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Diabetes Discussion
Reactive Hypoglycemia
Possible RH diagnosis advice
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<blockquote data-quote="Brunneria" data-source="post: 1616845" data-attributes="member: 41816"><p>Hi and welcome! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p></p><p></p><p>I think RH and T2 are on a spectrum. They can sometimes be mistaken for each other, and different people have different experiences within that spectrum. So in a way, yes. There is a very fine beaurocratic line between pre-diabetes and T2, and some people arrive on the forum with a diagnosis of T2 but it later turns out that they had RH all along. As you can imagine, the shades of grey for these situations are almost infinite.</p><p></p><p></p><p></p><p>I strongly urge you to find out EXACTLY what GTT you are going to have, how long, where, and in what conditions and with what supervision.</p><p></p><p>The last time I had one, my local surgery sent me home for the 2 hours between the beginning and the end of the test - no supervision, no guidance, and inaccurate timings.</p><p></p><p>On the other hand, [USER=85785]@Lamont D[/USER] had a 5 hour GTT in a hospital, as part of some serious investigations into RH. He was supervised, his bloods were checked regularly, and if he had become ill he would have got the appropriate attention.</p><p></p><p>So the experience will vary hugely! I am not sure that a 2 hour GTT will be much use at all in diagnosing RH in most RHers - since we very often don't get the hypo for 3-4 hours after eating, although as with everything, there are exceptions.</p><p></p><p>If anyone ever persuades me to have another GTT (unlikely) then I will be quite prima donnaish about the whole thing - and I will be wearing a self funded Freestyle Libre for the whole event. <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p><p></p><p>If you google the glucose tolerance test you will be able to see the protocols, the timings, the amount of glucose, and so on. That way you won't be too surprised when you experience the test. It is basically a blood test, a drink of lucozade or similar, a sit around reading or listening to music on your phone, and then another blood test at the end. Some people have no unpleasant experience through it all, others sometimes feel a bit grotty. I got headaches and blurry eyes from the spike and drop of the blood glucose, but not everyone does.</p><p></p><p></p><p></p><p>I really think you should get yourself a blood glucose testing kit and check your own blood glucose throughout your daily experience. That is, in my opinion, the only way to check what is going on is blood glucose related.</p><p>- the reason I say that is it is not beyond the bounds of possibility for your symptoms to come from a food intolerance from coffee to milk in your tea, or to <strong><em>any </em></strong>of the things you eat daily without even being aware of it.</p></blockquote><p></p>
[QUOTE="Brunneria, post: 1616845, member: 41816"] Hi and welcome! :) I think RH and T2 are on a spectrum. They can sometimes be mistaken for each other, and different people have different experiences within that spectrum. So in a way, yes. There is a very fine beaurocratic line between pre-diabetes and T2, and some people arrive on the forum with a diagnosis of T2 but it later turns out that they had RH all along. As you can imagine, the shades of grey for these situations are almost infinite. I strongly urge you to find out EXACTLY what GTT you are going to have, how long, where, and in what conditions and with what supervision. The last time I had one, my local surgery sent me home for the 2 hours between the beginning and the end of the test - no supervision, no guidance, and inaccurate timings. On the other hand, [USER=85785]@Lamont D[/USER] had a 5 hour GTT in a hospital, as part of some serious investigations into RH. He was supervised, his bloods were checked regularly, and if he had become ill he would have got the appropriate attention. So the experience will vary hugely! I am not sure that a 2 hour GTT will be much use at all in diagnosing RH in most RHers - since we very often don't get the hypo for 3-4 hours after eating, although as with everything, there are exceptions. If anyone ever persuades me to have another GTT (unlikely) then I will be quite prima donnaish about the whole thing - and I will be wearing a self funded Freestyle Libre for the whole event. :) If you google the glucose tolerance test you will be able to see the protocols, the timings, the amount of glucose, and so on. That way you won't be too surprised when you experience the test. It is basically a blood test, a drink of lucozade or similar, a sit around reading or listening to music on your phone, and then another blood test at the end. Some people have no unpleasant experience through it all, others sometimes feel a bit grotty. I got headaches and blurry eyes from the spike and drop of the blood glucose, but not everyone does. I really think you should get yourself a blood glucose testing kit and check your own blood glucose throughout your daily experience. That is, in my opinion, the only way to check what is going on is blood glucose related. - the reason I say that is it is not beyond the bounds of possibility for your symptoms to come from a food intolerance from coffee to milk in your tea, or to [B][I]any [/I][/B]of the things you eat daily without even being aware of it. [/QUOTE]
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