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Hypoglycemia Precursor To Type 1 Diabetes

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Hypoglycemia (low Blood Sugar) In Type 1 Diabetes

I was diagnosed with type 1 diabetes in 1968, at the age of 8 years old. At the time, there were no fingerstick blood sugars available for use. One had to regulate diabetes by measuring urine sugars, a very imprecise way to monitor blood sugar control. I recently obtained copies of my medical records from that 12-day stay, and found the following comment in the discharge summary: “He had one mild episode of shocking without loss of consciousness or convulsion.” I remember that episode. I could not have known that it was to be the first of hundreds of low blood sugar reactions that I would experience over the next 46 years. Though a hypoglycemia episode is always disruptive and never a pleasant experience, most were mild, ones that I could treat myself. But occasionally they were severe, requiring assistance from family or co-workers, or 911 calls. I was driven to achieve ‘tight control’ and prevent the long-term complications of diabetes, which I have managed to do. But there was a high price. I felt like I was playing a game of Russian roulette with hypoglycemia. I could no longer tell when I was low. Hypoglycemia unawareness had developed. I was fortunate enough to have d Continue reading >>

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Popular Questions

  1. greedo5150

    OGTT Lab Results--Reactive Hypoglycemia or just pre-diabetes??

    So confused are reactive hypoglycemia lead to diabetes or are they entirely different. I went to a popular dr that does research and he thinks i have insulin resistance and didnt think i had it. However everything i read about reactive hypoglycemia points me to that direction I even had another popular doctor converted to natural health told me it was reactive hypoglycemia. I trust both doctors as they both have a lot of credentials and seem to be experts in their fields. Here are the labs below for glucose and Insulin and i posted the them together on a graph to see what is going on in relation to eachother.
    GLUCOSE
    fasting-87
    30 min -145
    1 hr- 193
    2 hr-117
    3 hr.-56
    4 hr-60
    INSULIN uIU/ml
    fasting-7
    30min-26
    1 hour-9
    2 hr-57
    3 hr-25
    Why would my insulin go back up after hour 3? Did my adrenaline think my sugar was too low and raised my blood glucose, thus my insulin?

  2. Lloyd

    What should have happened is your glucose should have dropped to something like the mid 80's, then stayed there until next time you ate. Your pancreas releases insulin to allow you to get the glucose out of your blood stream, into the cells of your body that need it for energy. Part of the process is your liver stores some of the glucose, and releases it slowly as needed, think of it acting like a sponge.
    So, it seems you have a problem with the regulation of your pancreas, it over reacted and released too much insulin. Then your liver released glucose to raise your blood glucose back to where it should be (we can't see if it got there from your tests, just that it was heading back up).
    Diabetes is about not making enough insulin, or not being able to use insulin efficiently, that is not what is going on for you.
    Can people with reactive hypoglycemia later end up with diabetes? Yes.
    How often does this happen? I don't know.
    -Lloyd

  3. smorgan

    Not sure (and definitely not a doctor), but I think your numbers are just fine. A tad "wide" both ends but as long as you don't go around drinking huge glasses of glucose I think you'll be just fine.
    Of course, its a good time for you (and anyone for that matter) to start decreasing carbs and increasing fats (leave proteins moderate) as it is healthier in general and also to forestall any worsening since your number are borderline.

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