Today had my second prolonged ogtt. (The first one I didn’t hypo in 4 hours but did hypo after the test had finished at 6 hours. Today I hit a hypo at 4 hours, which took 90 minutes to come back up (and again after their ‘food’ at the end!) Today I managed to get down to 2.7 (Although this May not be low enough for the lab to test insulin, c peptide etc levels, but I’m hoping the consultant will still want it doing as I think this is key to what is going on as I’m not a typical reactive hypo patient) My hypos happen anytime between 2-6 hours post eating, I spike very high sometimes (when eating very little carbs) - yesterday I hit 22 afternoon eating chicken and green beans (no one can explain it to me!) often I then dip and have a plateau of several hours after eating just above the normal range where they then crash within minutes to a low number... I’m terrified of driving and having a low so do use a libre sensor with alerts using a Miao Miao and spike app set up. I always test pre driving anyway. My worst hypos are generally exercise induced so the fact the ogtt result didn’t go below 2.5 wasn’t unexpected, but I’m glad I went below 3... I get down to the 1’s on exercise... with no symptoms... The other thing is I’m noticing is a reduced hypo awareness. If I have nighttime lows (often unreadable on my sensor) I’m sleeping through. Previously I’ve noticed the period just before a hypo and when I go sub 4, currently I’m not noticing anything (apart from a slow fuzzy brain...). I’ve always woken up when my sugar drops to around 3 but no more... Any suggestions for this, except not having the hypos in the first place? (Which I know can be managed with Lchf to some degree but for reasons below I can’t follow this long term) I still have hypos with lchf , as I’m mega sensitive to any type of carb (including low carb vegetables - hence the 22 yesterday with a few green beans!). Reducing carbs even further really messed my liver function up. This has resolved since upping the carbs slightly but has led to erratic blood sugar control and many more hypos. I’m hoping when I see the endocrinologist next there is a plan - i would like to try sitagliptin to reduce the spikes but I think they want to try acarbose, which I don’t think will work as that works on the carbs I eat (which is minimal)... I’m ready for a educated debate!!