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Message: <blockquote data-quote="Lamont D" data-source="post: 2687997" data-attributes="member: 85785">Thanks for your replies.First, we have had quite a few that have been put on acerbose, it doesn't work. It is supposed to help reduce the impact of the carbs, it doesn't. There is only one meds that has a initial effect on your levels, that is, I have my research and the trial I was on doing research, however, it should only be a temporary solution. And of course with all drugs there could be side effects.The science of this drug. Sitagliptin.It is designed to assist with first phase insulin/hormonal response to food.  To produce more insulin to help with the glucose derived from the carbs from the meal. So the spike is lowered to reduce the spike and lower the need for the overshoot (second phase insulin response) this is the reason for the hypo, because the pancreas creates too much insulin, and the normal function of the liver is to create more glucagon (glucogenisis) to offset this overshoot is not enough.Exercise is an issue with me.I can only do light exercise such as walking, swimming, and maybe chores and such.Age, a few issues with other conditions, arthritis such restricts me.But the healthier I became after diagnosis, I was able to do full time job, manual, on my feet all day.And because I wasn't having hypos, I was never tired or suffered from the symptoms, because of being in ketosis.It is another thing to discover how much you can exercise. You are right, about eating too much, my intake is quite low now.What you could eat in two of them meals, does me for the whole day.A dietician/doctor to ask you to eat so much, never mind not knowing the science behind RH, but asking you to eat more calories and not know the effect, the reaction on your health is shocking,!That is my opinion.My endo would never advise the amount of food as it is the food that trigger the reaction.It was he who got the research done.It was he who talked me through the science of RH.You never mentioned what tests you have had. And I get the battles with other endos, like I did.I'm sorry it's a long post. But I know what it's like to be given a diagnosis and discover, that, you are virtually alone, with a rare condition. Looking for answers.And that was me, over a decade ago.And if it wasn't for my endocrinologist, this forum and one other. My research and my experimenting and food diary, testing, reading, learning and experience of it all. This forum helped me so much, I am fully aware of where I would be now.Lastly just to show how bad some carbs can be to me.One spud, will spike me high teens mmols from normal after around 45minutes.A slice of white bread, from normal, mid teens mmols.A slice of wholemeal, around 12 mmols.Any cake in low teens mmols.Most biscuits, even small ones, around a 5-6mmols increase.For some reason, I have small pieces of fruit throughout the day without issue and it's valuable minerals. Mainly northern fruit, berries, strawberries. Tropical fruit can be hazardous tho.Do keep asking.It's a lot to take in.It means a complete change in how you eat.It's hard.But it works for me.I eat a lot of meat, salad, animal fats to cook, I roast or grill most, but I fry, and have the fat off the meat, as that satiated me. I can't have dairy, lactose intolerant. But you can, it's good low carb food. Full fat.Start reading labels, the carb factor, and the sugar.Beware of manufactured foods, full of ingredients, hidden sugars, palm oil, and such, of which does not help with the diet.Eggs are a must go to, fish and other above ground vegetables. Mushrooms, onions and such.You have to experiment. And draw your own conclusions.I will help you understand.Best wishesDo let us know how you get on.</blockquote>

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