Dear Worried
Thanks so much for reply and support.
My driving is a problem as my consultant has set me a limit of 5 - you are right that the DVLA says 4. But as he has stated this in writing I have to comply or invalidate my insurance. I also have to stop every half hour and retest. DVLA says 2 hours. I also have hypo's requiring assistance so am borderline having to tell the DVLA. But as they happen with exercise mostly consultant says ok for now. I take no medication at all for diabetes because of the hypo's its too dangerous as at night I am frequently below 3. I also have very little warning that hypo's are coming so I find one second am ok but next struggling to talk, shaking arms and legs and brain gone to mush. The lifeguards at my local pool are great and rescue me.
Its a real bummer!! But will keep looking at this. There must be a balance in my carbs that will stop the extremes I get.
You are right this will have to be a personal journey - have been reading some other threads and its the same for everyone. Am amazed at the variety of things people can and can't eat!!
Thanks again
Determined from Herts x
Dear All,
It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.
However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.
Hi shantimaz, my RH started midway through last year. I was 39 at the time and while I still have regular periods, there's no doubt my body is changing and my RH gets considerably worse before I'm due to start. My Mum said when she was a similar age, she started with symptoms very close in nature to what I experience. Although being 30 years ago, it would never have been recognised. She's fine now, however I have noticed that if I check her bs an hour after eating it can be 9's, which we are lead to believe shouldn't happen in a non-diabetic. I'm convinced that my age has something to do with my RH as its developed so quickly and seemingly out of nowhere. I was hoping that it might improve once I got past the menopausal stage. After reading Bruns post I'm not so sure now! Do you follow a very low carb diet? I eat around 100g carbs a day. For me I seem to feel better if I include a small amount of starchy carbs (low GI) with each mealDear All,
It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.
However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.
Hi and welcome to the forum! Nosher and Brun will probably be along soon to advise you as they have lots of knowledge and experience. Has your endocrinologist carried out a prolonged oral glucose tolerance test? This is the only test that I know of that can diagnose RH. If I were you I would be asking for this to be done. It was the test that diagnosed mine. I too have a normal fasting level and hba1c and like you can get very shaky, anxious, forgetful etc when my levels are low 5' or high 4's even though this is nowhere near hypo levels. I do believe the rate of drop can cause these symptoms regardless of how low the number is if that makes sense.TL;DR
I appear to have Reactive Hypoglycaemia, but get the symptoms when my blood sugar returns to normal, rather than when it drops below normal; it seems to the relative reduction that brings them on, rather than reduction to value below normal. *** is wrong with me?!
When my blood sugar increases by any more than 1 mmol/l and then returns to normal, I start to get the symptoms of hypoglycaemia, even though my blood sugar is not actually low. For example, it might be a normal 4.7 before a meal, then 6.2 half an hour after a meal, and when it drops back down two or so hours later I start getting the shakes, feeling dizzy, anxious and sweaty. The longer I leave it before eating something, the worse it gets, and I can start getting aggressive (which is not at all normal for me!) and confused. Not sure if I actually would, but if it gets really bad it can feel like I'm close to passing out.
When I eat something sugary (as I get the strong urge to do), my blood sugar increased and the symptoms go away fairly quickly, but I'm often left feeling really sick afterwards, and then of course the whole cycle starts again when my blood sugar drops back to normal again. A few times it has dropped to around the 3 - 3.5 mark, but that is very rare. Normally it drops back to 4.7 and that is enough to start the symptoms.
For the past year or so I've been trying a low carb diet - and it has been working. If I keep my carbohydrate intake really low (less than 10g per meal), my blood sugar stays steady at close to 4.7 and I feel absolutely fine! Recently though, for the past couple of months, I sometimes don't feel fine. Even though my blood sugar is normal, I still get a little of the shakey, anxious, foggy-headed feeling that I can only presume is hormone related.
I've had a fasting blood sugar test, which was normal. And I've had some kind of 'long term average' blood sugar test (A1C?) which was normal, along with some kind of 24-hour urine collection, endocrine-related cancer test which was also normal. The endocrinologist seems to think it's all in my head, and after the first visit sent a letter to my GP to say she doesn't want to see my again, and instructed me to 'stop the self imposed restrictions on my diet'!!!
I've been dealing with this for around 10 years now, long before I had any idea about blood sugar levels or the effect of carbohydrate on them. I must have seen dozens of different GPs about it, as well as a dietician and an endocrinologist, and everyone either has no clue, or thinks it's in my head. I've seriously had enough of this, and I go through patches where both the condition and the way I am treated by health 'professionals' really gets me down
Is this some weird form Reactive Hypoglycaemia? Has anyone got a clue what this is?
Hi shantimaz, my RH started midway through last year. I was 39 at the time and while I still have regular periods, there's no doubt my body is changing and my RH gets considerably worse before I'm due to start. My Mum said when she was a similar age, she started with symptoms very close in nature to what I experience. Although being 30 years ago, it would never have been recognised. She's fine now, however I have noticed that if I check her bs an hour after eating it can be 9's, which we are lead to believe shouldn't happen in a non-diabetic. I'm convinced that my age has something to do with my RH as its developed so quickly and seemingly out of nowhere. I was hoping that it might improve once I got past the menopausal stage. After reading Bruns post I'm not so sure now! Do you follow a very low carb diet? I eat around 100g carbs a day. For me I seem to feel better if I include a small amount of starchy carbs (low GI) with each meal
TL;DR
I appear to have Reactive Hypoglycaemia, but get the symptoms when my blood sugar returns to normal, rather than when it drops below normal; it seems to the relative reduction that brings them on, rather than reduction to value below normal. *** is wrong with me?!
When my blood sugar increases by any more than 1 mmol/l and then returns to normal, I start to get the symptoms of hypoglycaemia, even though my blood sugar is not actually low. For example, it might be a normal 4.7 before a meal, then 6.2 half an hour after a meal, and when it drops back down two or so hours later I start getting the shakes, feeling dizzy, anxious and sweaty. The longer I leave it before eating something, the worse it gets, and I can start getting aggressive (which is not at all normal for me!) and confused. Not sure if I actually would, but if it gets really bad it can feel like I'm close to passing out.
When I eat something sugary (as I get the strong urge to do), my blood sugar increased and the symptoms go away fairly quickly, but I'm often left feeling really sick afterwards, and then of course the whole cycle starts again when my blood sugar drops back to normal again. A few times it has dropped to around the 3 - 3.5 mark, but that is very rare. Normally it drops back to 4.7 and that is enough to start the symptoms.
For the past year or so I've been trying a low carb diet - and it has been working. If I keep my carbohydrate intake really low (less than 10g per meal), my blood sugar stays steady at close to 4.7 and I feel absolutely fine! Recently though, for the past couple of months, I sometimes don't feel fine. Even though my blood sugar is normal, I still get a little of the shakey, anxious, foggy-headed feeling that I can only presume is hormone related.
I've had a fasting blood sugar test, which was normal. And I've had some kind of 'long term average' blood sugar test (A1C?) which was normal, along with some kind of 24-hour urine collection, endocrine-related cancer test which was also normal. The endocrinologist seems to think it's all in my head, and after the first visit sent a letter to my GP to say she doesn't want to see my again, and instructed me to 'stop the self imposed restrictions on my diet'!!!
I've been dealing with this for around 10 years now, long before I had any idea about blood sugar levels or the effect of carbohydrate on them. I must have seen dozens of different GPs about it, as well as a dietician and an endocrinologist, and everyone either has no clue, or thinks it's in my head. I've seriously had enough of this, and I go through patches where both the condition and the way I am treated by health 'professionals' really gets me down
Is this some weird form Reactive Hypoglycaemia? Has anyone got a clue what this is?
Has your endocrinologist carried out a prolonged oral glucose tolerance test? This is the only test that I know of that can diagnose RH. If I were you I would be asking for this to be done. It was the test that diagnosed mine. I too have a normal fasting level and hba1c and like you can get very shaky, anxious, forgetful etc when my levels are low 5' or high 4's even though this is nowhere near hypo levels. I do believe the rate of drop can cause these symptoms regardless of how low the number is if that makes sense.
If I'm symptomatic but not actually low, I eat something like a spoon of peanut butter, a very small Apple or pear or coffee with cream. Something that will bring me up slowly and not drop me fast. Others would probably advise a price of meat or cheese, but I'm ok with small pieces of fruit.
I feel for you as the condition is hard enough to deal with, without the Doctors doubting you. Have you kept a food, bs level and symptom diary to take with you to your Doctor or Endo appointments?
Dear All,
It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.
However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.
As far as I know, when bs drops from high to normal it can also make you feel unwell. I think that you should ask for the glucose tolerance test with an insulin curve to find out what's going on.
My GP also dismissed all my symptoms for years, I had to see specialists privately back home and show the test results to my GP here in London to get diagnosed. Don't let them feel there is something wrong in your head!
Dear All,
It's been a year since I've finally got diagnose with RH. Me too I suspect that this is a different condition that with time leads to insulin resistance. I remember having mild symptoms in my twenties (and PCOS), by the time I turned forty things got very nasty. I had confusion and malaise all the time (and lots of other symptoms), not being able to work for eight months. My crisis were so strong that I didn't relate them to food, since food didn't fix me. After an episode I had to sleep for five hours and felt bad for a couple of days. Any way... It's been a slow healing process, but after a year in a low carb diet I am feeling much much better.
However, after a year without periods I am officially in the menopause. My menstrual problems kicked off with my low sugar crisis. I wonder if any ladies here have had similar problems.
TL;DR
I appear to have Reactive Hypoglycaemia, but get the symptoms when my blood sugar returns to normal, rather than when it drops below normal; it seems to the relative reduction that brings them on, rather than reduction to value below normal. *** is wrong with me?!
When my blood sugar increases by any more than 1 mmol/l and then returns to normal, I start to get the symptoms of hypoglycaemia, even though my blood sugar is not actually low. For example, it might be a normal 4.7 before a meal, then 6.2 half an hour after a meal, and when it drops back down two or so hours later I start getting the shakes, feeling dizzy, anxious and sweaty. The longer I leave it before eating something, the worse it gets, and I can start getting aggressive (which is not at all normal for me!) and confused. Not sure if I actually would, but if it gets really bad it can feel like I'm close to passing out.
When I eat something sugary (as I get the strong urge to do), my blood sugar increased and the symptoms go away fairly quickly, but I'm often left feeling really sick afterwards, and then of course the whole cycle starts again when my blood sugar drops back to normal again. A few times it has dropped to around the 3 - 3.5 mark, but that is very rare. Normally it drops back to 4.7 and that is enough to start the symptoms.
For the past year or so I've been trying a low carb diet - and it has been working. If I keep my carbohydrate intake really low (less than 10g per meal), my blood sugar stays steady at close to 4.7 and I feel absolutely fine! Recently though, for the past couple of months, I sometimes don't feel fine. Even though my blood sugar is normal, I still get a little of the shakey, anxious, foggy-headed feeling that I can only presume is hormone related.
I've had a fasting blood sugar test, which was normal. And I've had some kind of 'long term average' blood sugar test (A1C?) which was normal, along with some kind of 24-hour urine collection, endocrine-related cancer test which was also normal. The endocrinologist seems to think it's all in my head, and after the first visit sent a letter to my GP to say she doesn't want to see my again, and instructed me to 'stop the self imposed restrictions on my diet'!!!
I've been dealing with this for around 10 years now, long before I had any idea about blood sugar levels or the effect of carbohydrate on them. I must have seen dozens of different GPs about it, as well as a dietician and an endocrinologist, and everyone either has no clue, or thinks it's in my head. I've seriously had enough of this, and I go through patches where both the condition and the way I am treated by health 'professionals' really gets me down
Is this some weird form Reactive Hypoglycaemia? Has anyone got a clue what this is?
The higher the drop, the harder it hits. But drops of even 1 mmol/l produce profound effects that keep getting worse until I consume carbs.
Is that test the same as the 'prolonged oral glucose tolerance test' that @Kaz261 mentioned, or something else?
Yes, I'm starting to think going private may be the best plan too - I grudgingly, since I should be able to get good care on the NHS, but maybe I should stop being so stubborn on that. On the other hand, I know that many NHS consultants also do private work... so knowing my luck I'd end up with same one!
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