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Reactive Hypoglycemia
Reactive hypo and weird symptoms
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<blockquote data-quote="Lamont D" data-source="post: 2353187" data-attributes="member: 85785"><p>Hi [USER=536018]@Kulka[/USER], </p><p>Welcome to the forum.</p><p>I have reactive hypoglycaemia.</p><p></p><p></p><p></p><p></p><p>Let's take it that you have the condition, the dietary advice your doctor gave you doesn't work, for me. </p><p>With RH it is a reaction to what you eat, especially carbs and sugar.</p><p>If you have RH you are carb intolerant.</p><p>When you eat carbs, even low GI or complex carbs, it will effect your blood glucose levels. They spike quickly, which triggers an insulin response, this is what causes the hypoglycaemic episode or symptoms of a hypoglycaemic episode.</p><p>This is why the doctor recommended eating every three hours, it is to stop you going hypo, but it won't stop until you stop eating carbs.</p><p>So for instance, you have porridge for breakfast, because there is quite a lot of carbs in this so called super food. And if you have milk, that is more carbs, you have tea or coffee with milk, more carbs. </p><p>Because of the rapid spike, your brain does two things, the first is the insulin response and secondly tells you you need to eat, because of the excess insulin the brain is used to having a constant supply of glucose which is derived from, you eating carbs every three hours after breakfast. </p><p>A two hour OGTT is not long enough to see what happens after glucose is drank.</p><p>I have had quite a few eOGTTs, and my specialist had clues of my symptoms and having a hypoglycaemic episode in front of him helped.</p><p>I have what is known as Late Reactive Hypoglycaemia. This means I hypo after two, three, fours hours depending on how high the glucose load derived from the meal, drink.</p><p>Until you stop eating carbs, you will continue to feel awful.</p><p></p><p>So, as you have been advised already, you need a glucometer or a cgm. This will give you the best knowledge of what is happening to you. And if you do go hypo.</p><p>I have kept a food diary since 2012, this has been a great tool to use, and you can monitor results and see the trends and more importantly which foods you are intolerant to.</p><p></p><p>Everyone has different symptoms, one of the causes of RH is a bacteria called heliocobacter pylori. This I believe caused mine or the antibiotics that I took to cure it, your GP should be able to arrange a test for it. I have had constant stomach issues since a teenager, this cured it. </p><p>I'm not saying it is, but it is an alternative diagnosis.</p><p>Did you have gestational diabetes when you were pregnant?</p><p>If you did, did you have the same symptoms?</p><p>Because, gestational diabetes has very similar symptoms to RH.</p><p>Have you had any other tests, except the blood tests?</p><p>Sorry for all the questions.</p><p></p><p>I can only advise you how you carry on. I know how bad it is having RH, before diagnosis, I called it my hypo hell. But since, my dietary intake has changed, as little carbs as possible, good fresh food, cooked and made a at home. Protein, good fats (not low fat) above ground vegetables, full fat dairy, small pieces of fruit and lots of eggs, any which way, especially omelettes!</p><p>I know that you are not trying to lose weight, so you have to eat enough to maintain weight.</p><p>The best dietary advice is on the low carb forum, on here, great recipes and ideas.</p><p></p><p>If you have any questions, please ask, if you want some quick information, have a look on the RH forum threads.</p><p></p><p>Stay safe.</p></blockquote><p></p>
[QUOTE="Lamont D, post: 2353187, member: 85785"] Hi [USER=536018]@Kulka[/USER], Welcome to the forum. I have reactive hypoglycaemia. Let's take it that you have the condition, the dietary advice your doctor gave you doesn't work, for me. With RH it is a reaction to what you eat, especially carbs and sugar. If you have RH you are carb intolerant. When you eat carbs, even low GI or complex carbs, it will effect your blood glucose levels. They spike quickly, which triggers an insulin response, this is what causes the hypoglycaemic episode or symptoms of a hypoglycaemic episode. This is why the doctor recommended eating every three hours, it is to stop you going hypo, but it won't stop until you stop eating carbs. So for instance, you have porridge for breakfast, because there is quite a lot of carbs in this so called super food. And if you have milk, that is more carbs, you have tea or coffee with milk, more carbs. Because of the rapid spike, your brain does two things, the first is the insulin response and secondly tells you you need to eat, because of the excess insulin the brain is used to having a constant supply of glucose which is derived from, you eating carbs every three hours after breakfast. A two hour OGTT is not long enough to see what happens after glucose is drank. I have had quite a few eOGTTs, and my specialist had clues of my symptoms and having a hypoglycaemic episode in front of him helped. I have what is known as Late Reactive Hypoglycaemia. This means I hypo after two, three, fours hours depending on how high the glucose load derived from the meal, drink. Until you stop eating carbs, you will continue to feel awful. So, as you have been advised already, you need a glucometer or a cgm. This will give you the best knowledge of what is happening to you. And if you do go hypo. I have kept a food diary since 2012, this has been a great tool to use, and you can monitor results and see the trends and more importantly which foods you are intolerant to. Everyone has different symptoms, one of the causes of RH is a bacteria called heliocobacter pylori. This I believe caused mine or the antibiotics that I took to cure it, your GP should be able to arrange a test for it. I have had constant stomach issues since a teenager, this cured it. I'm not saying it is, but it is an alternative diagnosis. Did you have gestational diabetes when you were pregnant? If you did, did you have the same symptoms? Because, gestational diabetes has very similar symptoms to RH. Have you had any other tests, except the blood tests? Sorry for all the questions. I can only advise you how you carry on. I know how bad it is having RH, before diagnosis, I called it my hypo hell. But since, my dietary intake has changed, as little carbs as possible, good fresh food, cooked and made a at home. Protein, good fats (not low fat) above ground vegetables, full fat dairy, small pieces of fruit and lots of eggs, any which way, especially omelettes! I know that you are not trying to lose weight, so you have to eat enough to maintain weight. The best dietary advice is on the low carb forum, on here, great recipes and ideas. If you have any questions, please ask, if you want some quick information, have a look on the RH forum threads. Stay safe. [/QUOTE]
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