I have been having episodes of hypoglycaemia after I eat. This has happened 3 times since summer of 2020. The episode will slowly get better and will last for about a week or 2. The first time it occurred, I had eaten a lunch of steak and salad, no carbs. Within about 30 minutes after eating, I started shaking, sweating, had confusion, and asked a co-worker for help. She felt I was having a hypoglycaemic episode and gave me a Gatorade and some candy to eat. This made things much worse! Then I got sick to my stomach and ate some Ritz crackers and drank some water. Athough I felt better, I was weak and shaky and had a hard time driving home. My father & sister are both diabetic and I always have a glucose monitor and periodically check my blood sugar levels, which tend to be on the low side. When I got home that evening, I tested my blood sugar and it was 100. I went to the endocrinologist the next day and she tested my blood sugar and it was 93. I went the following day and had labs drawn. My results were my A1-C was 5% and my fasting blood sugar was 119. However, my blood insulin was 56. She told me to follow a low carb, moderate protein and fat diet. I did this and it took a few weeks to feel back to myself again. She wanted to see me back in 6 months but I felt much better and just monitored my diet and fasting blood sugar. Again in October, 2021, I had another episode. I went back for more labs which showed my fasting blood sugar at 87, A1-C at 4.9% and my blood insulin was 6.1. She advised that I'm may be going too low carb, to add more healthy carbs, fiber, fat, etc. into my meals. A week later, I felt better and went on about my life with no further symptoms. I started eating more carbs and have actually gotten into the bad habit of snacking on popcorn in the evenings and have been eating more carbs lately. However, this past week, I had another episode. I ate a normal breakfast and crashed hard within 20 afterwards. I checked my blood sugar and it was 71. Back to the endocrinologist and more labs with a fasting blood sugar of 92, A1-C at 4.8% and blood insulin at 7.2. I was getting better as the week has gone by but another hard crash this morning after a breakfast of a poached egg with ham, mushrooms, and arugula on small piece of white toast with butter and coffee with no sugar, only cream. Overall, I don't eat fast food at all - I cook everything I eat and have fresh organic meat with fresh cooked variety of vegetables, sweet potatoes or white potatoes maybe every other day, not a lot of bread, some fat (probably not enough) and a very good wholesome no sugar no fat yogurt. I'm not able to drink much milk - it seems to bother my stomach, as does high fat foods like heavy beef cuts. But overall, I think I eat fairly well and the rest of my labs are very good. However, my vitamin D levels have consistenly been very low over the past 5 years - below 20, so I have worked very hard taking supplements to get this level up and on my labs this week, I'm at 27! I also work an extremely stressful job, drive in heavy congested traffic, which makes me very nervous, and I feel this in my neck and shoulders almost constantly with tightness and stiffness and sometimes a mild headache. I have always had anxiety and been a nervous person anyway so the job and traffic do not help! I'm looking for a new job - but with covid changes in the job market, I can't seem to get something else. Regardless, I just need a bit of guidance from anyone who may have experienced similar symptoms with feeling crashed and hypoglycaemic-type episodes after eating. My endocrinologist told me this morning that my labs look good but I have a very sensitive body and need to up my carb intake some to be sure I'm not going completely carb free, that I need some carbs. Is it that simple that I'm missing the amount of carbs I'm eating?? Am I eating the wrong carbs? Not enough? Too much? I'm not sure I understand the carb / protein / fat intake. Thanks for any help or suggestions!
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