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Non Diabetic Hypoglycemia Diet

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I think I have reactive hypoglycemia. How can I address my symptoms? Answers from M. Regina Castro, M.D. Reactive hypoglycemia (postprandial hypoglycemia) refers to low blood sugar that occurs after a meal — usually within four hours after eating. This is different from low blood sugar (hypoglycemia) that occurs while fasting. Signs and symptoms of reactive hypoglycemia may include hunger, weakness, shakiness, sleepiness, sweating, lightheadedness and anxiety. It's possible to have symptoms that are similar to reactive hypoglycemia without actually having low blood sugar. True reactive hypoglycemia symptoms that are caused by low blood sugar occurring after eating are uncommon. For the majority of people with postprandial symptoms, the actual cause of the symptoms is not clear but may relate to what food was eaten or variations in the timing of the food moving through the stomach and intestinal tract. Generally, a medical evaluation is done to determine whether symptoms are caused by low blood sugar — and whether symptoms resolve once blood sugar returns to normal. Further evaluation of reactive hypoglycemia depends on the severity of symptoms. For the majority of people, react Continue reading >>

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  1. akmontgomery05

    Spring of 2015 I began having diabetic symptoms. I have family history on both sides and did not have the best diet. I had a baby six months earlier. I could not function after lunch. I could hardly make it to the bed. I would get so dizzy. Brain fog like you wouldn't believe. At times I could not read. Began to have vision problems. Everything would be so bright. Had to turn the brightness down on my work computer as low as it would go. Had to pee all day long.
    I was due for a check up anyway and asked for an a1c. My doctor knew my family history and went with it. But. it came back low. 4.5. I was taken back. After a year of changing my diet and checking my blood sugar almost daily, it is now 4.6. I had a small range of normal. When I do spike, I get symptomatic at 115. For my low's, I get symptomatic around 70.
    I am thinking about getting a continuous glucose monitor.
    I was diagnosed with non diabetic hypoglycemia. Not much out there on this. Trying to keep my blood sugar level as much as possible. My primary is referring me to an edo.

  2. Randy5

    I am by no means an expert or medical professional. But I do have several people in my family with a similar issue. Sometime back I came here to TU and asked about this because my stepson was having severe lows. The overwhelming response that I got was that hypoglycemia is very often a precursor to type I. In fact, now that I have an understanding of how I feel when my blood sugar is low (type I and using a meter) I realize that I had hypoglycemic episodes going back as far as 40 years. They became more frequent the older I got. I was diagnosed type I at age 55.
    Based on all of that I would recommend going forward with your plan to be seen by an Endo and have further tests. Also, the approach to hypoglycemia is the same as that of diabetes. The goal is stable blood sugar. Treating your lows with carbs only is like pouring gasoline on a fire. My sister-in-law is hypoglycemic and eats virtually the same type of diet that I do to manage it. I know there are also communities online for hypoglycemic support.

    Most importantly, I also know that it is nothing to ignore.

  3. akmontgomery05

    Thanks for the reply. The endo should be in contact shortly to set up an appointment. My blood sugar got down to 40 today within two hour of eating my lunch. I am trying to stay on a diabetic diet. To keep my blood sugar as stable as possible. Its a learning curve for sure.

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