Random Hypos Despite Doing Everything Right

[DEM1988]

Hi all,

I'm starting to get used to this Reactive Hypoglycaemia and starting to learn that each person is different so what works for one person won't necessarily work for others.

One thing I'd like to ask you all is do any of you have days where you have hypos despite doing absolutely everything right?

I've noticed from monitoring my blood glucose with a Libre 2 meter that sometimes I can eat the same food one day and not have a hypo then I eat the same thing another day and, bam, a hypo despite my starting glucose level being the same. It's the same with exercise, I can walk my dog one day and my glucose will drop to say 4.2mmol but then the next day I take my dog for a walk and I'll return home to a 3.4mmol hypo.

I've heard this can be normal after speak with an Advanced Nurse Practitioner who has a friend going through this condition and is also struggling to understand why sometimes even when doing things right they have a hypo.

Also, just to add this totally unrelated fact that I've just learned, after suffering a hypo you are at more risk of suffering another hypo within 72 hours of the first hypo (you all probably know this but I thought it was interesting).

 

[Lamont D]

Hi all,

I'm starting to get used to this Reactive Hypoglycaemia and starting to learn that each person is different so what works for one person won't necessarily work for others.

One thing I'd like to ask you all is do any of you have days where you have hypos despite doing absolutely everything right?

I've noticed from monitoring my blood glucose with a Libre 2 meter that sometimes I can eat the same food one day and not have a hypo then I eat the same thing another day and, bam, a hypo despite my starting glucose level being the same. It's the same with exercise, I can walk my dog one day and my glucose will drop to say 4.2mmol but then the next day I take my dog for a walk and I'll return home to a 3.4mmol hypo.

I've heard this can be normal after speak with an Advanced Nurse Practitioner who has a friend going through this condition and is also struggling to understand why sometimes even when doing things right they have a hypo.

Also, just to add this totally unrelated fact that I've just learned, after suffering a hypo you are at more risk of suffering another hypo within 72 hours of the first hypo (you all probably know this but I thought it was interesting).

 

[Lamont D]

Hi @DEM1988 ,
When you start getting symptoms and you start becoming aware of the horrible feeling of what this reaction can be like. And of course when you start getting worse, you need help etc. You go through the tests and process of diagnosis. But still not found a treatment, or what to eat, what to do or just don't understand it.
This has been going on for, I would imagine, for years, in my case for over a decade or more.
Your body, by levels, your hormones, insulin response, how your system 'reacts ' to the circumstances, has to alter, adjust in the main become healthier. Because if you dont..........
RH is a response to the food you eat.
That is the first thing you realise when you don't get the symptoms or go hypo after the fasting test. I said after.
Your body responds to not having to 'react ' to the food.
So during my period of finding out, experimental state of what I could tolerate or not. The readings were different, because, with every day, you are different. If you have had a hypo or not, wether it was severe, not so bad, or you didnt, but you had a few symptoms. In real terms, a few points of a mmol, is not that much.
So for the same food, same portion size, same day, but you are in a good mood, bad mood, ok, or etc. Your hormones are different and the results will be different.
By the time you have an awareness of what is good, bad or indifferent, and aware that things have improved, you should see better readings, feel better, and a trend towards better results. Unless, your control of the BG levels, hyoers, hypos, hasn't improved, that will show in your readings as well, a trend in the wrong way.
If it is better, the reaction will improve and adjust to the new diet, because your intolerance to the new diet, is better for you. Your body is adjusting and improving and healthier, less symptoms, less reaction.
This will take time, expecting your body to adjust within a couple of weeks is highly unlikely.
Exactly the same, if you decide on keto. It is not one day energy from carbs, the next energy from ketones. It just doesn't work that way.I
It is the same with the likelihood of another episode of hypoglycaemia, quite soon after the first, because of what is known as the 'rebound effect'. This happens, when you over treat the hypo. You take too much carb to get above Hypoglycaemic levels, and what happens, is you go above your tolerance e levels, the trigger, you go hyper, overshoot insulin, to hypo again.
This happened to me continuously, before diagnosis.
And once you go hypo, even if you don't again that day, the likelihood of another, is because you are more susceptible, more vulnerable to your intolerance levels to the carbs.

Can I ask, what your nurse practitioner friend doing the right thing?
Only one dietician, and I've seen many nurses, doctors, etc. Was advising keto for a number of metabolic condition, because as I started with, RH is a response to food. And carbs.
Hope this helps.
Best wishes.