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Doctor insights on: Reactive Hypoglycemia That Doesn't Go Away After Meals

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My A1c is 5.9 & cortisol after 8 am test 33.5, insulin 28.7. I always feel shaky after meals. Dr says I have reactive hypoglycemia are my test bad?

My A1c is 5.9 & cortisol after 8 am test 33.5, insulin 28.7. I always feel shaky after meals. Dr says I have reactive hypoglycemia are my test bad?

Needs evaluation: The hba1c is mildly high and could indicate pre-diabetes. You need a fasting glucose and lipid profile to see more. The cortisol level appears high, you need to do an overnight Dexamethasone suppression test to evaluate. Most people who feel shaky after meals do not have low sugars causing it. You should check your sugar with a glucose monitor when you have symptoms. ...Read more

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If diangosis w/ reactive hypoglycemia, what is the best PREworkout meal (soy/dairy/gluten-free) for SHORT (25min) high intensity interval trng sessions?

If diangosis w/ reactive hypoglycemia, what is the best PREworkout meal (soy/dairy/gluten-free) for SHORT (25min) high intensity interval trng sessions?

Your sugar is normal: 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 o GTT or any fad diets of treatments. Lose wt if heavy. Meter will always read lower than real sugar and it's still totally normal. Stop obsessing! ...Read more

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Why when your sleeping reactive hypoglycemia doesn't effect you?

Why when your sleeping reactive hypoglycemia doesn't effect you?

Hypoglycemia: During sleep, hypoglycemia will wake you up with symptom of rapid heart beat, sweating, shortness of breath. ...Read more

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How common is fainting from reactive hypoglycemia?

How common is fainting from reactive hypoglycemia?

Not sure: But it could occur with very low blood sugar levels. Https://www. Drlam. Com/blog/hypoglycemia-symptoms-afs-part-1/2581/ ...Read more

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Is biotin beneficial for hypoglycemia? How about for reactive hypoglycemia?

Is biotin beneficial for hypoglycemia? How about for reactive hypoglycemia?

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

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Is reactive hypoglycemia common in non diabetics?

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

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Can a candida cleanse cure my reactive hypoglycemia?

Can a candida cleanse cure my reactive hypoglycemia?

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

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Are reactive hypoglycemia and pre-diabetes the same thing?

Are reactive hypoglycemia and pre-diabetes the same thing?

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

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Can a diabetes dietician diagnose or confirm a diagnosis of reactive hypoglycemia?

Can a diabetes dietician diagnose or confirm a diagnosis of reactive hypoglycemia?

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

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How can I have reactive hypoglycemia and not be diabetic or not even pre diabetic?

In a number of ways: B"sd
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

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Other then eating right are there supplements that will help reactive hypoglycemia?

Other then eating right are there supplements that will help reactive hypoglycemia?

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

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I have reactive hypoglycemia, is it ok for my fasting glucose to be sitting at 6.5 to 7.0 mmol with this condition?

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

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Reactive hypoglycemia 1, 5 year after sleeve gastrectomy, any tips or medications to handle? Does it get any bettee?

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

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Is reactive hypoglycemia common in a young slim person? I keep geting symptoms of it but tested negative for diabetes

Is reactive hypoglycemia common in a young slim person? I keep geting symptoms of it but tested negative for diabetes

Thin pts report RH: There are many case reports & anecdotal evidence that reactive hypoglycemia (RH) can occur in someone who is slim (http://ehealthforum. Com/health/skinny-people-with-reactive-hypoglycemia-t265917.html), but hard to say "common". It is usually diagnosed in teenagers or young adults, or after pts undergo bariatric surgery. It is a risk factor for diabetes but RH & diabetes rarely occur simultaneously ...Read more

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What is reactive hypoglycemia? How it is diagnosed? What is the treatment? Can it occurs suddenly? And What are the complications?

Hypoglycemia: Low blood glucose in about 4 hours after eating, it is believed to be due to excessive insulin release after a high carbohydrate meal, it may be avoided by limiting sugar intake, eats small snacks, excercise regularly, avoid soft drinks that are rich in glucose or sucrose. It is not well known what causes that, but some people may have a deficiency in the hormone glucagon ...Read more

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Diag w/ reactive hypoglycemia years ago. Just had a fasting insulin number of 8 (9-29 range) what does this mean? Strong family diabetes. I'm small

Doesn't mean much: Independent of a concomitant glucose an Insulin level doesn't mean much. If blood sugar is high, low, or normal with an Insulin level of 8 uu/ml, the interpretation is completely different. ...Read more

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Glucose was 105 with home test. I ate tater tots 8 min later glucose 135. Was dx with reactive hypoglycemia at age 25 now I am 52 yrs old. I had the?

Glucose was 105 with home test. I ate tater tots 8 min later glucose 135. Was dx with reactive hypoglycemia at age 25 now I am 52 yrs old. I had the?

Likely nothing: If you want to get accurate blood glucose, you should start with fasting glucose test done in a lab. Home test is not valid for making diagnosis. Better yet talk to your doctor about your issues and let her/him decide if any testing is warranted. ...Read more

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I've been on a reduced carb diet for reactive hypoglycemia for a few years but now more hypo episodes, is there any medicines that can help? Non diabetic

I've been on a reduced carb diet for reactive hypoglycemia for a few years but now more hypo episodes, is there any medicines that can help? Non diabetic

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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Why does reactive hypoglycemia not exist?

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

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Is reactive hypoglycemia a "real" disorder?

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

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Can you tell me more about reactive hypoglycemia?

Can you tell me more about reactive hypoglycemia?

Reactivhypoglycemia: Within one to two hours of eating one gets symptoms of shakiness, dizziness, sweating, tremor, hunger, fatigue. There is an"overshoot" of your Insulin. More likely in thin people. ...Read more

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What should you eat when you have reactive hypoglycemia?

Hypoglycemia: You must keep some candy in your pocket and take it when you think your sugar is low. You must also immediately tell your doctor so together you can develop a plan to minimize the risk of a low blood sugar. A consult with a dietitian may also be helpful. ...Read more

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What is reactive hypoglycemia and can you get this from eating?

What is reactive hypoglycemia and can you get this from eating?

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

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How common is fainting from non-diabetic/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

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Is there an ultimate diet for reactive hypoglycemia, non-diabetic?

Whole foods: Unprocessed whole foods, adequate protein, good fats such as coconut oil, and lots of green leafy vegetables. Complex carbs are ok, but avoid refined carbs.
Avoid sugar. ...Read more

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What's the difference between prediabetes and reactive hypoglycemia?

See details: Reactive hypoglycemia is a low blood sugar usually about 3-4 hours after eating. It is often considered a prediabetic state. True diabetes is an elevated blood sugar. ...Read more