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Diabetes Discussion
Reactive Hypoglycemia
Reactive hypo from hell
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<blockquote data-quote="Brunneria" data-source="post: 2350827" data-attributes="member: 41816"><p>Hi and welcome,</p><p></p><p>in your shoes I would be pushing for a proper investigation for this.</p><p></p><p>reading your post, a couple of speculations spring to mind.</p><p>Firstly, if your body has been running on fast acting carbs for the last few years (or decades), then the transition to keto, and running on fats/proteins would take weeks or months of consistent keto eating. Certainly far longer that 2 weeks, or 2 hours after a protein/fat breakfast. Digesting protein and fat takes time, several hours, and blood glucose can easily drop in the gap between eating a steak, or eggs and bacon, and the proteins being digested enough, and being converted into useable energy, which is when the blood glucose would start to rise again. If your body isn’t used to this slow rise and fall, and isn’t ‘fat adapted’ then your ‘bonk’ is not unusual, or unlikely. You may find it useful to read up on ‘carb flu’ (electrolytes) and ‘fat adaptation’ (where the body learns to switch smoothly from glucose burning to fat burning. A better solution might be to ease slowly into higher protein and fat, while easing slowly into reduced carb. For example, eggs and bacon with toast and butter. Then, over several weeks, reducing the toast portion while increasing the portion of eggs, bacon and butter. That would give your body time to learn to fat burn.</p><p></p><p>from what I have seen/read/experienced, people seem to experience difficulty in switching to keto directly in proportion to their previous ‘carb dependency’ - and from your description it sounds like your body is extremely dependent on constant carb top ups.</p><p></p><p>My other suggestion would be to see if you can get a referral to an endocrinologist who is willing to investigate properly. How much insulin you produce, what your current endless carb top ups are doing to your blood glucose over the entire day, what a 72 hour glucose tolerance test does to you... that sort of thing. You would be VERY lucky to find such an endo, but it would help to answer your questions. And it would eliminate (or reveal), other factors, such as an insulinoma.</p><p></p><p>good luck with it all. I know how utterly stressfully exhaustingly miserable it is on the hyper/hypo rollercoaster, with no healthcare support and food as your only DIY medication. It is a v depressing and lonely place to be.</p></blockquote><p></p>
[QUOTE="Brunneria, post: 2350827, member: 41816"] Hi and welcome, in your shoes I would be pushing for a proper investigation for this. reading your post, a couple of speculations spring to mind. Firstly, if your body has been running on fast acting carbs for the last few years (or decades), then the transition to keto, and running on fats/proteins would take weeks or months of consistent keto eating. Certainly far longer that 2 weeks, or 2 hours after a protein/fat breakfast. Digesting protein and fat takes time, several hours, and blood glucose can easily drop in the gap between eating a steak, or eggs and bacon, and the proteins being digested enough, and being converted into useable energy, which is when the blood glucose would start to rise again. If your body isn’t used to this slow rise and fall, and isn’t ‘fat adapted’ then your ‘bonk’ is not unusual, or unlikely. You may find it useful to read up on ‘carb flu’ (electrolytes) and ‘fat adaptation’ (where the body learns to switch smoothly from glucose burning to fat burning. A better solution might be to ease slowly into higher protein and fat, while easing slowly into reduced carb. For example, eggs and bacon with toast and butter. Then, over several weeks, reducing the toast portion while increasing the portion of eggs, bacon and butter. That would give your body time to learn to fat burn. from what I have seen/read/experienced, people seem to experience difficulty in switching to keto directly in proportion to their previous ‘carb dependency’ - and from your description it sounds like your body is extremely dependent on constant carb top ups. My other suggestion would be to see if you can get a referral to an endocrinologist who is willing to investigate properly. How much insulin you produce, what your current endless carb top ups are doing to your blood glucose over the entire day, what a 72 hour glucose tolerance test does to you... that sort of thing. You would be VERY lucky to find such an endo, but it would help to answer your questions. And it would eliminate (or reveal), other factors, such as an insulinoma. good luck with it all. I know how utterly stressfully exhaustingly miserable it is on the hyper/hypo rollercoaster, with no healthcare support and food as your only DIY medication. It is a v depressing and lonely place to be. [/QUOTE]
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Reactive hypo from hell
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