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Is this to be expected?

It was from a finger prick and CGM, see attached. It went down quickly though, so not diabetic. But test got aborted and was given something to eat.
Yes that’s what I had been trying now, to gradually reduce carbs. I had what I’d identify as keto flu for a month, then went to low GI. I think I was probably at 200-300g of carb a day previously.
 

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It was a good tolerance test with ensure drink, not glucose drink. Yes my fasting is normal.
I have not had a formal diagnosis. Saw a Private endo with food diary, blood glucose diary from finger prick and symptoms. He said 90% sure reactive hypoglycaemia.
I have been waiting on NHS tests and to see an endo since January.
Have had RH symptoms for 20 years since teenager.
 
It was from a finger prick and CGM, see attached. It went down quickly though, so not diabetic. But test got aborted and was given something to eat.
Yes that’s what I had been trying now, to gradually reduce carbs. I had what I’d identify as keto flu for a month, then went to low GI. I think I was probably at 200-300g of carb a day previously.
Have you tried fasting?
I'm trying to give you options on how to deal with your situation.
But I think, that trying again or going full experimental with your meals. Testing everything until you can find that balance for you.
The problem with low GI is, it is still high in carbs, a low GI slice of bread is still more carbs than you could probably tolerate and definitely spike you causing the reaction.
Did you notice your symptoms were not as bad even though you were suffering from the carb withdrawal?

Keep asking.
Best wishes.
 
Have you tried fasting?
I'm trying to give you options on how to deal with your situation.
But I think, that trying again or going full experimental with your meals. Testing everything until you can find that balance for you.
The problem with low GI is, it is still high in carbs, a low GI slice of bread is still more carbs than you could probably tolerate and definitely spike you causing the reaction.
Did you notice your symptoms were not as bad even though you were suffering from the carb withdrawal?

Keep asking.
Best wishes.
Yes my hypo symptoms were improved, but I absolutely no energy to function.
I can’t give blood, tried and it won’t come out!
 
It was a good tolerance test with ensure drink, not glucose drink. Yes my fasting is normal.
I have not had a formal diagnosis. Saw a Private endo with food diary, blood glucose diary from finger prick and symptoms. He said 90% sure reactive hypoglycaemia.
I have been waiting on NHS tests and to see an endo since January.
Have had RH symptoms for 20 years since teenager.
I do think that an extended oral glucose tolerance test is the next step.
Then maybe a fasting test in a medical setting.

What did your endocrinologist recommend?

Best wishes
 
Yes my hypo symptoms were improved, but I absolutely no energy to function.
I can’t give blood, tried and it won’t come out!
This is why I asked about fasting.

I went into hospital for a fasting test.
It wasn't easy but who can eat the slop they serve? Ha!
After day two, I realised that my brain fog had lifted, not much symptoms, and the amazing thing was, my energy levels were unbelievable, really high. My blood glucose levels stayed in normal levels all the time. And no food! After four days, I did need nourisment, but I wasn't hungary.
If you can fasting will improve your health, as does low carb. I have no doubt about that.

Keep asking.
Best wishes.
 
Thank you for all your help. I will wait and see what the NHS endo says.
That’s a good idea, I will start trying to fast for longer than 10-12 hours a day, as that seems to be my limit at the moment.
Is there any connection to Vitamin D? I had low vitamin D last winter which is when the hypos became very regularly. The last few weeks, with the change in season, and no sun exposure, I have noticed a few more lows too.
 
Thank you for all your help. I will wait and see what the NHS endo says.
That’s a good idea, I will start trying to fast for longer than 10-12 hours a day, as that seems to be my limit at the moment.
Is there any connection to Vitamin D? I had low vitamin D last winter which is when the hypos became very regularly. The last few weeks, with the change in season, and no sun exposure, I have noticed a few more lows too.
No worries, it's a plan!
You may get an end that is not versed in the science of RH. My first thought it was because of a fatty liver and at the time, probably diabetic!!!!! He didn't do the tests or the brains to look at the symptoms or obviously the spikes and hypos. However I got referred again and he did!
Hopefully you get one that does understand that even low spikes (over 7-8mmols for me) will trigger the reaction.
Hope the fasting goes well.

Best wishes.
 
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