Hi everyone I've been reading this subforum for a couple of days and wasn't able to find answers to what bothers me, so I decided to start a thread myself. I'm an overall healthy male, in my 30ies, had have physical activity all my life (gym), lean (BMI 22,5), never had any major health problems. <tl;dr - cut it out> After longer workout i had prolonged extreme hunger (with anxiety that would disappear few minutes after i started eating), night sweats. Went to endo, done OGTT (and ton of other stuff - blood, USG, CAT - all good) here are my results of OGTT: 75g 3h OGTT 0 hour - 82 BS / 4,5 insuline 1 hour - 77 BS / 71 IN 2 hour - 59 BS / 24 IN 3 hour - 49 BS I felt awful for the rest of the day and ever since this OGTT my BS would eventually drop under 70 after almost every meal, time depending on the meal and timeframe of the day (the biggest impact in the morning, the lowest in the evening). With these results i was diagnosed with insuline resistency and reactive hypoglycemia. I was given metformine (which i dont take, as im afraid of stomach side effects, since ive been prone towards gastrisis) and I was told to eat low IG meals with high frequency. questions: my BS peak maximally at 140 after meal - does it prove anyhow insulin resistance? Ive been told im insuline resistant due to RH, but i have doubts if its not the other way around (if im not insuline sensitive) my BS drops more after meals with lower carbs, contrary to what ive read on this forum and what ive been adviced by my endo - how is that possible, that with very little spike (if any, i recall checking every 15 minutes after more fatty meal and seeing 105 as my top) i still go into physical hypo? actually dairy products and low carb meal is the only food that gets me into 70ies and below i feel much better and more saturated after higher carb meals, also my BS is more stable, shouldnt it be other way around? my BS can go into RH state (65-70) and bounce back within much efforts from my side (the only downside is being slightly dizzy + pale), but it can also not bounce back and put me in a really bad mood (irritated, extreme hunger) that will disappear when i eat something - why isnt it one of the options all the time? what influences it? i often feel RH symptoms (irritation, hunger, dizziness) but when i check my BS its within normal range (but quickly dropping, for example its 100, 10 minutes later its 90, another 10 minutes later its low 80ies) - does it mean the meal was improper? im on decent surplus (at least 500 calories more than before), eating 6-8 times a day and im losing weight, visually body fat - how can it be? is that a sign of anything dangerous going on? Ive encountered this along with hypoglycemia back in the past when i had episodes of burnout (due to physical and mental stress), but this time there is nothing pointing in that direction (my stress levels are on their lowest, my mood is good, my libido is good, overall its all great but that damn RH ) can metformine help anyhow?