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Reactive Hypoglycemia

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Reactive Hypoglycemia

Reactive hypoglycemia is a condition in which the body reacts to a perceived catastrophic drop in blood sugar. I say perceived because during an episode, the blood sugar readings may be in the normal range, but still "feel" like low blood sugar to the person having the reaction. In my experience, hypoglycemia happens to most people when first beginning a low carb, ketogenic diet. It may be especially strong in people who have already developed insulin resistance or pre-diabetes from a chronic excess of carbohydrate intake. There are different types of low blood sugar causes. Transient hypoglycemia normally happens when most people who have been eating a high carb diet drastically reduce carbohydrate intake for the first time. This type happens during the first several weeks of carb reduction because the body has not had time to create the enzymes or metabolic state to burn internal fat stores for fuel. Basically there is a gap in the amount of carbohydrate available for fuel, and the process of accessing fat stores for fuel. The lack of fuel sources results in transient low blood sugar. Reactive hypoglycemia is more of an acute reaction to a very high carb meal. For instance, when Continue reading >>

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  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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