Hi, @Giverny suggested I post this to remind her that I had asked the question And it seems to be the ideal opportunity to explain why I'm making the request. Reactive hypoglycaemia is not diabetes, but it lies on the same glucose intolerance spectrum. Put simply, diabetics get raised blood glucose, while reactive hypoglycaemics (RHs) get lowered blood glucose - but they often go on to develop diabetes. Because of this, we often (seems to be a couple of times a week) get people arriving at the forum saying things like 'my doc says I'm not diabetic, but I have all these hypo like symptoms, and I don't understand...?' It just seems to make sense to have an RH section for these questions and answers. I've recently read a book by Diane Cress called 'The Diabetic Miracle'. In it she filled in a piece of the RH jigsaw puzzle for me. She's a dietician for diabetics, and a type 2 herself, and in her practice she has observed that many of her type 2 patients experienced the following pattern: - normal appetite and weight - food cravings (carbs) develop - weight gain develops - pre diabetes develops - diabetes is diagnosed And Cress talks about how she believes that RH is actually the earliest stage of the route for some type 2s. A kind of pre-pre-diabetes. It occurs when a food is eaten that requires insulin to be produced. A normal person produces exactly the correct amount of insulin for the meal and blood glucose quickly returns to a stable level. RHs produce just a smidge too much insulin. As a result, the blood glucose drops a bit faster after the meal, and it also drops a bit lower. The RH person ends up with lower blood glucose than before they ate (although, if left long enough e.g. overnight, the BG would return to normal). So they get hungry, quicker. So they start to crave foods that boost the blood glucose quicker. So they eat more (carbs) So they produce more insulin. So their blood glucose drops again. So they crave... It becomes a never ending cycle with two results: 1. the patient often gains weight (we know that excess insulin causes weight gain) 2. The patient's insulin producing capacity is strained over time This, Cress says, may lead to pre- and then full type 2 diabetes. But it is important to note that not all RH sufferers develop pre diabetes, just as not all prediabetics develop diabetes... Treatment may be drugs (@nosher8355 knows far more about that than me) and a diet that keeps BG levels from fluctuating too high or low. So please can we have an RH section? Maybe in the 'Other health conditions' section?