, the other is from ketones.
If I was you and I was in this situation many years ago. I would suggest you have a conversation with someone who is in keto and does not require carbs for energy to use in sport.
I am approaching seventy years of age, my energy levels are very high despite the The last couple of years or so. I still am able to a lot. But and however my RH restricts me from doing strenuous exercise, walking and my chores around the house are the only forms of exercise now. This is because if my liver decided to whilst exercise to boost my energy levels with a liver dump, that would trigger the reaction and my energy levels would drop similar to having a hypo, then I would have a hypo.
Symptoms are similar but not everyone will have the same symptoms.

My blood glucose levels are always in normal levels and that is the best place for it to be.
And with RH it is always susceptible to spike after carbs.
With a meal with carbs in, you spike, you produce too much insulin, you go hypo. To prevent this you don't eat carbs, think of it as an allergy. If a doctor diagnosed an allergy, the doctors advice would be to avoid the source of the allergy. And in this case the condition is carbs.

I feel as if you are in a bit of denial and acceptance of the diagnosis. And I understand the frustration and mindset of it. It has come as a shock and getting your head around it will take time.

Think of it as part of a match, and you need to change tactics, to try and alter the outcome.

This is your health and steps need to be taken for you to remain healthy. Please take your time for it to sink in. Explore the possibilities, education, learning, and have the confidence that you can do this.
Having hypos continuously is not recommended. Why be ill, when you are able, to be perfectly healthy?

Best wishes
Keep asking.
i understand the theories of keto but this have never worked for me.
i did keto twice in my life for energy reasons. it was both a hell.
one for a half year and second for 3 month or so.
i was constantly tired weak and got very became very depressed (low dopamine). i wanted to kill myself.
also i was losing muscle, strength, and got fat in a kcal deflect.
Also my thyroid was shutting down and got very cold. body temperature dropped hard.
after the second keto i learnt that keto is not that healthy for long term. its increase stress hormones like cortisol and adrenaline.
also thyroid needs carbs to make hormones. so no wonder it was shutting down.

i remember that 10 years back people where saying that ketogenic diet was muscle sparring.
That new evidence came that was telling it was not.
So keto is very catabolic, fattening and protecting muscle wasting by eating tons of protein isn't keto anymore.

oh and before you start, yes i was taking tons of electrolytes and yes i was eating above maintenance kcal.

Being deep in ketosis solved nothing. ketosis = survival/stress mode.

i don't know why it never had worked for me, and other people experience benefits from it.
I would do it right again if it really benefited me but no

oh its also very expensive diet...
 
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i understand the theories of keto but this have never worked for me.
i did keto twice in my life for energy reasons. it was both a hell.
one for a half year and second for 3 month or so.
i was constantly tired weak and got very became very depressed (low dopamine). i wanted to kill myself.
also i was losing muscle, strength, and got fat in a kcal deflect.
Also my thyroid was shutting down and got very cold. body temperature dropped hard.
after the second keto i learnt that keto is not that healthy for long term. its increase stress hormones like cortisol and adrenaline.
also thyroid needs carbs to make hormones. so no wonder it was shutting down.

i remember that 10 years back people where saying that ketogenic diet was muscle sparring.
That new evidence came that was telling it was not.
So keto is very catabolic, fattening and protecting muscle wasting by eating tons of protein isn't keto anymore.

oh and before you start, yes i was taking tons of electrolytes and yes i was eating above maintenance kcal.

Being deep in ketosis solved nothing. ketosis = survival/stress mode.

i don't know why it never had worked for me, and other people experience benefits from it.
I would do it right again if it really benefited me but no

oh its also very expensive diet...
As I said previous that I worked in professional sport.
I have talked to many nutritionists, many doctors, many sports people who are fitness coaches. And of course dieticians galore, my endocrinologist, my doctors and nurses. All of them were sceptical and totally against my decision to go carb free. Which next year, other than a few hiccups, will be my tenth year doing keto.
At my fifty fifth birthday, my weight was eighteen stone. My organs were fatty, my health had depreciated so much that my surgery was concerned for my future health. A hypo saved me, another hypo got me tests and tests got me a true diagnosis.
Before my true diagnosis, I was living in a hypo hell.
I studied, I learnt, I experimented, I took great care with my food diary, tested, recorded, tested, tested and having started progressively towards keto. Stopping the so called healthy diet recommended by those above.
With a plan and a different approach from the previous decade of weight gain and I'll health and constant hypos. Enough was enough. I had to stop the hypos. All medical staff will tell you to stop a hypo. All will tell you to treat a hypo. All will tell you that it is healthy to eat foods you cannot tolerate even though you go hypo and it effects your health.
It is not easy.
It is difficult to accept, but I would rather be healthy like I am today going keto, than in my coffin, cos I would be in it now, if I hadnt. That is the truth. My endocrinologist told me, my GP told me!
Also, it is not expensive. My weekly shop which is mainly meat and vegetables, is planned not to cost. I go to a butcher, I go to a green grocer, my food is fresh, nothing that is factory made. I stay away from industrial production, I use natural oils and fats.
I can't use dairy, been lactose intolerant since young.

Compromise on your dietary intake, use intermittent fasting, use other non carby, starchy foods. For every carb there is an alternative. For every sports drink there is water. You need to drink a lot more water. You need to eat to your new found condition, there is nowt else. However long it takes, how ever much you have and you are going to need to get to somewhere in between keto and carbs. Maybe just above normal for spikes, cos there is a trigger point. It is usually between 6 & 7.5mmols or around 5 & 10% carbs per meal before the trigger happens.

After two months of keto, the weight dropped off, my health improved and my hypos had stopped.

I do understand the resistance, the scepticism. I have had it all.
But here I am, still in keto and going strong, no hypos.
I defy all that logic. I know I'm weird to do this but it does work, nine years and counting and I couldn't go back, no way!

My last point is that all that logic in health dietary requirements, have not come across reactive hypoglycaemia.
Hypoglycaemia is a condition that is defying logics.
It is non diabetic, it is to do with excess insulin. Insulin is bad, I mean over time really bad, if it is not used. High levels of circulating unused insulin or hyperinsulinimia, or even T2! Because of the spikes from carbs because you are intolerant to carbs.

I don't want to argue that your beliefs are wrong or right, I just want you to understand this condition that those who have your interests about your health at heart, haven't come across anything like this condition, but you are going to have to do something.

I want to help you understand why your body is doing this. I can answer your questions. It is alright to go against medical, dietary advice, otherwise this site wouldn't exist. It does because of the dietary advice from healthcare professionals for years on diabetes. Just have a look around, why does it work for me and so many others.
I know of a lot of sports people who have used keto for a very long time without issues.
It is all over the internet.

I hope this helps. Keep asking.

Best wishes.
 
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