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Reactive Hypoglycaemia

Definitely never too old to learn!
I need some wholemeal to tide me over between meals, though not in the morning as that's when I go really high, then hypo. Trying out new breakfast solutions at the moment...
 
My fasting level I between 4.2 and 5.6 and in between.
I eat between 6-7 very small meals, little and often, as low carb as possible with a bit of fruit which doesn't compromise my levels, I work very hard regular hours, my energy levels are really great because my body has adjusted to this lifestyle.
My last oral glucose test, sent my bloods to only 8.7 mmols after one and a half hours. Till, 4 hours later I went into hypo at 3.7 mmols. The test stopped half an hour later as it was still descending another 0.3mmols.
So I don't do the carbs and sugars, cos I was dreadful all day after that!
Once bitten and all that!
 
crazycatlady42 said:
Definitely never too old to learn!
I need some wholemeal to tide me over between meals, though not in the morning as that's when I go really high, then hypo. Trying out new breakfast solutions at the moment...
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Why the wholemeal? That would get my blood levels rocketing.
 
nosher8355 said:
Why the wholemeal? That would get my blood levels rocketing.
Click to expand...
Wholemeal bread with protein was recommended to me early on and I find that the combination allows me to stay fairly stable for a couple of hours. Really handy when working!
 
crazycatlady42 said:
Definitely never too old to learn!
I need some wholemeal to tide me over between meals, though not in the morning as that's when I go really high, then hypo. Trying out new breakfast solutions at the moment...
Click to expand...
What is happening is after your breakfast, your bloods are on the rise, you eat wholemeal to prevent any further lows, then you feel worse later as you try to control things.
Unfortunately, once you go up early morning, then your blood levels are going up and down, up and down, and you feel worse because of this. So late afternoon you are slumping and tired and no energy! That's what happens, to prevent this, you don't go high at all!
 
crazycatlady42 said:
Wholemeal bread with protein was recommended to me early on and I find that the combination allows me to stay fairly stable for a couple of hours. Really handy when working!
Click to expand...
For a couple of hours maybe, but what about the third or fourth hour especially if you have more carbs. Any bread is bad for us, no matter what combination you put it with. I have a sandwich but it is one slice of Bergen bread which is only 9 gms of carbs.
 
nosher8355 said:
What is happening is after your breakfast, your bloods are on the rise, you eat wholemeal to prevent any further lows, then you feel worse later as you try to control things.
Unfortunately, once you go up early morning, then your blood levels are going up and down, up and down, and you feel worse because of this. So late afternoon you are slumping and tired and no energy! That's what happens, to prevent this, you don't go high at all!
Click to expand...
Yoghurt with grainy sprinkles tomorrow morning. Fingers crossed! Then sticking to whole grain bread with avocado and cheese salad for lunch. Snacks too of course!
 
At work I always eat salad. There are other great ideas like homemade soup in a flask when it's cold. I've even just taken a piece of chicken to chomp on!
 
nosher8355 said:
My fasting level I between 4.2 and 5.6 and in between.
I eat between 6-7 very small meals, little and often, as low carb as possible with a bit of fruit which doesn't compromise my levels, I work very hard regular hours, my energy levels are really great because my body has adjusted to this lifestyle.
My last oral glucose test, sent my bloods to only 8.7 mmols after one and a half hours. Till, 4 hours later I went into hypo at 3.7 mmols. The test stopped half an hour later as it was still descending another 0.3mmols.
So I don't do the carbs and sugars, cos I was dreadful all day after that!
Once bitten and all that!
Click to expand...
My last experience with the RH swing was so dreadful and brought up (in a very conscious manner), memories of suffering from these symptoms, for at least the past 10-15 years, that I have cut back all carbs and sugars until I experiment what and how much I can have. So far only Warburton's GF made it, max 2 slices a day. So far no fruit, no bakeries, no pastas, no rice, no potatoes...:-o
But I feel alive and losing weight;-)
 
MosheBenYehuda said:
My last experience with the RH swing was so dreadful and brought up (in a very conscious manner), memories of suffering from these symptoms, for at least the past 10-15 years, that I have cut back all carbs and sugars until I experiment what and how much I can have. So far only Warburton's GF made it, max 2 slices a day. So far no fruit, no bakeries, no pastas, no rice, no potatoes...:-o
But I feel alive and losing weight;-)
Click to expand...
Yes we are all different! It is all about what we can eat without going high!
I can eat small bits of fruit especially berries and strawberries, I have a very small apple a day. Any grains or (especially) potatoes, rice, really are poison to me!
 
nosher8355 said:
For a couple of hours maybe, but what about the third or fourth hour especially if you have more carbs. Any bread is bad for us, no matter what combination you put it with. I have a sandwich but it is one slice of Bergen bread which is only 9 gms of carbs.
Click to expand...
I just checked my GF bread and it's got 11 gr of carbs per slice.
What is the Bergen bread?
 
No doubt brunneria will post something.
The way we test is by not allowing our bloods to go above 2mmols, two hours after first bite. So we need a baseline to make comparisons. So we test just before pre prandial, then at one hour to get our highest reading, then 2 hours to get our baseline reading to see what food or combination of foods, so you can rule out anything that is not helping you keep that baseline. It is a post prandial reading.
To go further to see what happens after 3 and 4 hours. Because that is probably when you go into a hypo.
That is why we eat little and often and keep in control.
 
MosheBenYehuda said:
I just checked my GF bread and it's got 11 gr of carbs per slice.
What is the Bergen bread?
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Soya and linseed bread, but 11 gms should be fine if you have nothing more than that in whatever your having it with!
You can get Bergen at a few supermarkets, I go to the co-op and Iceland do it.
 
nosher8355 said:
No doubt brunneria will post something.
The way we test is by not allowing our bloods to go above 2mmols, two hours after first bite. So we need a baseline to make comparisons. So we test just before pre prandial, then at one hour to get our highest reading, then 2 hours to get our baseline reading to see what food or combination of foods, so you can rule out anything that is not helping you keep that baseline. It is a post prandial reading.
To go further to see what happens after 3 and 4 hours. Because that is probably when you go into a hypo.
That is why we eat little and often and keep in control.
Click to expand...
Thanks I'll try testing before again to get a comparison. Just need to order more strips...
 
crazycatlady42 said:
Thanks I'll try testing before again to get a comparison. Just need to order more strips...
Click to expand...

Ask your GP, and demand them as you need to test everything you eat, mine eventually came round to prescribe them for me.
I don't test as often as I should as I'm aware now of what spikes me, but at this stage you need to use quite a few a day as you are eating regular meals. Your endocrinologist will agree with you about that.
Otherwise I think Brunneria knows the cheapest ones!
 
nosher8355 said:
Ask your GP, and demand them as you need to test everything you eat, mine eventually came round to prescribe them for me.
I don't test as often as I should as I'm aware now of what spikes me, but at this stage you need to use quite a few a day as you are eating regular meals. Your endocrinologist will agree with you about that.
Otherwise I think Brunneria knows the cheapest ones!
Click to expand...
I also convinced my GP, but I tested a month before asking again for prescription strips, and kept an ordered log with the readings.
I also just ordered as a cheaper backup from Home Health UK what seems to be the cheapest in UK, the SD Codefree. Strips are £6.99 per 50. They don't charge VAT if you declare yourself to be diabetic.:-)
 
Hi, yes, type 2s often test before food and then 2 hours after they start eating.
This works really well for RHers too.

The goal is twofold.
1. Don't rise more than 2 mmol/l between the two readings.
2. Don't go above your target level (mine is 7mmol/l) at the 2 hr mark.

So if I start at 5, i've got 2mmol/l to play with at 2 hrs. If I start at 6, then I only get 1 to play with.

Have a look at the info pages on this site (DCUK) for the recommended uk blood glucose targets.

Then have a look at the bloodsugar101 website that is linked in my signature. Those targets are lower. The reasons are fully explained, and I find them very convincing, which is why I try and stay under 7mmol all the time.

I don't always manage it, of course. Life, stress and dawn phenomenon interfere. But I think it is a very good target to aim for.
 
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