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Doctor insights on: Hypoglycemic Insulin Reaction Near Me

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My older sister has t2dm, is taking oral hypoglycemics, but is still finding her bgls are rising as high as 15 fasting. Should she be taking insulin?

My older sister has t2dm, is taking oral hypoglycemics, but is still finding her bgls are rising as high as 15 fasting. Should she be taking insulin?

Quite possibly: 15 (270 mg/dl) is quite high and she needs something changed, whethe it be higher doses of her diabetes pills, adding more pills, calibrating her blood sugar meter, adding insulin, she needs the sugars to improve. She should also meetwith a dietician to improve her diet, bc drastic bg changes can come from cutting down on foods that sneak sugar into your day (syrups, candy, bread, soda, ketchup). ...Read more

Dr. Quang Nguyen
2,755 Doctors shared insights

Insulin (Definition)

A hormone produced in the pancreas by the islets of langerhans that regulates the amount of ...Read more


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How often does a diabetic on insulin expect to have a hypoglycemic episode?

How often does a diabetic on insulin expect to have a hypoglycemic episode?

Never: That is the goal, to never have hypoglycemic episode. You blood sugar diary along with the lack or presence of symptoms will guide your doctor about the proper dose of insulin. ...Read more

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Why is the oral form of insulin or an oral hypoglycemic agent contraindicated to pregnant women?

Why is the oral form of insulin or an oral hypoglycemic agent contraindicated to pregnant women?

Lack of studies: There is no oral form of insulin. There are oral agents that have been studied and found to be safe in pregnancy (metformin, glyburide), however, they do not have FDA approval because no company has submitted studies for approval. Many ob/gyn and endocrinologists use these medications in gestational diabetes (instead of insulin injections) ...Read more

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Could reducing dose of non-selective beta blocker cause insulin surge while still blocking compensatory sugar control and induce hypoglycemic shock?

Could reducing dose of non-selective beta blocker cause insulin surge while still blocking compensatory sugar control and induce hypoglycemic shock?

Insulin surge: I don't fully understand your question!
Insulin, if given in too high a dose, can induce hypoglycemia.
A beta blocker is unlikely to cause an "insulin surge".

Can you please try and give me some more information. ...Read more

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Insulin resistant severe weight loss. Hypoglycemic many years before diabetic. Causes?

Insulin resistant severe weight loss. Hypoglycemic many years before diabetic. Causes?

Absolute deficiency: Insulin resistance is seen in obesity or being overweight is associated with Insulin resistance state. Insulin basically enhance anabolism (versus catabolic hormones) and utilization of glucose from all the sources (fat, carbohydrate and, protein). Severe weight loss is an indicator of Insulin deficiency. This Insulin deficiency should be absolute as in type I or Insulin dependent diabetes. ...Read more

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How does alcohol increase the chances of hypoglycemia in diabetic patients taking insulin or other hypoglycemic agents?

How does alcohol increase the chances of hypoglycemia in diabetic patients taking insulin or other hypoglycemic agents?

EtOH & hypoglycemia: Drinking alcohol heavily while not eating, can block your liver from releasing needed glucose into your bloodstream. This results in low blood sugar, or hypoglycemia. It could be magnified in diabetic patients when their blood sugars are being driven down by hypoglycemic agents and/or insulin. ...Read more

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What causes insulin resistance besides obesity? I'm not overweight at all, have been hypoglycemic since teens, now new diagnosis of insulin resistance.

What causes insulin resistance besides obesity? I'm not overweight at all, have been hypoglycemic since teens, now new diagnosis of insulin resistance.

See integrative doc: Some forms of small intestine dysbiosis can cause insulin resistance is the new research into the human microbiome (gut). Happens in slender or skinny people, and worth investigating. Sounds secondary, and need to treat root cause, review your medical records, history, and do further work up. Taking PPI (anti acid meds) changes your pH, and this can be additive. Need a 2nd opinion to correlate! ...Read more

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I have PCOS high free testos. And hypoglycemic w. elevated insulin, I want doc to get Flutamide but doc says unsafe. What to do?

I have PCOS high free testos. And hypoglycemic w. elevated insulin, I want doc to get Flutamide but doc says unsafe. What to do?

Doc's right: Flutamide has low priority in antiandrogen management. In addition to its antiandrogenic side effects, diarrhea, nausea, and vomiting are relatively frequent side effects. Although hepatotoxicity is uncommon, it can be fatal; serum aminotransferases should be closely monitored during therapy. Thanks for trusting HealthTap! ...Read more

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How can I stop false hypoglycemic reactions, where it drops from a high to a normal level suddenly? Do I need to reduce carbs more?

How can I stop false hypoglycemic reactions, where it drops from a high to a normal level suddenly? Do I need to reduce carbs more?

The only solution: Is to lose weight through diet an exercise and eat much smaller portions so that your glucose doesn't increase as much. Depending upon your lab and other parameters, you may be a candidate for medication such as metformin. Check w/your doctor. ...Read more

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Can you become hypoglycemic as a result of gastritis or taking h2 blockers like ranitidine 300mg?

Can you become hypoglycemic as a result of gastritis or taking h2 blockers like ranitidine 300mg?

Usually not: But some people don't eat much due to symptoms of gastritis. Few patient's may report sweating or dizziness etc after taking ranitidine but may not be hypoglycemic though. ...Read more

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How can I help my hypoglycemic girlfriend?

Help girlfriend: You must take your girlfriend to an Endocrinologist. If there is a long wait for an appointment please go to the nearest Emergency room. ...Read more

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Can you please define hypoglycemic behavior?

Can you please define hypoglycemic behavior?

Rare disorder: Symptoms include nervousness, sweating, hunger, anxiety, blurred vision, fatigue, fast heart rate, etc. -- however unless you have diabetes and are on Insulin or other medication, have renal or liver disease, cancer or prior stomach surgery -- then true hypoglycemia neveer occurs in human beings. If it a very frequently and incorrectly made diagnosis. ...Read more

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Could I be hypoglycemic? How can I get tested?

Could I be hypoglycemic? How can I get tested?

Not likely: Symptoms include nervousness, sweating, hunger, anxiety, blurred vision, fatigue, fast heart rate, etc. -- however unless you have diabetes and are on Insulin or other medication, have renal or liver disease, cancer or prior stomach surgery -- then true hypoglycemia neveer occurs in human beings. If it a very frequently and incorrectly made diagnosis. ...Read more

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Can I have a healthy baby if I am hypoglycemic?

Can I have a healthy baby if I am hypoglycemic?

If you keep fit: It would be good for you to discuss your hopes with an OB and/or high risk OB specialist. In pregnancy, the normal development of the fetus requires a continuous transfer of nutrients like glucose thru the placenta. The fetus generally will have a glucose level 2/3 of your level at any point in time, so your spells could cause problems for baby. Your healt team can give you specific guidence. ...Read more

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What can you and cannot do if you're hypoglycemic?

What can you and cannot do if you're hypoglycemic?

No: In my 35 years of practice, I have never seen a case of reactive hypoglycemia. The disorder doesn't exist, if you're overweight the symptoms are a natural response to your glucose level returning to normal. A glucose tolerance test (if you've had one) is not and never will be a valid diagnostic test for hypoglycemia. Don't waste your money o GTT or any fad diets of treatments. Lose wt if heavy. ...Read more

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Wht would cause someone to become reactive hypoglycemic?

Hypoglycemia: Typically individuals who are taking medicines or Insulin to control diabetes can cause hypoglycemia. ...Read more

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I'm hypoglycemic what kind of food is best for me to eat?

I'm hypoglycemic what kind of food is best for me to eat?

Lean Protein: Avoid simple carbs - but most importantly smaller meals containing protein multiple times a day- every 3-4 hours-----don't skip meals! ...Read more

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What kind of tests do I need to tell if I am hypoglycemic?

What kind of tests do I need to tell if I am hypoglycemic?

You don't have it: In addition, in my 35 years of practice, I have never seen a case of reactive hypoglycemia. The disorder doesn't exist, if you're overweight the symptoms are a natural response to you sugar returning to normal. A glucose tolerance test (if you've had one) is not and never will be a valid diagnostic test for hypoglycemia. Low glucose only ocurrs when treating diabetes, cancer, renal/liver disease. ...Read more

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Could you tell me what are good lunch foods for a hypoglycemic?

Could you tell me what are good lunch foods for a hypoglycemic?

No: In my 35 years of practice, I have never seen a case of reactive hypoglycemia. The disorder doesn't exist, if you're overweight the symptoms are a natural response to your glucose level returning to normal. A glucose tolerance test (if you've had one) is not and never will be a valid diagnostic test for hypoglycemia. Don't waste your money o GTT or any fad diets of treatments. Lose wt if heavy. ...Read more

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When and what should I eat if I am hypoglycemic and want to exercise?

When and what should I eat if I am hypoglycemic and want to exercise?

Frequnetly: Eat 6 equal meals about every 3 hours. Emphasize vegetables and high quality meat good fats, and fiber to keep blood sugar stable. Avoid sweet fruits and fruit juices although fruit can be eaten prior to exercise since it is taken up by muscles and won't cause reactive hypoglycemia. Don't over exercise. Listen to your body. ...Read more

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I'm hypoglycemic, but what exactly is it? And what can I do to control it?

I'm hypoglycemic, but what exactly is it? And what can I do to control it?

Hypoglycemia is when: Your blood glucose is too low. Your body needs glucose for energy so when you are low it releases adrenaline to help raise your blood glucose. That can cause symptoms like anxiety, palpitations, and sweating. The brain uses glucose as well so if it is low can cause symptoms of forgetfulness, unusual behavior or coma. The cause should be determined asap to prevent death. Treat with frequent food. ...Read more

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How should I lose weight if I'm hypoglycemic?

How should I lose weight if I'm hypoglycemic?

Nutrient dense foods: Eat foods that are nutrient dense (like meat, fish, poultry, eggs, cheese, low starch vegatables and water) avoid foods that are not nutrient dense (like starches and sugars, including fruit)
this type of diet will keep your blood sugars stable. ...Read more

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What can you do to prevent hypoglycemic shock?

What can you do to prevent hypoglycemic shock?

By working with: Your entire diabetes team on an effective regimen of diet, exercise, weight loss (if needed), medication, monitoring, prevention, control of other risk factors etc. Make sure you're eating properly and not on an excessive dose or number of medications. Hopefully you're being followed by a competent endocrinologist. Hypoglycemic shock, as such, should be very very uncommon. ...Read more

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Could hypoglycemic be the same as galactosimia?

Could hypoglycemic be the same as galactosimia?

Hypoglycemia: Galactosemia is a genetic disorder where galactose accumulates due to deficiency of the enzyme that breaks it down. It leads to liver/kidney/brain damage, & cataracts.
Hypoglycemia is low glucose due to pancreas or liver diseases or medications that lower sugar levels such as insulin. ...Read more

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Is it a bad idea to fast if you are hypoglycemic?

Is it a bad idea to fast if you are hypoglycemic?

Fasting: Not good idea if you are taking medications & have to skip doses, otherwise it is not a contraindication to fasting. ...Read more

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Hypoglycemic with geststional diabetes, what to do?

Hypoglycemic with geststional diabetes, what to do?

Hypoglycemic: I am wondering when you are becoming hypoglycemic. Are you using insulin?

Hypoglycemia can be even more dangerous in the short-term that hyperglycemia.

It is important to optimize your blood sugar while you are pregnant. High blood sugar makes for a very large baby, which can increase the risk for a necessary c-section and certain problems with the baby. Work with a good doctor on this. ...Read more

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How likely is it for hypoglycemics to get diabetes?

How likely is it for hypoglycemics to get diabetes?

Need to be imprecise: But patients who get low blood sugar 4-6 hours after eating, especially sweets, have increased risk of getting diabetes - 1 -30 years later. ...Read more

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How do you know if you're hypoglycemic or have diabetes?

How do you know if you're hypoglycemic or have diabetes?

Blood sugar: If you are diabetic, your sugars will be chronically elevated. Conversely, if you suffer from hypoglycemia, your sugars would be going up and down. ...Read more

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Is it true you can be hypoglycemic and not be a diabetic?

Is it true you can be hypoglycemic and not be a diabetic?

Yes and no: . You would need to take a drug that CAUSES hypoglycemia (insulin is the best example, although there is a category of pills that can also do it). There are extremely rare insulin-secreting pancreatic tumors that can cause hypoglycemia (and other even rarer tumors). But metabolically normal people can't get severe hypoglycemia. To your health! ...Read more

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Can you get moderate body pain during hypoglycemic attack?

Yes: There could be several reasons for this. The most likely is because the brain and nervous system can only use glucose or ketones as a source of energy. If you have hypoglycemia, then the nerves may not function properly and can result in parasthesias and/or pain. ...Read more

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Can a person be hypoglycemic with a negative diabetes test?

Can a person be hypoglycemic with a negative diabetes test?

Yes: Typically get low sugars 4-6 hours after eating, up to 20 years before get overt diabetes

resolves in most by avoiding simple sugars. ...Read more

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If I feely hypoglycemic, shouldn't I eat sugar to compensate?

If I feely hypoglycemic, shouldn't I eat sugar to compensate?

Test your sugar!: Are you diabetic? On meds for it? What meds? If you feel hypo you should test your blood sugar and, if under 70, treat it with 15 grams of sugar (about 15 jelly belly jellybeans, 15 grams of glucose tablets or gel, an 8 oz. Glass of milk or a standard piece of white bread, as examples). No ice cream or chocolate! (see my article on diabetes in the elderly at sugarnancy. Com) rechk 15 min. ...Read more

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Hypoglycemic with geststional diabetes, how are these related?

Hypoglycemic with geststional diabetes, how are these related?

Meds cause it: Gestational diabetes (a state of high blood sugar) doesn't cause hypoglycemia (low blood sugar) by itself. However, the medications used for GDM can cause hypoglycemia if the pregnant mother didn't consume enough carb calories. ...Read more

Dr. Tracy Berg
975 Doctors shared insights