Hi
@katejay1991 and welcome to our forum.
it is so refreshing that your endocrinologist has given you the insulin results, wish I could have got mine twenty years ago.
I've never had to interpret from values of insulin, it is usually blood glucose levels. So it may take a bit of explaining.
The first thing, I would have liked to see the three hours insulin levels, have you got it?
If you have your glucose levels to compare, can you post them?
Did they only do hourly tests?
Did they take veinous blood samples from a cannula?
This is why your appointment is so long after the eOGTT, the lab results take time.
Only really guessing from experience. Yes, it doesn't seem quite right because not having the half hour results doesn't give the spikes of glucose levels. Also doesn't show the insulin overshoot.
I can explain the first, second readings of insulin as a first insulin phase response issue, typical reactive hypoglycaemia symptoms. It is not enough to prevent the spike or trigger. This will give you higher than normal blood glucose levels (spike). This is the trigger for the pancreas to supply the overshoot of insulin, I would imagine between two and three hours, hence the hypoglycaemic episode your 2.4mmols clearly shows after three hours and maybe your insulin levels have dropped as well by the readings taken.
To explain why RH is different from other blood glucose/ insulin endocrine conditions.
It is non diabetic. Hypoglycaemic episodes due to too much insulin, delayed after other hormonal response to food. It is food that is the problem, namely sugars and carbs.
The glucose derived from your carb, sugar, starch intake, gives you abnormal high spikes, which is not good.
The overshoot of insulin, because of the spike, gives you an imbalance of insulin. Which again is not good.
Having continuous hypoglycaemic episodes, is not good, in fact it is really awful. I called the period before diagnosis my hypo hell.
Next, you need to change your diet.
Reduce your carb intake slowly but steadily, until you are virtually carb free (ish)
The idea is to keep your blood glucose levels in or around normal blood glucose levels. 4-6mmols.
Depending on your intolerance to foods. How to find out what to avoid. You have to experiment. You need to keep a food diary, with blood glucose readings, if you haven't got a glucometer, ask your GP, if he says no. Then ask your endocrinologist to get you one. You can buy one. And there is also now, continuous glucose monitors, (cgm) available. You will need to record what you eat, pre meal tests, one hour, two hours, three hours. To see how carb intolerant you are. I'm tagging
@Rachox to give you the cheapest versions, and the test strips. It is an idea to test the same meal a few times, same portion size.
This will prevent spikes and no spikes means no overshoot, no hypos. No symptoms eventually.
It is not easy, in fact it will be like going cold turkey.
Intolerance is akin to an allergy, I was told from very young, I was lactose intolerant. So I didn't do dairy at all because I would have a severe reaction to it. To gory to detail! So when I was diagnosed with th and my endo suggested a dietary regime but with complex carbs or healthy carbs as they quote. I was still going hypo!
So I started to eat keto. And it worked fantastic! I even persuaded by endo to support my diet.
I don't have hypos. In ten years (ish) since diagnosis, I have only been out of keto four of five times. For reasons I won't go into.
There is a lot to take in, knowing how to stop the hypos is the most important factor in treating RH.T
Avoiding carbs is the only successful sustainable treatment.
There is no cure but you can control it through diet!Th
keep asking, best wishes
