hi, thankyou for your insight. I agree with you, I think I have a blunted first phase insulin response and an overcompensating second phase insulin response, which is worrying because im so slim and young but caused by ****** genes ig. and in the graph where I spiked to 13, I had a plate of basmati rice . also we did a non clinical ogtt in university as I am a biomedicine student and I was the ONLY PERSON in the whole lab ( 80 young people) who had above 12 peak, NO ONE ELSE had this, and my professor of metabolism and physiology said it could be because I'm rlly small ( 4'11.5, 43/44kg)and the glucose load is proportionally bigger on me, but he also said to get my hba1c tested and I did and it was 4.6% / 27 which is way better than average and way below even pre diabetes so idek whats going on. also everyone's else's fasting was like 4.8-5ish and mine was 4.1 so I had the lowest fasting as well in the whole lab. also after the ogtt, 3 hours later, I felt INSANELY SHAKEY, sweaty,hungry and my blood sugar was 3.4 ( with fingerprick) and that was cos I drank pure glucose solution on empty stomach and basically went from 4 to 12 to 3 within 3 hours which is super stressful for My body. ALSO whenever I go gym I always feel like my blood sugar drops and I have 0 energy for the workout
and all my muscles feel jerky as well and I get hot so easily as well. This is so frustrating and my GP literally said she's gonna get advice from an endocrinologist cos she doesn't know what's going on but they're taking ages to reply.
Your hba1c is brilliant.
I was diagnosed with non diabetic Late Reactive Hypoglycaemia.
Ok, have had five or six eOGTTs, that means a supervised extended glucose tolerance test. Which is five hours at least long. It can be cut short, if you do go hypo, or if you don't.
The standard measure glucose solution is 75g.
A cannula is fitted into your vein, and are taken in regular times.
You have your BG levels taken every half hour or fifteen minutes.
My spike time is around 45 minutes and always goes around 13-15mmols.
My hypo timing is around 220 minutes.
And the lowest I have been is in the 2s, and have had many readings after food of a reading of 'I'm on my glucometer.
Before diagnosis I didn't have any awareness but plenty of different symptoms. Too many to post.
It is in the RH sub forum sticky.
After diagnosis, my awareness started and I was able to cope, before I went hypo.
I never over treat a hypo. A few grams of carbs, helps nudge it back into normal levels.
I try to stay in or around normal levels. That is the healthy choice I try.
Avoiding those carbs which I am intolerant to.
RH is a food intolerance condition. you could say carbs and sugars intolerant.
It's not easy.
During the tests, a woman was another test subject, her bmi was much lower and she could tolerate more. That is the only thing I have read to the question of weight and size.
Exercise with RH is tricky. I can't do strenuous activity because my liver will react with a liver dump, which is natural but will act as an carbs meal. And gives me an unwanted spike.
After diagnosis my fasting levels were always in normal levels. I'm currently struggling because of many reasons.
If the doctors are looking for hypoglycaemia, for a glucose test, it is always a fasting test.
Keep asking.
Have a read of our forum. There are many reasons for getting readings of hypoglycaemia.
Best wishes.