So you perceive a negative glycaemic affect and hypothesise that it may be the amount of caffeine in your diet but are unwilling to perform the simplest of tests (elimination) to test your hypothesis. You, instead, use cgm and test strips though you have not been diagnosed with RH or Diabetes.
Have I got this clear?
High enough doses of tea and hot chocolate will do it if you're vulnerable to this.I can't help you on the coffee thing (even the smell of coffee makes me nauseous so I can't even try it out) but I wanted to answer this as it does not seem to be addressed.
The simple answer is ...
Yes, it is safe to lance yourself with a bare lancet. However, I actually find it difficult to do. The lancet bounces off my finger because I can't apply enough pressure. This may be because I am a bit of a scaredy cat so don't want to push too hard.
So what are you eating at the moment?on my current régime (dairy-based)
I ended up not needing to - I found the baggie of strips I had.This is going to sound a bit like a prim little miss but ...
I drink herbal tea and can't be bothered to inject insulin with a drink so rarely drink hot chocolate.
I do drink alcohol and eat cake so I can't be that puritanical
However, the main purpose of my comment was to highlight that, if you can do it, stabbing yourself with a "un-lanced lancet" is safe.
I suffer from the same. If I eat carbs (which I normally avoid), I try to have an espresso or black coffee, and I notice I need less insulin (Type 1.5/LADA here).
That's why this confuses me - but then again I'm a Normal Person™.Many type ones report a spike in blood glucose following coffee, even black - and have to dose for it. Luckily it has no effect either way on me, and I drink a lot of very strong black coffee.
I am metabolically healthy, as are most type ones - I just can’t make insulin.That's why this confuses me - but then again I'm a Normal Person™.
Not so obviously your OP said.Well obviously.
Could the gluconeogenesis from a carnivore diet trigger RH in the day way, do you think?Hi @Ellenor2000
And welcome to the forum.
I have a form of hypoglycaemia and it is mostly food that I am intolerant to but if I drink certain beverages, it has the same symptoms. And of course the hypos.
I don't like coffee, so I wouldn't know what reaction I would get from it, but tea is my go to drink for most of the day and decaffeinated is better for me, when I test. But it doesn't trigger the hypos, I don't drink tea after six in the evening because of the toilet trips, if I do!
If you do have a form of hypoglycaemia, 3.7 is in my normal range, and I don't consider it a hypo unless it goes below 3.5, you still get the symptoms but everyone is different.
I would ask if you are eating dairy all the time, there still could be too many carbs for you. Many dairy products if lower fat content or skimmed has too many carbs.
I would look at this, than the caffeine.
I have heard of people being effected by caffeine, but not hypoglycaemic.
Only tests will give you an answer.
Best wishes
Could the gluconeogenesis from a carnivore diet trigger RH in the day way, do you think?
If I’m not driving or working, I’m happy to run in the high threes, I’m trying to achieve non diabetic levels when I can. It’s fine for noodling around at home, but I have to stick to the law when I’m behind the wheel, of course.
Patient description: 19, AMAB, non-diabetic (ex-obese, so working under the assumption of remitted type 2 pre-prediabetes), health-obsessed semi-sedentary carnivoroid.
For background: if I eat carbs (which I normally don't) the blood (and ISF) sugar reaction is as expected if a shade exaggerated - I go high (7s and 8s doesn't feel good when you're using to running 3s, 4s and 5s!), and then I return to baseline. However, if I drink two cups of coffee made in a cafetiere/French press with the count of grounds you'd use for twelve to eighteen cups, I'll go as low as the high 2s mM.EBG (unit explained later in this post). What would the not-a-doctors of DCUK diagnose me as having? Caffeine-reactive hypoglycaemia?
So I've had this problem for nearly a year now where if I consume coffee, but not tea or Truvia-sweetened hot chocolate (though I've since figured out that they do the same thing, just less to the point where I'm still compos mentis enough to drive an automobile), I could, around a half hour to an hour after, jitter like hell, become cold, sometimes sweat sometimes don't, and can become disorientated (rare).
While experiencing a pretty severe episode of what I now call "glycaemic caffeinism" (though I'm not sure it was brought on directly by caffeine that time), I told a type 1 diabetic friend of mine what my symptoms were and he said something to the effect of "sounds like a hypo to me". I wasn't worried because I do always end up recovering without any apparent consequences, but I figured the guy knows of what he speaks, so I scanned my Libre and my interstitial fluid glucose showed low, pointing to that my blood glucose could be low (the symptoms added up for low blood glucose, as well). I always recover from these episodes without needing to ingest carbohydrate (although I likely should have) and never lose consciousness. Given the danger of that, though, I will from now be ceasing coffee usage because of my tendency to severely overuse it, and all of my caffeine will come from tea and chocolate, whose hypoglycemic effects are much more controlled (but still extant).
During the worst such episode I've recorded (which was within the last 7 days as of writing), I showed an ISF glucose of 2.7 millimoles.ebg (EBG stands for "estimated blood glucose" and should be assumed whenever someone gives a reading from Libre or Dexcom without saying they crosschecked it against a fingerstick from 20min before) and dropping. I have to suspect my nadir was 2.6 mM.ebg.
Since Erowid has a drug experience vault for caffeine, should I submit a story to them in the hopes they may publish it, titled "Hypoglycaemia"?
I'm basically drinking double cream to which I add a tablespoon or three of Balkan yoghurt (never had a problem with it, it gives me a slight ISFG rise, so this isn't carbohydrate-sensitive hypoglycemia). The solid food is basically all chicken or cheese: chicken leg drumsticks I've just run out of, scrambled eggs, Cheddar cheese, and sometimes I'll have cottage cheese blenderised in the drink. I will also eat between one and five strawberries per day.So what are you eating at the moment?
I don’t know if hypoglycaemia is sometimes related to a caffeine reaction, but the symptoms you describe sound similar to caffeine sensitivity (which is something I have). I don’t get it so much with tea. I get it somewhat with Coca Cola. But badly with caffeinated coffee in large amounts - ie more than one small cup. For me it’s feeling chilly, sweaty, nauseous, shaky and distant - pretty similar to when I’ve had allergy reactions to medications. I may also have head pain, an upset stomach and look pale. Jittery is a good description! And it does feel quite like blood sugar being low (as in lack of food, particularly - I wasn’t testing blood glucose when I first had a caffeine as wasn’t knowingly prediabetic then).
It might not be that issue for you, but caffeine sensitivity is a real issue for people who have it. It’s quite well documented in a book called Living with Food Intolerance, by Alex Gazzola - in case you or anyone wants to read more about it. The author mentions other symptoms, such as anxiety, mood swings, panic attacks, restlessness and heart arrhythmia.
Every so often, I forget (go into denial) and convince myself I can have two coffees or two colas! One time it did start giving me heart palpitations - but it wasn’t until my doctor asked if I’d been drinking coffee or coke (when I checked about the palpitations) that I made the connection (again!)
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