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Doctor insights on: Postprandial Hypoglycemia

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Is Non-Diabetic Hypoglycemia overdiagnosed?

Is Non-Diabetic Hypoglycemia overdiagnosed?

Reactive hypogly. : If you're referring to reactive hypoglycemia, then that to which you refer is fairly common. It's related to the overly brisk response of the pancreas to ingestion of simple sugar. ...Read more

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Insulin resistance? fasting insulin 76pmol/l after 75gOral glucose- 1hr-insulin-849pmol/l . 2 hr-864pmol/l glucose fast 5.4mmol/l 1hr10.4 2hr7.5

Insulin resistance? 
fasting insulin 76pmol/l 
after 75gOral glucose- 
1hr-insulin-849pmol/l . 2 hr-864pmol/l

glucose fast 5.4mmol/l
1hr10.4
2hr7.5

Time to get serious: You have normal glucose tolerance. Your fasting and 2 hr glu is not quite at the level of "impaired". Your insulin levels are on the high side, suggesting insulin resistance. Now is the time to start getting your weight under control, proper diet, and physical activity. Talk to your doctor about your particular situation. ...Read more

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Anxiety attack affect fasting blood glucose?

Anxiety attack affect fasting blood glucose?

Yes: Yes, a rise in adrenaline associated with anxiety will cause your blood glucose to rise. In a diabetic, adrenaline can cause a sharp rise, like 100 or so points or more, but in a non-diabetic 10 or 15 points is possible. Be mindful that uncontrolled glucose levels may also lead indirectly to rise in anxiety sensations as well, see your doctor, to assure adequate control. ...Read more

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Episodes of hypoglycemia?

Episodes of hypoglycemia?

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. It is not hypoglycemia, which doesn't occur unless you're receiving treatment for diabetes or have had GI surgery, cancer, severe liver or kidney disease. ...Read more

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Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.

Hypoglycemia documented with glucose meter and ogtt, gained 10kg in 1 year, no diabetes, hunger, dizziness, exercise intolerance, glycogen issues.

Sorry!: Sorry. Hypoglyciemia is very uncommon in people without diabetes. Meters are not accurate and do not confirm the diagnosis nor are ogts. Ask your doctor to allow you to wear a continous glucose sensor-ipro for 3 days. ...Read more

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Dr. Alvin Lin Dr. Lin
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Blood glucose post prandial is 81.00 but serum insulin is2.7?

Dr. Alvin Lin Dr. Lin
1 doctor agreed:
Blood glucose post prandial is 81.00 but serum insulin is2.7?

What's your question: Why was your serum Insulin checked in first place? What's the reference range given for insulin? How did your ordering physician interpret test for you? Why was blood drawn after a meal b/c you need to be fasting in order to calculate your homa-ir? As you can see, too many questions need to be addressed before we even get to your question, whatever it is! ...Read more

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Diabetes2 acceptable fasting and after meal blood sugars?

Diabetes2 acceptable fasting and  after meal  blood sugars?

Diabetes Control: Fasting under 100 is normal, treated under 120 is pretty good, over 140 not so good. 2 hours after meals normal is 140 to 150 and good control is the same , add 10-20 or so. Many people manage looser but i try to get better control without risking low blood sugars which can be very bad so be careful and work with your doctor closely. ...Read more

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Does this suggest diabetes? Glucose - 62, Glucose Fasting - 69, Insulin Fasting

Does this suggest diabetes? Glucose - 62, Glucose Fasting - 69, Insulin Fasting

Nope: Those are excellent numbers, even going to a little low. Diabetes is not a concern until your fasting glucose starts going over 100, and it isn't called diabetes until higher than that. A1c would also be much higher (6.5% or above is diabetes, 5.7-6.4% is increased risk, 4-5.6% is normal). Good luck! ...Read more

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What is impaired fasting glucose?

What is impaired fasting glucose?

101-125: Between 101 and 125mg/dl when measured by a lab draw out of a vein after an 8-hour fast. This is not for a finger-stick glucose. (ada criteria) check w/your doctor and begin treatment now. ...Read more

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Blood sugar drops below 2.9 mmol/l after eating healthy meals. Hypoglycemic attacks during sleep. Dialy basis. 27, male, 8-10% bodyfat. Non-diabetic. ?

Blood sugar drops below 2.9 mmol/l after eating healthy meals. Hypoglycemic attacks during sleep. Dialy basis. 27, male, 8-10% bodyfat. Non-diabetic. ?

episodes of: Hypoglycemic attacks need work up , from poor dietary habits to tumors that produce Insulin like substances . You have to see your doctor , hypoglycemia can damage your body ( and brain ). ...Read more

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What is humalog (insulin lispro) insulin?

What is humalog (insulin lispro) insulin?

Rapid acting insulin: Like other Insulin analogs Humalog (insulin lispro) (lispro) is a rapid acting meal time insulin. It can be injected before or immediately after meal. It has a quick onset, short duration of action, less variation in absorption and decrease chances of low blood sugar (hypoglycemia) if use appropriately. Indicated for management of diabetes mellitus. Humalog (insulin lispro) is administered subcutaneously only. Can be use in pumps. ...Read more

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Glucose fasting 80, 60min 168, 120min 119. Insulin fasting 5.25, 60min 42.36, 120min 34.47. HbA1c 5,2%. Impaired glucose tolerance/insulin resistance?

Glucose fasting 80, 60min 168, 120min 119. Insulin fasting 5.25, 60min 42.36, 120min 34.47. HbA1c 5,2%. Impaired glucose tolerance/insulin resistance?

Nice and normal: Hi. Those glucose and insulin values look nice and normal, showing neither impaired glucose tolerance nor insulin resistance. Eat healthily and exercise regularly. Good luck! ...Read more

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My bl sugar level drops to 50 3 h after eating,normal insulin, c-peptide, liver enzymes' levels,family history of diabetes,is it reactive hypoglycemia?

My bl sugar level drops to 50 3 h after eating,normal insulin, c-peptide, liver enzymes' levels,family history of diabetes,is it reactive hypoglycemia?

Reactive hypoglycemi: yes. It is. Whenever you eat ready sugars or simple sugars( made with table sugar, juices) your body releases lots of insulin . Your sugars get absorbed mostly from stmach and there is still insulin in the blood that continue to lower your sugar.you should avoid ready sugars and take more complex carbs. Along with proteins. You most likely will be developing diabetes in near future. So watch !! ...Read more

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Fasting glucose 85. then GTT hour 1glucose 84, hour 2 glucose 94. what would cause this odd response?

Fasting glucose 85. then GTT hour 1glucose 84, hour 2 glucose 94. what would cause this odd response?

Normal variability: So for that test, you basically get a dose of glucose to see if your blood sugar remains elevated. Our bodies respond very quickly to glucose, meaning that it gets taken up by our muscles and liver almost immediately after it enters the blood stream. Our body's "thermostat" is set to keep the blood sugar level between 70-99. Over 100 indicates a problem with glucose metabolism. Yours is normal. ...Read more

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High normal fasting gluc and HgA1c. Normal 2 hour post prandial readings. Can fatty liver be causing my "pre-diabetic" state?

High normal fasting gluc and HgA1c.  Normal 2 hour post prandial readings.  Can fatty liver be causing my "pre-diabetic" state?

Pre-diabetic?: Your lab values does not suggest pre-diabetes but pre-diabetic state can cause fatty liver not the other way around. Decrease your carbohydrate intake and eat low fat diet to decrease the risk starting today. It also will help you to decrease the risk of arteriosclerotic cardiovascular disease. Contact me if you have further questions. Hope this helps. ...Read more