Doctor insights on:
Uncommon: In someone with a normal GI tract, hypoglycemia after a meal is very uncommon. To be fair, some people feel yucky 2 hr after eating a sugar-rich meal. But it is rarely a low blood sugar. Most people will not feel symptoms unless the blood glu is <60. I people who have had gastric bypass or other GI surgeries, post meal hypoglycemia can occur. One cause is nesidioblastosis. ...Read more
Overdiagnosed: It does exist, but is very uncommon and has been grossly overdiagnosed and hyped. Many people get symptoms 3-4 hr after a sugary meal even tho glu is normal, and people have "low" glu with no symptoms at all. If you have post-meal symptoms, best treatment is smaller/frequent meals/complex carbs/protein etc (after stomach surgery, eg gastic bypass, reactive hypo can occur). ...Read more
Yes: This is a tough question to answer as it depends what you mean by real. There are several things which cause reactive hypoglycemia but loosely this term refers to a style of digestion in which blood sugar suddenly drops to low enough levels to cause symptoms up to 4 hours after a meal. It is caused when the body is still releasing Insulin after a meal is digested resulting in a sugar drop. ...Read more
Hypoglycemia: Hypoglycemia is a condition that occurs when your blood sugar (glucose) is too low. Blood sugar below 70 mg/dl is considered low. Blood sugar at or below this level can harm you. Symptoms may include dizziness, confusion, shakiness, feeling lightheaded, weakness, delerium, etc. ...Read more
Anything BUT NOT: Simple sweets/ sugarsGet a more detailed answer ›
Yes...: Reactive hypoglycemia is defined as a drop in blood sugar after of eating, usually a meal high in sugar or carbohydrates. There is some controversy over the diagnosis and it is not a "formally" recognized D.C., however, clinically it is something that in my opinion & the endocrinologist I know clearly exists & guidelines for its tx exist. It often occurs in people w a FH of DM or pre-DM. ...Read more
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
My g t t shows a drop from 7.8 down to 4. 0mmol in the first hour. The lowest value was 3.6mmol. Does this suggest reactive hypoglycemia?
Fainting?: Not so much. Feeling like fainting is much more common. Happens. The physiology of it is in people who are becoming diabetic, they are not sensitive to insulin and the insulin regulation is off. The first thing is that with less sensitivity to it, the amount of insulin secreted goes sky high. Then, if there isn't enough sugar... reactive hypOglycemia and feeling empty. ...Read more
N+you don't have it: Biotin isn't useful for anything except increasing "health food" store revenue. 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 symptom 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 hypoglycem. ...Read more
One is med induced: Reactive hypoglycemia means blood sugars drop after eating a high carb meal due to an exaggerated response by the pancreas. People with diabetes get hypoglycemic when their carb intake does not match their med intake or when they expend more calories than they usually do and take the same amount if Insulin or other meds. ...Read more
Can reactive hypoglycemia be cured forever so in the future I won't have to worry about what I'm eating or drinking?
Hypoglycemia: Eating small regular frequent meals is the best defense against reactive hypoglycemia. ...Read more
Not so much: It is a response to hyperinsulinemia, which is the first step towards adult onset or type 2 diabetes. When one becomes obese, the body begins to ignore the message of insulin. The response in the pancreas is to secrete more insulin. When challenged with a meal the Insulin response is too much and when the meal is digested, there is still Insulin available but no food and the blood sugar drops. ...Read more
Please don't do this:
Both "candida" and "hypoglycemia" are fad diagnoses.
"Cleanses" can land you in the ICU. You may have found company and sympathy from "independent medical thinkers", but the price you'll pay is never feeling well again. You need a relationship with an evidence-based practitioner in your community who's open to holistic and complementary modes of healing. This will get you productive, feeling betr ...Read more
Different.: These are different things. Reactive hypoglycemia is an overly brisk response of your pancreas to a particularly sugary meal; too much insulin is released in the blood sugars plummet. Prediabetes is a slight elevation of your blood sugars in the longer-term which suggests a predisposition to diabetes. ...Read more
Not really: The best way to confirm hypoglycemia is by testing the sugar at the time of symptoms to see if is truly low (under 60). Many people with symptoms of hypoglycemia find that their sugars are actually normal when they are having symptoms, and that the symptoms are related to something else. ...Read more
In a number of ways:
not uncommon situation - pre-diabetes can only be defined in retrospect i.e. if you get diabetes! States of insulin resistance such as PCOS may present with reactive hypoglycemia and rarely so can an insulinoma. As an endocrinologist will request a battery of tests to be done DURING hypoglycemia. Timing that can be very challenging. ...Read more
Hypoglycemia: Eating small amounts of food more frequently. Avoid foods with high glycemic index (potato chips, cake, frosting, refined sugars) that spike your metabolic response then a few hours later you dump with low blood sugar. This dropping blood sugar several hours after metabolic spike drives your hunger. Be well. ...Read more
I have reactive hypoglycemia, is it ok for my fasting glucose to be sitting at 6.5 to 7.0 mmol with this condition?
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. Don't waste your money on a GTT or any fad diets of treatments. Lose wt if heavy. Remember, glucose meters are not very accurate in the low normal to hypoglycemic ranges. ...Read more
Reactive hypoglycemia 1, 5 year after sleeve gastrectomy, any tips or medications to handle? Does it get any bettee?
Diet advice.: Your best bet would be to pursue nutrition advice with a registered dietitian. You likely need a tailored diet of small frequent meals with complex carbohydrates and fiber to keep the blood sugars from spiking after you eat. The spike it what leads to an oversecretion of insulin, which then lowers the blood sugar excessively. Find an RD who specializes in patients who've had weight loss surgery ...Read more