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<blockquote data-quote="Lamont D" data-source="post: 2371822" data-attributes="member: 85785"><p>Hi [USER=539172]@Elenas[/USER] and welcome to our forum.</p><p></p><p>I am taking my time, trying to go through the information that you have provided.</p><p>I can't understand why you only had a two hour OGTT. The norm is up to four or five hours. It seems that your fasting glucose is normal but your fasting insulin is high, this might because of insulin resistance or you could have high circulating insulin levels. However, that might distort the test but your first hour result is high for both glucose and insulin resulting in the two hours reading showing that the insulin has achieved the lower glucose levels. By your results, you metabolise the glucose fast, and your insulin response is continually driving your glucose levels down into hypoglycaemia. It's a pity they didn't test the insulin after two to three hours, just to see your insulin levels.</p><p>Metformin should not drive the glucose levels down. It is the go to meds for endocrine conditions. It probably won't be any use to you.</p><p></p><p>I was diagnosed with RH eight years ago, and since then, I have been in a Keto adapted diet. I try to avoid as much carbs as possible.</p><p>The reason why is that if you don't eat or drink carbs, your glucose levels remain in normal levels (4-6mmols) around 90 in your numbers. So no carbs, no glucose spikes, no overshoot of insulin, no Hypoglycaemia. It is the glucose spikes that trigger the insulin overshoot.</p><p>Even so called healthy carbs will spike you and cause Hypoglycaemia.</p><p>Unfortunately there is no magic pill or meds that will stop the hypos or the overshoot of insulin.</p><p>Sitagliptin has been used to help with your insulin as you eat, but will not stop the hypos. But it does give you a insurance against really high glucose levels.</p><p></p><p>Keep asking, keep safe.</p></blockquote><p></p>
[QUOTE="Lamont D, post: 2371822, member: 85785"] Hi [USER=539172]@Elenas[/USER] and welcome to our forum. I am taking my time, trying to go through the information that you have provided. I can't understand why you only had a two hour OGTT. The norm is up to four or five hours. It seems that your fasting glucose is normal but your fasting insulin is high, this might because of insulin resistance or you could have high circulating insulin levels. However, that might distort the test but your first hour result is high for both glucose and insulin resulting in the two hours reading showing that the insulin has achieved the lower glucose levels. By your results, you metabolise the glucose fast, and your insulin response is continually driving your glucose levels down into hypoglycaemia. It's a pity they didn't test the insulin after two to three hours, just to see your insulin levels. Metformin should not drive the glucose levels down. It is the go to meds for endocrine conditions. It probably won't be any use to you. I was diagnosed with RH eight years ago, and since then, I have been in a Keto adapted diet. I try to avoid as much carbs as possible. The reason why is that if you don't eat or drink carbs, your glucose levels remain in normal levels (4-6mmols) around 90 in your numbers. So no carbs, no glucose spikes, no overshoot of insulin, no Hypoglycaemia. It is the glucose spikes that trigger the insulin overshoot. Even so called healthy carbs will spike you and cause Hypoglycaemia. Unfortunately there is no magic pill or meds that will stop the hypos or the overshoot of insulin. Sitagliptin has been used to help with your insulin as you eat, but will not stop the hypos. But it does give you a insurance against really high glucose levels. Keep asking, keep safe. [/QUOTE]
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