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Reactive Hypoglycemia
Why don't insulin-resistant people experience reactive hypoglycemia?
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<blockquote data-quote="Brunneria" data-source="post: 1999463" data-attributes="member: 41816"><p>Hi [USER=85785]@Lamont D[/USER]</p><p></p><p>I agree with quite a lot of what you say, but i think you are wrong to claim that people with T2 diabetes can’t have normal fasting levels.</p><p></p><p>Do you have any studies to support what you say? I would be interested to read them, if you do.</p><p></p><p>We get many posts from people with T2 here on the forum who have ‘normal’ fasting levels (the term needs clear definition). They may achieve this with diet, lifestyle or medication, but they are still T2.</p><p>The <a href="http://www.bloodsugar101.com" target="_blank">www.bloodsugar101.com</a> website lists studies showing that rising fasting blood glucose may, in quite a few T2s, be a late symptom after high glucose (and T2) have been established for a long time. It is one of the reasons that NICE chose that HbA1c became a more commonly used diagnostic tool. Too many people were going undiagnosed, because their FBGs did not reflect the extent of their T2.</p><p></p><p>I also disagree that RH is rare.</p><p>It is rarely diagnosed, but that doesn’t mean it is rare.</p><p>It is a fairly common precursor to T2, although rarely symptomatic enough to get diagnosed.</p><p></p><p>It was found (mild form) in 24% of healthy young men in this study, where bg was significantly lower after glucose than before glucose</p><p><a href="http://diabetes.diabetesjournals.org/content/23/3/189.short" target="_blank">http://diabetes.diabetesjournals.org/content/23/3/189.short</a></p><p></p><p>It was found in 12% of study participants without a diagnosis of glucose dysregulation here:</p><p><a href="https://www.tandfonline.com/doi/abs/10.3109/00365513.2010.491869" target="_blank">https://www.tandfonline.com/doi/abs/10.3109/00365513.2010.491869</a></p><p></p><p>And in 17% of a polycystic ovary group of participants here:</p><p><a href="https://academic.oup.com/humrep/article/31/5/1105/1750223" target="_blank">https://academic.oup.com/humrep/article/31/5/1105/1750223</a></p><p></p><p>I think diagnoses only happen when the symptoms get extreme, since many RH symptoms are easily attributable to other things, such as fatigue, hunger, stress, anxiety and PMS.</p><p>certainly in my working career I have sat in offices with several (many?) individuals lurch from one pick-me-up to another, to avoid those symptoms, with the pick-me-ups varying from sweets, chocolate, crisps and other snacks, to coffee and cigarettes. And I have lost count of the people who say, ‘i HAVE to eat, or I go all funny...’</p></blockquote><p></p>
[QUOTE="Brunneria, post: 1999463, member: 41816"] Hi [USER=85785]@Lamont D[/USER] I agree with quite a lot of what you say, but i think you are wrong to claim that people with T2 diabetes can’t have normal fasting levels. Do you have any studies to support what you say? I would be interested to read them, if you do. We get many posts from people with T2 here on the forum who have ‘normal’ fasting levels (the term needs clear definition). They may achieve this with diet, lifestyle or medication, but they are still T2. The [URL='http://www.bloodsugar101.com']www.bloodsugar101.com[/URL] website lists studies showing that rising fasting blood glucose may, in quite a few T2s, be a late symptom after high glucose (and T2) have been established for a long time. It is one of the reasons that NICE chose that HbA1c became a more commonly used diagnostic tool. Too many people were going undiagnosed, because their FBGs did not reflect the extent of their T2. I also disagree that RH is rare. It is rarely diagnosed, but that doesn’t mean it is rare. It is a fairly common precursor to T2, although rarely symptomatic enough to get diagnosed. It was found (mild form) in 24% of healthy young men in this study, where bg was significantly lower after glucose than before glucose [URL]http://diabetes.diabetesjournals.org/content/23/3/189.short[/URL] It was found in 12% of study participants without a diagnosis of glucose dysregulation here: [URL]https://www.tandfonline.com/doi/abs/10.3109/00365513.2010.491869[/URL] And in 17% of a polycystic ovary group of participants here: [URL]https://academic.oup.com/humrep/article/31/5/1105/1750223[/URL] I think diagnoses only happen when the symptoms get extreme, since many RH symptoms are easily attributable to other things, such as fatigue, hunger, stress, anxiety and PMS. certainly in my working career I have sat in offices with several (many?) individuals lurch from one pick-me-up to another, to avoid those symptoms, with the pick-me-ups varying from sweets, chocolate, crisps and other snacks, to coffee and cigarettes. And I have lost count of the people who say, ‘i HAVE to eat, or I go all funny...’ [/QUOTE]
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Why don't insulin-resistant people experience reactive hypoglycemia?
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