Your opinion on my ogtt please

[Beeboop]

Hi Please can you give me your opinions on this glucose tolerance test. Reason for this test is because I have been experiencing a lot of low blood glucose symptoms. I have been on a low carb diet because after I eat carbohydrates I feel extreme fatigue, drowsy, foggy and blurred vision. So by stopping carbs I have stopped these symptoms but I was getting low blood glucose symptoms and loosing weight and feel like I don’t have enough energy.

Since this test I’ve been advised to eat more carbs to put on weight I have started to this week but today I felt extremely unwell following lunch which had rice cakes chicken lots of vegetables, this is a lot of carbs for me and it brought back all the symptoms I was getting before and why I stopped them...I got extreme fatigue drowsy blurred vision all I could do was lay in this coma state it was horrible and it eased off after three hours. Your advice would be much appreciated thanks


-30 mins 3.6

0 mins 3.3

60 mins 13.5

90 mins 14.2

120 mins 14.4

150 mins 10.2

180 mins 8.2

210 mins 7.4

240 mins 5.2

270 mins 2.3

300 mins 1.8

 

[ziggy_w]

Hello @Beeboop,

I am not an expert, but it does look a lot like reactive hypoglycemia to me. (Please remember that we cannot diagnose you on this forum.) There are also forum members, who will know a lot more about this. I am tagging @Lamont D and @Brunneria, who I hope will be able to help.

Meanwhile, you might want to have a read around the Reactive Hypoglycemia subforum.

 

[Brunneria]

Hi @Beeboop and welcome

None of us can give you a diagnosis or give you medical advice (but i am sure you knew that already! ).
But having said that, your gtt results are very very very similar to what happens to me - and i have reactive hypoglycaemia.

So I can tell you that for me, the advice to ‘eat more carbs’ doesn’t work. I just feel rougher and rougher and enter a cycle of highs and lows that feels like a miserable rollercoaster.

For me, i get blood glucose control by cutting all gluten (turns out that gluten makes my blood glucose v unstable), and by keeping carbs v low.

I can put on weight by upping the carbs a little and combining them with fat and protein (eating nuts by the handful, pate on GF crackers - that kind of thing...

Have look at the reactive hypoglyceamia section of the forum and you will see that there are quite a few of us around...

 

[Lamont D]

Hi Please can you give me your opinions on this glucose tolerance test. Reason for this test is because I have been experiencing a lot of low blood glucose symptoms. I have been on a low carb diet because after I eat carbohydrates I feel extreme fatigue, drowsy, foggy and blurred vision. So by stopping carbs I have stopped these symptoms but I was getting low blood glucose symptoms and loosing weight and feel like I don’t have enough energy.

Since this test I’ve been advised to eat more carbs to put on weight I have started to this week but today I felt extremely unwell following lunch which had rice cakes chicken lots of vegetables, this is a lot of carbs for me and it brought back all the symptoms I was getting before and why I stopped them...I got extreme fatigue drowsy blurred vision all I could do was lay in this coma state it was horrible and it eased off after three hours. Your advice would be much appreciated thanks


-30 mins 3.6

0 mins 3.3

60 mins 13.5

90 mins 14.2

120 mins 14.4

150 mins 10.2

180 mins 8.2

210 mins 7.4

240 mins 5.2

270 mins 2.3

300 mins 1.8

Hi, @Beeboop and welcome.

I cannot believe that having this eOGTT anyone would recommend having carbs thrust upon them as a treatment because you are under weight.
Why in God's name would they recommend eating something that makes you really ill and having really bad symptoms, it is not logical.
After studying your test readings, this reminds me so much of my first eOGTT.
It is classic 'Late Reactive Hypoglycaemia'!
But as others have said I cannot give you a definitive diagnosis. Only more tests can do that.
When do you see your specialist again?
I would go back to low carbing if I was you.
If you have a glucometer, it would be an idea to see which foods you don't tolerate.
It is all about food.

Do please read the reactive hypoglycaemia forum and the threads will give you an idea of what is happening to you.

Best wishe

 

[Beeboop]

Thankyou everyone it’s really appreciated

The thing is I did go very low carb around 50 a day for a few months and I felt very low, and no energy and still getting hypos.

I do feel part of me is better on more carbs but Iv no idea how high to go.

Also when looking at my test the two hour reading I thought should be below 11? So is this diabetes? And does that mean somethings up with my insulin the first couple hours after eating?

Could this be Lada? As I do get certain symptoms of it


Many thanks

 

[Brunneria]

Well, for me, 50 g carbs a day is too many.
I can do it for a day or two, but then feel increasingly rough.

My comfort zone is under 20g carbs a day. That is when I start to feel well.

The other thing to remember is that a very low carb way of eating needs to be ‘well formulated’ with enough electrolytes and energy coming from fats and protein . Correct macros and so on. Also, it can take months to adjust before getting to feel well. The body takes a while to switch its fuel source.

I’ve no idea how well formulated yours was, but I know that I am still learning/tweaking/changing what I am doing, and i’ve Been doing this for along while now. I just keep experimenting and keep the bits that seem to work for me.

 

[Lamont D]

Thankyou everyone it’s really appreciated

The thing is I did go very low carb around 50 a day for a few months and I felt very low, and no energy and still getting hypos.

I do feel part of me is better on more carbs but Iv no idea how high to go.

Also when looking at my test the two hour reading I thought should be below 11? So is this diabetes? And does that mean somethings up with my insulin the first couple hours after eating?

Could this be Lada? As I do get certain symptoms of it


Many thanks

No, I would not say it’s Lada but as been said we cannot diagnose you. The symptoms are asymptomatic of most endocrine conditions.
Try to go below 20gms a day. Avoid carbs as much as possible .
Regarding the double digit reading that is your spike. Typical reactive Hypoglycaemia.

People with RH have a pancreatic condition that over shoots insulin in response to food. They have too much insulin in their blood. They have a weak initial insulin response to food hence the spike, they then have a secondary response which overshoots insulin, and this continues till they go hypo.
The only way for an RHer to control insulin is by diet, by going very low carb.
If we eat very low carb, we don’t trigger insulin, we don’t spike, we don’t hypo. So diet is the only treatment that works.

You may get diabetes if you don’t control the condition. You may also get the horrible symptoms like I did before diagnosis.
RHers don’t need carbs. They need a balanced diet that is healthy for them, Carbs are unhealthy for them.

Do read our forum. There is great knowledge and understanding of the condition.
I have been where you are now, it’s a life change, the health industry does not understand that certain foods are no good for us. I have not had a hypo in four years since my last eOGTT, I would if I started eating carbs again.
You need to start finding which foods do the same as your eOGTT did to your blood sugar levels.

Best wishes, keep asking, knowledge is key to getting your head around all this.

edited by moderator to remove any implication that the OP has a diagnosis of RH

 

[Emile_the_rat]

Hi Please can you give me your opinions on this glucose tolerance test. Reason for this test is because I have been experiencing a lot of low blood glucose symptoms. I have been on a low carb diet because after I eat carbohydrates I feel extreme fatigue, drowsy, foggy and blurred vision. So by stopping carbs I have stopped these symptoms but I was getting low blood glucose symptoms and loosing weight and feel like I don’t have enough energy.

Since this test I’ve been advised to eat more carbs to put on weight I have started to this week but today I felt extremely unwell following lunch which had rice cakes chicken lots of vegetables, this is a lot of carbs for me and it brought back all the symptoms I was getting before and why I stopped them...I got extreme fatigue drowsy blurred vision all I could do was lay in this coma state it was horrible and it eased off after three hours. Your advice would be much appreciated thanks


-30 mins 3.6

0 mins 3.3

60 mins 13.5

90 mins 14.2

120 mins 14.4

150 mins 10.2

180 mins 8.2

210 mins 7.4

240 mins 5.2

270 mins 2.3

300 mins 1.8

Well it looks kind of similar to how my blood sugar acts, so based on my own experience I would guess reactive hypoglycemia.

I have hyperglycemia followed by hypos when I eat high glycemic food, sometimes normal food too. And despite my episoden of high blood sugar I got diagnosed with reactive hypoglycemia because of my series of low blood sugar.

The endocrinoligist, that were specialized in diabetes, that gave me the diagnosis meant it could either develope to type 1 or LADA (because of hyperglycemia, episoden of bs above 11.2) , our it could just stay as reactive hypoglycemia without developing to something more. His advice was to keeping track of blood sugar with a blood sugar monitor, and take a HbA1c each third month to keep track of things.

My advice would be to get a proper diagnose from an endocrinologist, just to be sure. No one can give you a diagnosis on web, but I think it sound alot like reactive hypoglycemia.