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Reactive Hypoglycemia
Possible RH diagnosis advice
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<blockquote data-quote="Lamont D" data-source="post: 1616992" data-attributes="member: 85785"><p>Hi there, welcome to our forum.</p><p>The greyness your endo described is what I had to go through.</p><p>I have Reactive Hypoglycaemia.</p><p>There can be secondary conditions to the hypoglycaemia but if you have and I think you do, then the mental health problems are part of the symptoms, I struggled with anxiety for quite a while.</p><p>My best advice is to read our forum by clicking on forums and scrolling down to the Reactive Hypoglycaemia forum. There is a lot of knowledge in how to control the condition.</p><p>The reason why there is such a discrepancy in diagnosis including mine , I got misdiagnosed as T2, but all my fasting levels and hba1c were normal. Before diagnosis my glucose levels after meals eating the NHS guidelines were in the twenties. Because of insulin resistance and hyperinsulinaemia.</p><p>I have not ever had diabetes but it is possible.</p><p>I have just posted about an eOGTT, which is a five to six hours test recording your glucose and insulin levels, c-peptide and GAD tests, also a insulin test.</p><p>On my first test I went very low and they didn't have a clue what to do. Because my glucose levels bounced over ten within half an hour because of the lucozade the nurse made me drink. I was in the hospital for ten hours, sent home to recover.</p><p></p><p>Ok, this condition is only controlled by a strict dietary regime.</p><p>At your stage, you need to eat small meals every three hours, just a few bites, this will help lose your high insulin and not create the excessive insulin response which causes the hypo. Do not attempt high or low GI foods as they are as bad as one another, later when you get to testing for food intolerance, you can try some slow digesting carbs, but do try and avoid the baddies as much as possible.</p><p>Gradually, your symptoms will start to lessen, the bad part is like going cold turkey, it's called carb flu, your body is telling you to replenish the carbs you are not eating. This should be over after about two weeks. I have done this, I have been in ketosis for about three years now. It is the sensible and logical dietary advice I could give you. I aim for roughly 20g a day.</p><p></p><p>I too had the heliocobacter pylori infection and had it treated.</p><p>There is a study I read that getting rid of this bacteria has imbalanced my gut biotic brain trigger, which, has altered my first insulin response to food and is weak, I have a second insulin response and this 'overshoot' is the cause of high circulating insulin, high insulin resistance and hyperinsulinaemia which creates the high glucose levels.</p><p></p><p>You are in a current state of high and low blood glucose levels. Fluctuations in your blood glucose levels are not good, your body creates the symptoms from this and because of this your health deteriorates to probably where you are now.</p><p>We RH ers have to stop this by not causing the second insulin response, no overshoot, no hypo, hence no hyper (high), no hypo, (low).</p><p>By not eating the carbs which triggers the insulin response, that is how to get your health back as I have done successfully. Losing five stone in in the process.</p><p>I had lots of organ problems including fatty liver, kidney and liver function high, heart scares, along with gastric problems.</p><p></p><p>Do have a read of our low carb forum, there are some great ideas and recipes.</p><p></p><p>Of course it's a frightening experience that we have to go through, and if you are like me and I think you can do battle with the doctors, the prospect of getting a true diagnosis with your endocrinologist, you should control this unique and rare condition (especially in men!)</p><p></p><p>Keep asking questions and learning how to eat healthy for you.</p><p>It's not healthy to eat so called healthy foods like porridge and bread, rice etc.</p><p></p><p>Getting the right balance of protein, fats (saturated is good) and a few carbs, is the best way to control this condition.</p><p>A glucometer is a must, get your endo to get you one.</p><p>Then you can experiment and record your readings in a food diary, this will help you in the months ahead. </p><p></p><p>I probably have not covered everything, but if in doubt, just ask.</p><p></p><p>Best wishes and welcome to our forum again!</p><p></p><p>I do long posts as well! (Must be a symptom!)</p></blockquote><p></p>
[QUOTE="Lamont D, post: 1616992, member: 85785"] Hi there, welcome to our forum. The greyness your endo described is what I had to go through. I have Reactive Hypoglycaemia. There can be secondary conditions to the hypoglycaemia but if you have and I think you do, then the mental health problems are part of the symptoms, I struggled with anxiety for quite a while. My best advice is to read our forum by clicking on forums and scrolling down to the Reactive Hypoglycaemia forum. There is a lot of knowledge in how to control the condition. The reason why there is such a discrepancy in diagnosis including mine , I got misdiagnosed as T2, but all my fasting levels and hba1c were normal. Before diagnosis my glucose levels after meals eating the NHS guidelines were in the twenties. Because of insulin resistance and hyperinsulinaemia. I have not ever had diabetes but it is possible. I have just posted about an eOGTT, which is a five to six hours test recording your glucose and insulin levels, c-peptide and GAD tests, also a insulin test. On my first test I went very low and they didn't have a clue what to do. Because my glucose levels bounced over ten within half an hour because of the lucozade the nurse made me drink. I was in the hospital for ten hours, sent home to recover. Ok, this condition is only controlled by a strict dietary regime. At your stage, you need to eat small meals every three hours, just a few bites, this will help lose your high insulin and not create the excessive insulin response which causes the hypo. Do not attempt high or low GI foods as they are as bad as one another, later when you get to testing for food intolerance, you can try some slow digesting carbs, but do try and avoid the baddies as much as possible. Gradually, your symptoms will start to lessen, the bad part is like going cold turkey, it's called carb flu, your body is telling you to replenish the carbs you are not eating. This should be over after about two weeks. I have done this, I have been in ketosis for about three years now. It is the sensible and logical dietary advice I could give you. I aim for roughly 20g a day. I too had the heliocobacter pylori infection and had it treated. There is a study I read that getting rid of this bacteria has imbalanced my gut biotic brain trigger, which, has altered my first insulin response to food and is weak, I have a second insulin response and this 'overshoot' is the cause of high circulating insulin, high insulin resistance and hyperinsulinaemia which creates the high glucose levels. You are in a current state of high and low blood glucose levels. Fluctuations in your blood glucose levels are not good, your body creates the symptoms from this and because of this your health deteriorates to probably where you are now. We RH ers have to stop this by not causing the second insulin response, no overshoot, no hypo, hence no hyper (high), no hypo, (low). By not eating the carbs which triggers the insulin response, that is how to get your health back as I have done successfully. Losing five stone in in the process. I had lots of organ problems including fatty liver, kidney and liver function high, heart scares, along with gastric problems. Do have a read of our low carb forum, there are some great ideas and recipes. Of course it's a frightening experience that we have to go through, and if you are like me and I think you can do battle with the doctors, the prospect of getting a true diagnosis with your endocrinologist, you should control this unique and rare condition (especially in men!) Keep asking questions and learning how to eat healthy for you. It's not healthy to eat so called healthy foods like porridge and bread, rice etc. Getting the right balance of protein, fats (saturated is good) and a few carbs, is the best way to control this condition. A glucometer is a must, get your endo to get you one. Then you can experiment and record your readings in a food diary, this will help you in the months ahead. I probably have not covered everything, but if in doubt, just ask. Best wishes and welcome to our forum again! I do long posts as well! (Must be a symptom!) [/QUOTE]
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