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Doctor insights on: Hypoglycemic Insulin Reaction

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Dr. Tracy Berg
975 Doctors shared insights

Hypoglycemic Insulin Reaction (Overview)

A hypoglycemic insulin reaction


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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. Tracy Berg
975 Doctors shared insights

Hypoglycemic Insulin Reaction (Overview)

A hypoglycemic insulin reaction


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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 tell if I'm hypoglycemic?

How can I tell if I'm hypoglycemic?

Most reliable is to: Get home glucose monitoring kit in pharmacy

under 60 is likely too low

symptoms are not always felt when this occurs. ...Read more

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What happens to me when I get hypoglycemic?

What happens to me when I get hypoglycemic?

Many things: When the body senses a low blood sugar, safety mechanisms kick in to begin to raise the blood sugar. Adrenalin is secreted to block the effect of Insulin and to produce sugar from glycogen stored in the liver. Counter regualtory hormones are secreted to raise blood sugar. One may feel jittery, drunk, confused, hungry, sweaty, heart pounding, weak, and sleepy. Treatment is dictated by cause. ...Read more

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What is the newly approved hypoglycemic drug?

What is the newly approved hypoglycemic drug?

Canagloflozin: Invokana is a novel drug that prevents reuptake of glucose from the kidney, so that you just shed more glucose out via the kidney. Not effective with kidney disease, creatinine clearance <45.
Drops hga1c ~0.8, both fasting and after-eating sugars.
Must drink lots of liquids to prevent dizziness low blood pressure and, to reduce risk of urine infections, push fluids andkeep fastidious bathroom. ...Read more

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Do I need to check my bs if I'm hypoglycemic?

Do I need to check my bs if I'm hypoglycemic?

How do you know?: You need to check the level of glucose in your blood to know you're hypoglycemic. You may feel similar symptoms for other reasons. If you are being treated for diabetes, discuss this with your doctor. ...Read more

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What exactly does it mean if you hypoglycemic?

What exactly does it mean if you 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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Could I be amenic and hypoglycemic at the same time?

Yes: Both can occur at the same time. Lab testing can prove this. ...Read more

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What type of foods should I eat if I am hypoglycemic?

What type of foods should I eat if I am hypoglycemic?

ADA recommends:: Keep some fast-acting sugars handy in case you go low. Here's a list of fast-acting sugars:

3 glucose tablets
4 ounces of apple or orange juice
4 ounces of regular soda (not diet!)
about 1 tablespoon of cake frosting or icing
about 3 jolly ranchers®
about 6 lifesavers®. ...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

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