Thanku for Ur reply my while at a GP appt I started sharing sweating excessively, anxious and felt I was starving and had to eat, he did a blood test, he ring me later and asked me to take a letter n go straight to hospital and to eat some biscuits n sugary drinks, the hospital put me in a glucose drip and said it was non diabetic reactive hypo, I have asthma. Copd- empaseima and am on amatripline for IBS yet I had an episode today 2hrs after dinner and my sugar level was 12.8 I had juice afew handfuls of peanuts some jelly's and cheese n crackers it is now 8.3 so I'm not sure why it was so high I understood hypo was low sugar please help I'm confused now ?? Thanks
Hi,
What is happening basically is what you are eating is creating more insulin than you have to counter the glucose derived from your meal.
The high levels (hyper) you see is a weak first insulin response, followed by a second insulin response (called an overshoot) which floods the blood and your glucose diminish and you get low (hypo) blood levels.
As In my last post, control is key and knowledge is something that you need to get control.
Clearly they have not given you dietary advice or explained why you get an overshoot of insulin.
To get more information do read our forum. Click on forums at the top of the page, scroll down to RH and click there, the basics are there and interesting threads about all types of hypoglycaemia.
IBS may be a problem to give you any dietary advice, but the usual suspects are starchy carbs, your tolerance to grains, potatoes, rice, pasta amongst others. I also have lactose intolerance amongst many others and I'm really restricted to protein and good fatty food. Most above ground vegetables are ok, for instance salad vegetables without dressings. Meat, eggs, you can have an English breakfast without potato stuff and toast is a baddie.
You will find all recommended food in the low carb forum.
So, what is happening, plainly as I can.
You eat porridge, a healthy breakfast you would think. But the oats will rocket your blood levels. You go very high from your pre meal levels. Your trigger to get more insulin gives you an overshoot, which drags your blood levels down beyond normal, and you hypo, going low is not recommended, the symptoms and the damage to your health from the many fluctuations in blood levels will keep getting worse.
The hospital gave you a glucose drip.
Told you to eat sugary and drink.
This will only do harm, they haven't a clue!
This will have what is known as the rebound effect.
So breakfast, you eat porridge, you go high, you then go low, you have something sugary to stop the hypo, you go high again and the viscous circle continues.
Up and down like a yo yo, fluctuating blood glucose levels.
Your insulin is high in your blood, your insulin resistance is probably getting worse.
Your symptoms getting worse.
So instead of porridge, you have eggs, you don't go high, so you don't go low later, no increase in insulin levels, no overshoot! Your symptoms alleviate, you feel better.
As we have said many times, no hyper, no hypo!
Keeping your blood levels in and around normal levels is the best approach and treatment. Only eating the food that doesn't trigger the insulin response.
I eat a very low carb diet. Avoiding all those foods that I have an intolerance to.
This is what is healthy for me.
You will have to find your own diet, that suits your tastes, your ethnicity, your availability of different foods.
You need a food diary to record everything.
Fasting blood, what you are eating, pre meal testing and two hours initially, then testing especially if you feel you are going low, record everything as much as possible.
I think you need a referral to see a specialist endocrinologist who is experienced with patients with Hypoglycaemia.
You need more tests, especially on how your other conditions will effect your RH.
I had quite a number of glucose tolerance tests, fasting test, breakfast test and of course, tons of blood tests. To confirm diagnosis. I had allergy tests, scans and all sorts, I think I was lucky I was referred to my endocrinologist.
But only after many years of struggle with a misdiagnosis of T2.
I have what is called 'Late Reactive Hypoglycaemia'
Keep asking, you may want to start thinking about how you are going to start taking this serious, and how you are going to approach the way you eat, oh yeah for now, eat very small low carb meals every couple of hours to offset the highs and lows.
I have been eating very low carb diet for four years and my RH doesn't affect my life and my health is really good. But I know if I don't I would be very ill, very quickly.
This can be controlled.
Best wishes