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Reactive Hypoglycemia Diabetes

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Hypoglycemia Treatment & Management

Approach Considerations The mainstay of therapy for hypoglycemia is glucose. Other medications may be administered based on the underlying cause or the accompanying symptoms (not discussed here). Fasting hypoglycemia Dietary therapy may be effective for improving symptoms in patients with fasting hypoglycemia. Frequent meals/snacks are preferred, especially at night, with complex carbohydrates. If dietary therapy is inadequate, medical care for patients with fasting hypoglycemia may include intravenous (IV) glucose infusion. However, IV octreotide is effective for suppressing endogenous insulin secretion. Reactive hypoglycemia does not require medical care. Because exercise burns carbohydrates and increases sensitivity to insulin, patients with fasting hypoglycemia should avoid significant activity. However, patients with reactive hypoglycemia often find that their symptoms improve after embarking on a routine exercise program. Definitive treatment for fasting hypoglycemia caused by a tumor is surgical resection. The success rate is good for benign islet-cell adenomas, and the success rate for malignant islet-cell tumors can be as high as 50%. Reactive hypoglycemia For patients wit Continue reading >>

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Popular Questions

  1. CatholicMama

    Talk to me about reactive hypoglycemia

    I did something very stupid today, and I feel pretty awful about it. I had gestational diabetes with my last pregnancy (I'm 8 months postpartum) and have been randomly checking my blood sugar since. Anyhow, some of readings have been quite high (Around 200). I have a doctors appointment in 5 weeks. I guess I'm still in denial that anything could be wrong, so I decided to do my own OGTT. I ate a serving of jelly beans this morning and tested at fasting (70s) 1 hour (160) 90 minutes (150) 2 hours (90) and finally 2.5 hours (50!!). I felt AWFUL. I almost called my husband to come home because I was seriously concerned that I might pass out with two small children in the home. I did NOT expect my sugars to crash that much. Why does that happen? Is it a symptom of prediabetes? I was barely functional for the rest of the day. I was exhausted, like I had run a marathon. I've been trying to find info on reactive hypoglycemia, but I'm not finding anything substantial. Is it a precursor to type 1 or type 2 or both?

  2. U2Bad1

    You have geatational diabetes? It would be difficult to tell if your body would have reacted the same way outside of pregnancy.

  3. U2Bad1

    Oh sorry, you HAD gestational diabetes. Looks like by your numbers you are prediabetic, but only your dr will be able to tell you.

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