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Reactive Hypoglycemia
Why can I eat chocolate but not carbs? :-s
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<blockquote data-quote="Donought" data-source="post: 2492068" data-attributes="member: 533026"><p>Hi-</p><p></p><p>I've posted on the forum a while back whilst in the early stages of trying to find out what is wrong as most GP's are more or less useless. Since then I have been diagnosed as insulin resistant, which I have reversed with diet, however, I suspect I never actually was IR. On the upside I have lost 10kg, fasting BG hovers between 4.6 - 5.8 but it seems I am insulin sensitive according to my HOMA-IR.</p><p></p><p>BG - 4.7</p><p>Insulin - 3.61. (range is 2.6 - 24.9) so at the low end.</p><p></p><p>All good but that doesn't explain why when I eat a slice of steak pie my BG is at 8nmol at 60 mins and 8.5 nmol at 120mins. Surely if I was insulin sensitive I would be back under 8 by 2hrs.</p><p></p><p>The search continued and via the Dr Bikman facebook group I was directed to the HOMA 2 calculator - you need to download it from this website - <a href="https://www.dtu.ox.ac.uk/homacalculator/" target="_blank">https://www.dtu.ox.ac.uk/homacalculator/</a></p><p></p><p>Then read in conjunction with this series of blogs <a href="https://www.optimaldx.com/blog/homa2-calculator" target="_blank">https://www.optimaldx.com/blog/homa2-calculator</a></p><p></p><p>it helps explain my IR or lack thereof.</p><p></p><p>%B - Beta cell production - mine is low 64% ('normal' is 100)</p><p></p><p>%S - insulin sensitivity - mine is super high 215% ('normal' is 100)</p><p></p><p>IR - .47 ('normal' is 1)</p><p></p><p>Those numbers suggest reactive hypoglycemia, which fits my symptoms for the most part but does not explain the eating of the pie. Also, I can eat chocolate and rarely spike in fact, sometimes if I am not coming down I eat chocolate and my BG will fall.</p><p></p><p>I am now wondering whether my pancreas is just not producing enough insulin. Any ideas anyone?</p><p></p><p>@LammontD I know we are similar in our reactions, such as to lentils etc. but I'm struggling to differentiate and understand how I can be insulin sensitive when I am still high 2hrs later. I've had a few reactive episodes but as I'm keeping the carbs low (mostly ;-)) this is to be expected.</p><p></p><p>Cheers <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="Donought, post: 2492068, member: 533026"] Hi- I've posted on the forum a while back whilst in the early stages of trying to find out what is wrong as most GP's are more or less useless. Since then I have been diagnosed as insulin resistant, which I have reversed with diet, however, I suspect I never actually was IR. On the upside I have lost 10kg, fasting BG hovers between 4.6 - 5.8 but it seems I am insulin sensitive according to my HOMA-IR. BG - 4.7 Insulin - 3.61. (range is 2.6 - 24.9) so at the low end. All good but that doesn't explain why when I eat a slice of steak pie my BG is at 8nmol at 60 mins and 8.5 nmol at 120mins. Surely if I was insulin sensitive I would be back under 8 by 2hrs. The search continued and via the Dr Bikman facebook group I was directed to the HOMA 2 calculator - you need to download it from this website - [URL]https://www.dtu.ox.ac.uk/homacalculator/[/URL] Then read in conjunction with this series of blogs [URL]https://www.optimaldx.com/blog/homa2-calculator[/URL] it helps explain my IR or lack thereof. %B - Beta cell production - mine is low 64% ('normal' is 100) %S - insulin sensitivity - mine is super high 215% ('normal' is 100) IR - .47 ('normal' is 1) Those numbers suggest reactive hypoglycemia, which fits my symptoms for the most part but does not explain the eating of the pie. Also, I can eat chocolate and rarely spike in fact, sometimes if I am not coming down I eat chocolate and my BG will fall. I am now wondering whether my pancreas is just not producing enough insulin. Any ideas anyone? @LammontD I know we are similar in our reactions, such as to lentils etc. but I'm struggling to differentiate and understand how I can be insulin sensitive when I am still high 2hrs later. I've had a few reactive episodes but as I'm keeping the carbs low (mostly ;-)) this is to be expected. Cheers :) [/QUOTE]
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