Reactive Hypoglycemia Diagnosis

If you think you might have the condition and you’re looking for a reactive hypoglycemia diagnosis, read this before you make an appointment with your doctor.

Reactive Hypoglycemia Diagnosis: My Experience

I knew my symptoms were reactive hypoglycemia before I went to the doctor. My ten-year-old son, Leo, has the condition, so it wasn’t hard to figure out what might be causing my mental confusion, mood swings, heart palpitations, hand tremors, cold sweats and anxiety two hours after eating pizza. My doctor, however, had other ideas.

Reactive hypoglycemia diagnosis: The Doctor’s Visit

I wouldn’t have made an appointment with my physician if I hadn’t been worried that, considering both Leo and I had the same disorder, we might have an underlying condition. A missing liver enzyme perhaps, or some other hereditary disorder.

My idea was that if the doctor could find a cause and give me a reactive hypoglycemia diagnosis, he might be able to solve our problem with a simple supplement or something. I was very naive back then.

I chose an Internal Medicine doctor from my health plan, thinking that an “expert” in puzzling, chronic problems would be my best choice for a reactive hypoglycemia diagnosis. An internal medicine doctor is sometimes called “the doctor’s doctor” because of their expertise in pinpointing conditions with a myriad of symptoms.

It turns out that doctors–even internal medicine doctors– are only human. Unfortunately for me, this particular doctor didn’t know that many other conditions can cause reactive hypoglycemia other things other than pre-diabetes.
Reactive Hypoglycemia Diagnosis

The doctor, I’ll call him Dr. Brown, listened as I explained that my son and I had the same symptoms. I told him I had monitored my blood sugar and it appeared I might have reactive hypoglycemia. I also told him about how my son had been diagnosed by his pediatrician. I asked him if I should be concerned about any hereditary disorders.

Reactive Hypoglycemia Diagnosis: The One-Minute Exam

He did a quick physical examination and asked me if I felt stressed. Puzzled, I noticed that my hands were sweaty. “My hands sweat when my blood sugar dips” I said.

He nodded, left the room, and came back with a sheet of paper. He handed it to me. The top of the sheet said “Signs of Depression” and included questions like “Are you having difficulty sleeping?” “Do you have thoughts of worthlessness?”
“I’m not depressed,” I said. “I feel fine, except after I eat certain foods like potatoes or lasagna.”
He nodded thoughtfully, told me I needed to lose weight because I was at risk for diabetes (I’m 5 pounds overweight and have no history of diabetes in my family), and handed me a sheet on diabetes. “Hypoglycemia is one of the first symptoms of pre-diabetes,” he said. “Lose weight, and exercise more. Avoid carbs and root vegetables like potatoes and carrots. Come back for a check up in six months.”

Reactive Hypoglycemia Diagnosis: Don’t Avoid Carrots

I was stunned about how a physician with so much training in internal medicine could be so wrong. Here are just a couple of reasons he didn’t have a clue:

  1. According to the Mayo Clinic, the cause of reactive hypoglycemia isn’t usually pre-diabetes. In fact, without a whole lot of expensive testing, it often isn’t clear what the cause is at all. Researchers think that it could be caused by a sensitivity to epinephrine, or a glucogen deficiency, to name just two.
  2. Hypoglycemia can be a symptom of pre-diabetes, but reactive hypoglycemia and hypoglycemia are two very different diseases, and need to be treated as such.

After the Reactive Hypoglycemia Diagnosis

If you have a reactive hypoglycemia diagnosis, please don’t avoid carrots. I was floored by the amount of misinformation there is out there on what reactive hypoglycemic should and shouldn’t eat. I even found one website that said to “avoid soups and breads of all kinds.” Oh my, no wonder people have trouble managing this disorder!

I’m not suggesting that you don’t go to the doctor. To the contrary–it’s a good idea to go for a checkup and a basic blood test to make sure you are otherwise in good health. But when you do go, go armed with information. If something sounds wrong or goes against your research, seek a second opinion. Reactive hypoglycemia is an unusual condition and most doctors are simply not equipped to deal with it. Make sure your doctor knows that you want a hyperglucidic breakfast test (HBT), or better yet, buy a home glucose monitoring kit and tell him your results before asking for the HBT.

How to get a Reactive Hypoglycemia Diagnosis

There are only two ways to get a reactive hypoglycemia diagnosis: a Hyperglucidic Breakfast Test and a home blood glucose monitoring kit. Of the two, the home glucose monitoring kit is probably the easiest.

If only I knew what I knew now, I would have ordered a blood glucose monitoring device and saved Leo the uncomfortable experience. Not to mention the expense: Two copays at $35 each, and a $200 lab bill. A home blood glucose monitoring kit is the same kind of kit used by people with diabetes. They are small, inexpensive gadgets, and involve a tiny pin prick on the finger, smearing a tiny drop of blood on a test strip, and waiting for the machine to beep and tell you your blood glucose level. The entire process takes less than 5 minutes.

Reactive Hypoglycemia Diagnosis: The home test

I used a Contour blood glucose monitoring device, which cost less than a single visit to the doctor. Once I figured out how to work the device (about ten minutes), I monitored my blood sugar every hour or so for a full day. It was almost painless: after the initial hesitation (it took me a few breaths to summon up the courage to prick my finger), I discovered that it wasn’t as bad as I thought it would be.

My Results

A normal blood sugar reading is 70 to 140 milligrams per deciliter or mg/dL. This chart, will give you an idea of what blood glucose levels look like normally, and what they look like for reactive hypoglycemia.

You cannot tell by this chart alone who has reactive hypoglycemia and who has prediabetes (amongst other things, your insulin needs to be checked too, to see if you are insulin resistant or insulin sensitive).

Reactive Hypoglycemia Diagnosis 2
Here are a few of my readings from the first day I tested with the home blood glucose monitoring device. Bear in mind that the home test kits are not as accurate as a lab, and I’ve read reports that they can vary by as much as 20 mg/dL. However, it gave me a good idea of what was going on with my blood glucose when symptoms occurred:

  • 9 a.m. After a “good” breakfast of kamut flakes, wholewheat toast, jelly and coffee: 150 mg/dL.
  • 11 a.m. (feeling weak, dizzy, and panicky): 30 mg/dL.
  • 11:10 a.m. After I ate two glucose tabs (available from any pharmacy) and drank a carton (8 oz) of fruit juice: 60 mg/dL. I still felt shaky, and a little anxious.
  • 11:30 a.m. After one more carton of juice: 70 mg/dL.
  • 12:30 p.m. After lunch: 115 mg/dL I felt great…no longer panicky. My glucose continued to rise immediately after eating.

I continued to monitor my blood glucose for long enough to pinpoint that my glucose was dropping about 2 1/2 hours after eating. Not everyone’s blood glucose will drop at that point…for my son, his plummets after 3 hours (and when I say plummet…I mean plummet. He convulsed and went to the emergency room more times than I’ve been to see a doctor my whole life.

At time of writing, one company out there offers a FREE home glucose monitoring kit that comes with ten free test strips. They’re betting that you’re a diabetic, and that you will continue to use their very expensive (over $1 each) test strips. Reactive hypoglycemics do not need to monitor their blood glucose except to get a reactive hypoglycemia diagnosis. Or after diagnosis to aid in symptom recognition (i.e. I know now when my hands get sweaty that this is the first sign my glucose level is dropping, and that I need to eat). Do a Google search for “Free glucose monitor” to find current freebies.

79 thoughts on “Reactive Hypoglycemia Diagnosis

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  5. Kelly

    Hi,

    Love your website – thanks for posting such useful info.

    I have read elsewhere online that reactive hypo can not be measured by a glucose meter (which doesn’t make sense to me), but I am going to buy the one you recommend and give it a try. I’ve been fighting out of control hypo for at least 15 years. I’m certain it is reactive hypo. I have been diagnosed in the past with a pancreas that produces too much insulin. The hypo seems worse since having my gall bladder removed in September – do you know if there’s a link between gall bladder removal and hypoglycemia?

  6. Steph Kenrose

    Kelly,

    I’m not a doctor, so I can’t say for absolute certain. However, as gall bladder removal affects digestion of fats and essential fatty acids, it doesn’t seem too much of a stretch that it could cause hypoglycemia (Some studies indicate that a low fat, high carb diet contributes to reactive hypoglycemia). If I were you, I’d seek out a knowledgeable endocrinologist, someone who is willing to test your insulin/glucagon responses to try and determine the root cause of your hypoglycemia.

    As for the home glucose test not being able to measure your RH, there is the possibility that you test your blood too late (i.e. after your body has responded to the excess insulin by releasing epinephrine and glucagon). That said though, nearly all the articles I’ve read state that the Ambulatory/Home test is often the preferred method. It worked for me!

    I haven’t come across a link between gall bladder removal and hypoglycemia in my reading so far, but if I do, I’ll post it!

    Thanks for the comment :)
    Steph

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  13. John Smith

    Why do you recommend testing? This and most other sites about reactive hypoglycemia suggest that the diagnosis can be made, or at least suspected, on the basis of typical signs and symptoms, and then recommend testing by OGTT. Yet numerous studies have found no distinctive OGTT pattern shown by most people with reactive hypoglycemia, and all of the patterns said to be characteristic of reactive hypoglycemia are common in the general population without symptoms. So why advocate testing at all? Why not simply recommend that people who are tired, depressed, anxious, shaky, sweaty, irritable, and/or overweight should eat lower-carb, smaller meals with healthier foods, since this is the treatment that goes with the diagnostic label anyway? Why is it desirable to call it “hypoglycemia” and confuse it with more dangerous conditions that need more complicated testing, and treatment with hormones, drugs, or surgery?

    1. Steph Kenrose

      John,

      Testing (by the Hyperglucidic Breakfast Test) is the only way to diagnose RH. (The OGTT has been completely discredited for the detection of RH). Why do I advocate testing? In part, to avoid misdiagnoses and to assist other parents in my position; in my son’s case, his seizures were suspected of being caused by something neurological (i.e. epilepsy), and a diagnosis helps with avoiding drugs and unnecessary tests (i.e. CAT scans).
      Additionally, knowing you have RH (as opposed to prediabetes or other forms of hypoglycemia) is important because they are treated differently as far as diet goes. People with RH should eat every 2 hours–this is unique to this condition.

      Hope that helps explain my position,
      Best,
      Stephanie

  14. Susana

    Someone pointed your site to me on http://www.stevepavlina.com forum. I’m going nuts with all, often conflicting, information out there. This is the first time I realise there is a difference between reactive hypoglycemia and “just” hypoglycemia.

    I’ve been panicking about going into a coma or something so this site already helped in that regard.

    I was tested for glucose and insulin (we call it glucose and insulin curve over here). My insulin levels were extremely high 3 hours after I ingested the sugary drink.

    Then the hospital’s nutritionist gave me a “personalised” diet and it included cereal and yogurt for breakfast. Thanks to the glucose monitoring device, which I also acquired, I realised my blood sugar went to 150 after half an hour of having breakfast and an hour later it was 62, and I was already feeling shaky.

    I believe I’ve always had this and I always had trouble focusing at school. I’d have either excellent results or terrible results at school with no defined pattern. However I was always overweight and never had much energy.

    Not sure if I have reactive or not… :s

    I’m really enjoying your site and I’m going to keep coming back.

    1. Steph Kenrose

      Susana,
      That sounds exactly like me! I was terrified I was going to go into a coma when my blood sugar dipped. There’s a lot of bad info out there!
      I’ve written a little about food and such in some of the articles, but as a starter, check the sugar/carbs in your cereal and yogurt. Most cereal has a ton of sugar, and yogurt is usually sweetened with sugar. Try switching to something like Kamut Flakes (find in a health food store) and yogurt that’s sweetened with fruit juice or evaporated can syrup–that’s part of what worked for me.
      Glad you found the site!
      Stephanie

  15. Michael

    I spend 12 years on medication for Panic/Anxiety. I was always looking for a natural solution when I ran across a webpage from Australia stating that Panic/Anxiety was due to reactive hypoglycemia. 12 years on medication for absolutely no reason. I picked a blood glucose monitor too. My sugar was very low 2-3 hrs after eating. I’ve corrected this problem with strickly grassfed beef, free range poultry, salmon, organic vegetables and fruit, healthy snacks, pure water, sunshine and nutritional supplements. The drug companies are getting rich by the misleading diagnosis “Chemical Imbalance”. “Chemical Imbalance” is a theory only. Never proven. I’m fine now. If start to not feel well I eat a healthy snack with protien. Try this approach and see if it does not work. I was in bad shape before I made these changes.

    1. Steph Kenrose

      Michael,
      I absolutely agree–except for the meat that is (I am a vegetarian bordering on vegan). A natural diet without all the processed crud is a must for this disease,
      Thanks for stopping by,
      Stephanie

  16. sdesh

    I had shakinesss,dizziness, mental confusion and feared i was going to fall or something many times for a few months. The Doc did a variety of tests and finally he said diagnosing with RH. However i was fearing its something seriously wrong with me. The more i was worried, the worse the symptoms used to become. Worst part is the mood really swings to depression and you feel its the end of the world.
    Untill i read these articles and changed my diet. First 2 weeks i strictly followed the diet and i feel much better. In fact i am almost back to normal (for 2 months now) and have much better carb tolerance. The breakfast si the key. toast with peanut butter and some pecans working for me so far.
    I am really glad i found this site

  17. DEbby B

    hi i was diagnosed with adrenal failure oh 10- 15 years ago..they simply put me on natural low dose of cortisol I did a saliva test

    finally had to go off it because i ws plumped upp, so sick but no one ever suspected the hypoglycemia connection which I always got shaky as a kid when I forgot to eat..now Im having panic attacks since hubbies tragic sudden death they put me on meds but i wake up in panic at 4 or 5 am

    Ive been eating bannansa when i get up or go to bed trying to eat more often had oatmeal this am, then had that bannana mid morning my stomach has hurt all day!

    I did not know it was a bad fruit for adrenals & hypoglycemia Im sure I have & the extra stress.. causing panic

    anyone knowof good naturpath or do I go to endocronologist to help me thru this I live in kansas city well olathe ks
    Thnaks

    1. Steph Kenrose

      I’m so sorry to hear about your husband 8(

      Let’s see if I can help:

      Panic attacks are common for people with RH. What I do to avoid nightmares and waking up in the middle of the night is eat a slice of Ezekiel toast with peanut butter. Ezekiel is a special brand of bread that’s not really “bread”, it’s a protein, but it looks and tastes a lot like bread. If your grocery store doesn’t carry it, then try 1/3 cup of mixed nuts. The idea is to get protein into your system before you go to bed. That should stabilize your blood sugar long enough for you to get a full night’s sleep.

      Also, something that triggers hypoglycemic episodes for me is stress itself. Epinephrine is a hormone that’s released when you get stressed, along with Adrenaline. There are different causes for RH, but in my case, I’m very sensitive to Epinephrine (I get the shakes when I go to the dentist after they numb me, because Novocain contains pseudo-Epinephrine!), so when I get stressed, my blood sugar plummets. That might be happening to you. I suggest trying your best to take it easy, simplify your life as much as possible, go on vacation, whatever–for just a while, and see how that helps your anxiety.

      Best of luck to you!

  18. DL Jande

    Just found your site and have been reading it with awe. Recently my son who is 37 had what he thought was a heart attack coming on at work. They brought him by ambulance to the hospital and after running an EKG and tests, found his heart to be fine. They did a full blood work up on him and his thyroid appeared to have a question and was told he should see his primary doctor soon, which he did. (His symptoms were feeling faint, heart palpatations, sweaty hands, numbness in his arms and hands.) He went to his primary doctor who ran more blood work and decided he should see an
    endocrinologist, which he did. Again, they did more blood tests. They “suspect” thyroiditis but are not sure. They want to do an “uptake scan”. After all of this, he is experiencing the symptoms of anxiety, feeling faint, not sleeping well, shakey hands, etc.
    Then when he was at work ( a new job, by the way!), he felt this panicy state coming on again, shakey legs, etc.
    A few days ago, my son was explaining to me how he felt dizzy when he had been bending over on the floor and then rose up. I asked him if he had eaten anything and he said he had just ate a donut. (Not the best, I know!) After listening I suddenly thought of myself. I have hypoglycemia and definitely need to eat every 2-3 hrs…depending. My sister also has it. My other sister is a nurse and she is thinking that he may have it as well. I am just wondering if we should mention this to the endochrinologist before he puts my son through this uptake scan. I told him to eat healthy and every 2 to 3 hrs. – low carbs, high protein meals/snacks and see how it affects him. By the way, I have been with him at times when he has to eat “right now” – like when you KNOW your blood sugar has dropped and you have to get something right away.

    1. Steph Kenrose

      Sounds like a pretty classic case of Reactive Hypoglycemia. I would definitely let the Endocrinologist know about your family history, and whether he has it or not, your diet advice to him seems sound. Let me know what happens!

  19. Rama Dasarath

    Very interesting article. I fully agree with your statement about Doctors. I went for a ‘regular checkup’ (one is expected to take annually!) for the first time. I was tired and sleeping for most of the time for 2 days after the test. Just a week before, I told my wife when she went for the test, that the blood taken for the test is quite small in quantity and need not bother about it. She was feeling ok, and, I have been sleeping and tired for 2 days after the test. After browsing the net, I realised it is the cause of Glucose Tolerance Test, where I had taken 80gms of glucose on empty stomach. My fasting sugar was 98, and, 2 hours later (PP) it was 65. The doctors whom I have consulted, including a diabetologist, were not concerned about this at all. I intend changing my diet to include more proteins and fibre and reduced carbs as advised in these columns. Thanks a lot for all the tips and advise.

  20. Maggie

    Thank you for this article! I was diagnosed with RH 3 months ago. I changed my diet and it made a huge difference in how I feel.

    I also have hypothyroidism and maybe adrenal fatigue. I think my RH is somehow connected to a malfunctioning thyroid and adrenals.

    1. Steph Kenrose

      Maggie,
      You could certainly be correct. I *think* my RH is connected to epinephrine sensitivity, but with zero actual research in this area, even my doc is relying on educated guesses. Hopefully there will be more research in the future.
      Glad you found the site!
      Stephanie

  21. Jackie

    I have been very concerned about my teenage daughter’s physical health for a while now and watched her closely on vacation. Up until recently, my daughter has been a happy, although low energy girl.
    She put on 20 lbs. over the winter and has been really irritable and tired when she doesn’t eat. I have really good “instincts’ when it comes to my childrens health, and I am the total opposite to a hypochondriac, but my guts told me this is a physical, not psychological issue. I thought she might be hypoglycemic and I don’t know that much about it. Long story short, as soon as we got home I went on the internet and found your site. As it turns out, my daughter was diagnosed with anxiety disorder 4 years ago, and she also has been complaining about headaches, difficulty breathing and sometimes queasiness. Does
    this ring a bell? As soon as she starts eating, her mood immediately lifts! She loves ice cream, desserts, bread and pasta more than anything, which also helps putting this puzzle together. Thanks for all
    of the information. I feel that I am on the right path and intend to test her blood sugar levels. Thank you, thank you, thank you.

    P.S. My daughter is also adopted and we have very little information about her genetic background, so I am working from
    a real lack of knowledge.

  22. Lisa

    A friend suggested I might have RH after I wrote about how I suddenly “crashed” after eating breakfast….weak, shakes, confused and STARVING. I had blueberry muffins about 3 hours prior to my “crash”. I knew I needed sugar, so I consumed a large amount along with some nuts and a bottle of water. It has been an hour since I ate; no longer hungry but still have the other affects..weak, tremors/shakes, a little confusion, tired…
    I’m betting I have this RH…I just want the symptoms to stop. Normally if I devour a soda and a candy bar then eat protein it works, but this time, it’s not really working.

  23. Keri

    I am not sure why, out of nowhere, I decided to look for answers to my blood sugar issues today, but I did. I am 37 years old and have always had these symptoms. My mother used to keep a big jar of peanut butter around to shove a spoonful in my mouth when she saw the rage coming. After shakey, confused, and sight issues, irriatability sets in and is uncontrollable until I get food. Then my choices are not good because I am not thinking clearly. So I choose high carb, high fat food. Then depression and soon the shaking and tremors and lightheadedness starts again. As a child I was diagnosed with ADHD. My mom said no drugs and did the Feingold diet. Now, my 9 year old daughter has had the same issues for years and finally a year ago was diagnosed with depression and ADHD. Both of us are now on antidepressants and I also take ADHD meds. While they helped initially, I feel they don’t anymore. I am wondering if we are not misdiagnosed and all of this is from being RH. Have you ever heard of depression and ADHD being a mis diagnosis for this? And yes I am getting a home kit for both of us!

    1. Steph Kenrose

      Keri,
      Yes, I was diagnosed (wrongly) with depression, anxiety, and bipolar disorder in my 20s. I’ve also been told I have ADD. My son looked like he was on the same path…exhibiting depression and hyperactivity until we fixed out diet.
      Good luck!
      Stephanie

  24. Johanna

    Dear Steph,
    Thank you! Your blog has been a godsend. I thought I would never get my life back, but after reading your blog, I gave myself permission to eat 100-150 calories or so EVERY 2 hours from 5:30 am until 10 pm even if I was not hungry and I feel like a new woman. I have accomplished a great deal more in simple daily tasks and long term goals in the last two months than I have in many years!!
    I was diagnosed with reactive hypoglycemia in Feb 1986, but beyond a helpful label under which to file my symptoms I have found an absolute dearth of helpful information. It wasn’t until I began reading your blog in October 2010 that I began to realize that my otherwise well-informed, nutrition focused practioners did not have a clue to the difference between RH and pre-diabetic hypoglycemia.
    I am truly grateful for your work here and will keep checking in for further updates.
    Steph– you are truly an answer to prayer and heaven sent!
    -Johanna

  25. Alea

    Dear Steph,
    I just randomly found your blog and I am so glad I did! After reading your post along with some of the other comments on here, I have felt like I am understood for the first time. Prior to tonight, I did not realize there were different types of hypoglycemia. The symptoms of reactive hypoglycemia definitely describe my experience over the past 2 and half years or so. I have also been faced with the disappointing ignorance of doctors about this condition, and while I am sad that this occurs, it helps to know that others have had this frustrating experience as well. For instance, when I began to suspect hypoglycemia, my doctor referred me to an endocrinologist. I had to seriously argue over the phone with some people to make an appointment because they did not want to see me. I felt so helpless. When I finally convinced them that I needed help, the endocrinologist was extremely condescending and told me that all of the symptoms I was having were also symptoms of panic attack and anxiety disorder. She and the physician’s assistant were also very skeptical when I told them that I follow a vegan diet, until I told them that I had been a vegan for nearly five years and only started having complications within the past couple years. It was a very disheartening experience, but since then I have done some research and had some testing done, and I finally got some people to listen to me. I have recently been paying more attention to how many sugary foods I eat, and have drastically cut back. This seems to not only help my regular symptoms of shakiness, confusion, dizziness, and fatigue, but the terrible migraines I had been having sometimes 3 or 4 times a week have also gone away. Just wanted to let you know that I am grateful for you posting about this condition that so many people do not seem to understand. I don’t feel so alone now!

    1. Steph Kenrose

      I’m so glad the blog helped! I felt VERY alone when I first started this journey. I’m glad you’re getting some relief from your symptoms :)

  26. Shauna

    I only found this website tonight.
    It’s nice to have others who have been through something similar. I read the posts about add and adhd possibly being misdiagnosed and was wondering if anyone has been misdiagnosed with epilepsy.
    I was diagnosed with epilepsy in college but after always felt it had something to do with my sugars. I once had a” spell” at work before I was diagosed. A woman at my job had diabetes and checked my sugar on her monitor and it was very low. I had been having these fainting spells for years and continued to until I was medicated for epilepsy 12 years ago. Just before many of these seizures, spells, whatever you want to call them, I had eaten a high carb meal or snack before hand. My seizures were categorized as grand mal, the kind where you fall to the floor, shake, and lose consciousness.
    I just had the glucose tolerance testing and. My sugar progressively fell with each hour to 60.
    I have to make appointment with my neuro, but just wanted to know if anyone has heard of or experienced this.
    Thanks very much!

    1. Steph Kenrose

      Shauna, my son had grand mals when his blood sugar dipped too low. He didn’t get diagnosed with epilepsy though.

      Stephanie

  27. debbie barrett

    i think i am reactive hpoglycemia i ate whole grai spaghetti tonite a 2 turkey meatballs 1 hour and 20 minutes later my bs was 88 then 2 minutes later 79 i start felling like iam having a panic aatak iam 53 and have been having panic attaks since i was 16 3 months ago my sugar dropped to 46 i really get scared iam gonna go into shock it is ruining my life

  28. GrumpyDopeySleepy

    Hi there.

    For the past 4-5 months, I’ve been getting “logy” after every meal. Not tired or dizzy, but can’t focus, can’t concentrate. It’s like being sedated without any of the good aspects like analgesia. On a scale of 1-to-10, 10 being a double hit of hyrdrocodone, I’m usually at around 2 all day long, with the effect sometimes heightening to 4 after meals. The onset of “the fog” can be anywhere from 30 to 90 minutes after eating, with no rhyme or reason as to why there’s such a difference. “The Fog” seems to roll back so that I can at least see the horizon in 3-4 hours… just about then its time to eat again. Carbs, no-carbs, large meals, small meals, doesn’t seem to matter. I broke up 3 meals into six for about 2 weeks, and all that did was keep me doped up for the entire day.

    At this point I normally have to stop whoever’s listening and say “no, its not that I get tired or ‘dizzy’. Its that I can’t focus on anything.”

    My GP was stumped, since my BP is better than its been in 2 decades, my weight is down (I’ve lost 40 lbs in the past 3 years by eating less, eating better and not eating just to eat… and have stabilized now), my cholesterol is good, and I’m getting more exercise , so he told me to seek out an endocrinologist, which I did. The Dr. listened to me very patiently and said “That’s insulin resistance, no doubt about it. We just have to do an OGTT to confirm it, then treat you for it”.

    Yippie! An answer! Finally!

    Wellllll… not exactly.

    They did the OGTT with glucose checked only at the beginning (after fasting) and at the 2 hour mark. Insulin was ‘normal’ at the onset, but they didn’t check insulin again, only glucose. Fasting glucose was 84, 2 hours after ingestion of the glucose, it was 83.

    So when I went back to the Dr. to get the test results, she said, “Good news, it’s not insulin resistance.”

    “The what IS it?” I asked.

    “Eyeeeeeee dunno” was her learned answer.

    She suggested I find a naturopath. I did, and he recommended a bunch of supplements and foods, but so far nothing has helped.

    It strikes me as odd that case doesn’t fall into any of the categories I’m seeing out there… diabetes, pre-diabetes, insulin resistance, hypoglycemia, reactive hypoglycemia, etc., and I’m at the point where I need to start taking ‘stabs’ at things.

    I’ve got an appointment with a different endocrinologist in 2 weeks, and am going to push hard for several things…

    1) Another OGTT with values for both insulin and glucose taken at least at the 30, 60 and 120 minute marks.

    2) Blood tests for ‘stress hormones’ (epi, cortisol, etc.), glucagon and anything else I can think of between now and then (Thyroid was fine in the last test, so I think we can skip that).

    I’m also going to find me a cheap or free blood glucose meter to test for as long as it takes to distinguish a pattern.

    Thanks for the info on this site. I haven’t read all of it yet, but I plan to.

    Thanks again

  29. GrumpyDopeySleepy

    Steph,

    Well, the glucometer proved that its not RH, anyway.

    It DOES show that there’s an ‘issue’ with blood glucose, but its not RH or any kind of hypoglycemia.

    I tested every hour (6:00AM to 12:00 midnight) for 3 days, and at half-hour and hour after meals to see what the glucose level did.

    The problem I have is that my symptoms fit RH so well… better, in fact, than any other explanation I’ve come across so far. There are a couple of anomalies in the glucose levels (spikes with no food to fuel them), and I don’t know what that could mean. My problem is more hypERglycemia.

    Well, at least I’ve got data to show the endocrinologist on Thursday.

    Even though I don’t seem to have RH, I thank you for the time and effort you put into this site. It is a very valuable resource for people out there searching for answers.

    In my case, you gave me the idea to check glucose using a personal glucometer, and reminded me that I’m not the only one searching for answers. Its a terrible thing to feel alone. Well, we don’t have to all have the same issue to feel kinship. Thank you for that.

    Good luck to all, and especially you and yours.

  30. Amanda Weatherhead

    How pleased am I to find your website. For a couple of years now I have experienced what I call a ‘wobble’ on. All of a sudden feeling very weak, shaky, as though I am going to pass out and in need of something to eat a.s.a.p. For a long time I have thought this was something hormonal until recently I decided to cut out carbohydrates in the attempt to loose weight and to be healthy. During this time not one ‘wobble’ on! But dudn’t

  31. Amanda weatherhead

    Sorry posted my comments before I finished …. As soon as I introduced carbs back into my diet the ‘wobbles’ returned very quickly. After reading your website I am now wondering if I have RH and are planning on visiting my doctor this week. Thanks for all the comments I have found them very interesting. X

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  36. Canuckette

    Hi!
    Wow! You’ve really updated your site. Thanks for all the time and work you’ve put into it. It’s really useful and informative.

    I have some questions for you, but first, I’ll share a bit of my story.

    Last year, both my doctor (who is RH herself) and my naturopath suggested that I am hypoglycemic (my naturopath figured this out just by looking at me!) and this was without knowing what the other had said. I did some research through the internet and figured out that they must be referring to reactive hypoglycemia, seeing as I’m not at all at risk for diabetes. My symptoms certainly aren’t as pronounced as yours, but I would start sweating two to three hours after a meal and I would occasionally get terrible mood swings. I would also get strong cravings for carbs. Thinking that bread was a problem, I cut it out of my diet, replacing it with brown rice occasionally, but more often with quinoa, because it’s just easier to prepare. That’s when I started having overwhelming bouts of fatigue in the middle of the day, and this is what tipped off my doctor. However, the first symptom which started many years ago was sleep-related. I would consistently wake up at the same time much too early in the morning and it would take me a long time to get back to sleep. I’ve also had a few seizures. My neurologist believes that there might be a connection between these and RH. I am currently on medication for my seizures, without which I cannot maintain my driver’s license.

    I spoke to my doctor about the hyperglucidic breakfast test, but she’d never heard of it. She doesn’t think it’s done here in Manitoba. She said she could send me for a GTT, but recognized that it was not conclusive.

    I got a blood glucose monitor and have tried charting my results, but with limited success. About 2.5 hours after a (healthy) meal or snack, my BS starts going down, but then it quickly rebounds back up again. I was checking regularly today (at times every five to ten minutes!), and only once caught it at 3.9 mmol/l ( 70.2 mg/dl). The only symptoms I noticed today were hunger and cravings. I’m wondering if my blood sugar would start going up even before I’d eat simply because my body was already compensating for too much insulin, and raising my blood glucose levels before I’d prick myself. So…. QUESTION NUMBER ONE: Is there anything I can do to get more conclusive results with the glucose monitor? Maybe by eating less balanced meals and snacks? I’m open to suggestions.

    Also, Leo’s seizures occurred a few hours after a meal. Before starting the medication five years ago, I had several simple-partial seizures, but I can’t pinpoint when those happened. However, I’ll never forget my two grand mal seizures, which both occurred less than an hour after lunch. QUESTION NUMBER TWO: Do you know of RH-related seizures occurring so soon after a meal? (Unfortunately, I have no idea what I might have eaten at those two meals).

    Sorry for being so long-winded. Thanks for reading to the end.

    1. andalellc

      Canuckette,

      Thanks for the compliments on the site!

      You would get more conclusive results with less balanced meals and snacks, yes. I tried a variety of snacks and foods in the beginning, to see how my body would react to them. The worst for me was a Clif Bar, when my blood sugar shot up to 160 mg/dL and then came crashing down. I would be very careful to have an emergency item on hand, like glucose tabs, especially if you are prone to seizures.

      When Leo was having his seizures, I honestly don’t know how long it was after he ate. It was a mystery — and still is. My priority at the time was to stop him from having any more seizures. Unfortunately, there aren’t enough people out there with reactive hypoglycemia-related seizures who realize it’s RH related (and therefore they don’t report things like the last meal they ate).

      Good luck!

      Stephanie

  37. Canuckette

    Oops! Turns out that I have one more question for you: what is considered a low blood sugar level two hours after a meal? I’ve tried researching this, but the information I’m finding is contradictory.

    1. andalellc

      Experts vary on what they consider to be low blood sugar levels. Two hours after a meal, if you’re below 50, that’s considered low. But levels under 60 may cause some people issues. Blood sugar levels affect different people different ways. For me, I’ve had a level of 23. I should have been in a coma, but I just felt fuddled and had difficulty thinking/performing tasks.

  38. Canuckette

    Thanks for your responses. I’ll be trying different foods to see if I get lower readings. It’s good to know that my balanced eating helps to regulate my blood sugar, but I would like some more conclusive results regarding RH, to confirm whether or not I am RH.
    With regards to the seizures, there is one piece of information which I left out, which also seems to point to RH. After I had my first grand mal seizure, I met a self-taught naturopath who told me that I wasn’t diabetic, but that I just needed to drop sugar and dairy from my diet. I managed to do that for a couple of years, and the seizures stopped completely, without medication. My (RH) medical doctor rolled her eyes at my new restrictive diet, but it worked for me, although I had no clue as to why. But then, for some crazy reason, I decided to start eating sugar and dairy again, and the seizures returned.
    I guess I’m posting this to share with your readers, and to see if anyone else has had experience with RH seizures. I’m considering going off the anti-convulsants, hoping to control the seizures with diet, but I’m afraid of what might happen…

  39. Catherine

    My doctor has diagnosed me with reactive hypoglycemia and I’ve had a glucose test and also a three hour test with a health breakfast they showed that I have insulin spikes an hour after eating, and then my blood sugar drops to about 45. She told he that there is no glucose meter to test for hypoglycemia – have any of you found a good device so that I can test on my own?

    I’ve had this problem for nearly four years, and didn’t get a diagnosis until this April. I’ve been placed on Acarbose, but I’m not sure it’s helping enough. I think that the only way I’ll know what works to to test after my meals and try a specialized diet.

    I will appreciate your advice!

    1. andalellc

      Catherine,

      Pop into your local pharmacy and ask for a blood sugar meter. I’m not sure why your doc says there aren’t any meters (there are dozens!). I actually got mine free online.

      Best,
      Stephanie

  40. brendon

    Hi there
    This article has been an absolute GodSend!!!
    I have been diagnosed with everything from adhd, depression, insomnia, post traumatic stress disorder (due to a series of really tough family situations I’ve been through as a child and throughout my teenage years)and most recently anxiety disorder and depersonalisation (which I had come to accept). I’ve been treated for all..and have taken every kind of ssri (antidepressants) and every kind of benzos (tranqs) .. I am only 28.

    Some said I was a hypochondriact and often made me feel like “the boy who cried wolf” – needless to say my family stopped taking me to the doctor every time I thought I was having a heart attack and I was either given more anti-depressants or more recently become dependant on tranqs when having a bad “attack”.

    I started my first course of anti-deps when I was 22.. They didn’t help and and made me feel “unreal” and “numb”..but never seemed to make anything better.. I weaned myself off the meds which was a living hell and I thought I would never get through it and I often just wanted to “give up the battle against myself”

    After many years of reading on sites, and googling symptoms I tried many things like..magnesium (believed to help with anxiety) and salmon oil (for heart – as I always thought I was infact experiencing heart attack symptoms.. I am a sports coach so am always on the move and physical however I stopped exercising and weight training due to my fear of heart palpitations.

    Anyway I’ve been a lot healthier over the past few years and eat well. Or so I thought until reading this site. I don’t eat breakfast and I don’t snack.. I usually eat two large meals a day..around early afternoon and dinner.. Which explains a lot.

    I also battle to sleep..
    My major concern however.. And my ulitmate question is what is the connection with alcohol to HR? I usually only drink once on the weekend, however.. sometimes maybe too much..and this results in the most awful “hangover”, I can’t sleep, have a racing heart and am confused, extreme dizziness, and can almost not even walk, I basically hibernate the whole day and almost find it takes 48hrs sometimes to recover..
    At first it was just a thing of a “hangover” but I’ve come to realise that such levels of discomfort aren’t the norm.
    I’m really interested to find out more on how to approach a doctor about this (as they all seem to diagnose with anxiety ..depression etc) and especially what alcohol does to my system if infact I do have HR,..(Which by the way I think I do – as ALL the symptons u have mentioned..I have. .

    Thank u so much for reading and for your really helpful article. It might just be the answer I’ve been looking for!

  41. brendon

    Hi there
    This article has been an absolute GodSend!!!
    I have been diagnosed with everything from adhd, tenitis, depression, insomnia, post traumatic stress disorder (due to a series of really tough family situations I’ve been through as a child and throughout my teenage years)and most recently anxiety disorder and depersonalisation (which I had come to accept). I’ve been treated for all..and have taken every kind of sari (antidepressants) and every kind of bends (tranqs) .. I am only 28.

    Some said I was a hypochondriact and often made me feel like “the boy who cried wolf” – needless to say my family stopped taking me to the doctor every time I thought I was having a heart attack and I was either given more anti-depressants or more recently become dependant on tranqs when having a bad “attack”.

    I started my first course of anti-deps when I was 22.. They didn’t help and and made me feel “unreal” and “numb”..but never seemed to make anything better.. I weaned myself off the meds which was a living hell and I thought I would never get through it and I often just wanted to “give up the battle against myself”

    After many years of reading on sites, and googling symptoms I tried many things like..magnesium (believed to help with anxiety) and salmon oil (for heart – as I always thought I was infact experiencing heart attack symptoms.. I am a sports coach so am always on the move and physical however I stopped exercising and weight training due to my fear of heart palpitations.

    Anyway I’ve been a lot healthier over the past few years and eat well. Or so I thought until reading this site. I don’t eat breakfast and I don’t snack.. I usually eat two large meals a day..around early afternoon and dinner.. Which explains a lot.

    I also battle to sleep..
    My major concern however.. And my ulitmate question is what is the connection with alcohol to HR? I usually only drink once on the weekend, however.. sometimes maybe too much..and this results in the most awful “hangover”, I can’t sleep, have a racing heart and am confused, extreme dizziness, and can almost not even walk, I basically hibernate the whole day and almost find it takes 48hrs sometimes to recover..
    At first it was just a thing of a “hangover” but I’ve come to realise that such levels of discomfort aren’t the norm.
    I’m really interested to find out more on how to approach a doctor about this (as they all seem to diagnose with anxiety ..depression etc) and especially what alcohol does to my system if infact I do have HR,..(Which by the way I think I do – as ALL the symptons u have mentioned..I have. .

    Thank u so much for reading and for your really helpful article. It might just be the answer I’ve been looking for!

    1. Steph

      Alcohol can definitely be a problem if you have HR. Most alcohol is high-glycemic. I only drink dry wines, and I make sure to eat cheese or another protein with the wine. The next day I eat a good breakfast. If I don’t…ugh. I’ll expect the kind of “hangover” you’re talking about.
      Your story sounds so similar to mine; Many years of misdiagnosis.
      Good luck!

  42. Janey

    Thanks so much for this site. I don’t feel so alone now I have found it.
    For three years I have had problem of feeling drugged/sleeping after meals. I went for diabetes tests since before then and last year result came back as Type 2 diabetes. i take 500mg Metformin with food twice a day . the Metformin (usually) helps with the drugged feeling/sleepiness but because of only having two tabs a day I have only been eating twice a day. I know this is not good but can’t risk sleeping at work! without Metformin I would last exactly 90 minutes before the sleepiness started and the only way through it is to sleep. Doesn’t lead to a very productive life. yesterday despite taking my Metformin at lunchtime (no breakfast) I was practically comatose 20 minutes after eating and lost the entire afternoon. I can’t risk that again. I have decided to aim to have 10grams carbohydrate plus some protein every hour throughout the waking day to see if that makes life manageable. I probably wouldn’t need ‘meals’ as well but if I do it will be just protein and veg. Dismal failure this morning. 10g carbs plus lite cheese spread at 8am, drugged feeling by 8.20! Taking note of what I had read on here I then had a small palmful of raisins to see if that would help. Still needed to sleep but only for 10 minutes and was then energetic enough to do some gardening! I have a long way to go to sort this out and cannot discuss with doctor as I need to keep my drivers licence but I will keep checking in here.

    D

    1. Steph

      Janey,
      I doubt if this will affect your driver’s license. It does sound like your meds may need adjusting though — talk to your doc!

      Stephanie

  43. kristina

    I was diagnosed with RH earlier this year as well as being diagnosed with generalized anxiety disorder. I am now 19 weeks pregnant and today has been a rough day sometimes I find myself having to eat every hour. Will RH affect the baby and I am always afraid my blood sugar will drop really low. The lowest I have had was 49 and I get really panicky when I have lows. I have changed my diet when I first found out I was expecting.I am trying to get in with an endocronoligist but I am looking for some answers as to whether or not i should.worry
    about the affect on the baby. I have also been told that my sugar will not get extremely low but I worry all the time. Ithas came

  44. t

    i got diagnosed only after a nutitional dr ordered half hourly blood tests for four hours. numerous gtt before failed to show up anything. after 3 hours the symptoms kicked in and it was NO SURPISE at all to be told the results … the cold sweat, trembling, dizziness etc all showed up but not until the gtt was continued.

  45. HMC

    Hey….wait….grumpydopeysleepy…..are you still out there?
    I think I have another lead for you. Your symptoms are so similar to mine, I thought that perhaps I had written to this blog in my sleep! Your glucose tolerance has not been tested correctly. Have you solved it? Have you even found an endocrinologist or gp who will listen? Do you have headaches? Do you get vaccinated for the flu or have you ever had the flu?

  46. Lynn

    Hi, I found your site when I googled “I think my child has hypoglycemia.” Before now, I had never hear of Reactive Hypoglycemia. My daughter is 5 1/2. As a baby and toddler, she had really frequent ear infections and was extremely “busy” but nothing that I was concerned about. I breastfed until she was 13 months. When she was almost 3, we discovered that she had reflux….and she had had it for a LONG time without us even thinking to ask the doctor about it (she threw up very often and it seemed to be related to when she was upset, so we thought she was getting herself worked up and then vomited). She did a year of Prevacid and takes probiotics daily.
    Sometime around then (about when she turned 4) I asked her doctor if we could have her blood sugar levels tested: i had begun to notice that she was truly like Jekyl and Hyde about being hungry or not hungry. She never would be able to identify that it was about hunger, but her personality is unbelievably irritable, dramatic, whiny, and almost CRAZED when she hasn’t eaten….especially first thing in the morning.
    Anyway, we had the levels tested and they were normal. She has told me that she gets headaches first and then she feels hungry. Is there any way that she realy could have RH even though the glucose test was in the normal range? Thank you!

    1. Steph

      Lynn,

      Yes, it is possible. Headaches are one symptom of a crash about to happen.
      There’s a couple of ways to find out. The most definitive way is to test her blood sugar with a home monitor. That’s what we did. The only other way is a breakfast mixed meal test, which an endo can perform. Expensive, and just as good as a home monitor. Your daughter won’t appreciate her skin being stuck either way!

      Seeing as she is little, I would go ahead and change her diet, eliminating all the foods I mention on the site. See if she improves. If she does, feed her a candy bar and test her blood sugar during eating, one hour after, and two hours after. See what the levels are.

      Good luck!
      Stephanie

  47. Bobbi

    Not sure if someone is still watching this blog, but thanks for writing this. I have a few questions before I go to my doctor. I know they are going to be mean to me about it, so I want to come armed with information. This does not happen every time I eat, but very often. I get headaches, rapid heartbeat, just awful sleepiness. I can sit all day and feel good, and then when I eat (not all the time, but very often) I get all of those symptoms. Ok so anyway, my question is, do you or your son get the symptoms every single time you eat?

    1. Steph

      We don’t get symptoms any more. But when we did, it wasn’t every meal, which was why it was so hard to track down the cause. Best of luck with the doc!

  48. Rebekah

    Hi! I have been web surfing for the past couple of days trying to get as much info as possible about hypoglycemia (it took me a whole day to realize I should search for Reactive Hypoglycemia and NOT just hypoglycemia).
    Anyway, I have a really long story and a few questions so I will try to keep it short and sweet! About 12 yrs ago, after a curve test, I was told that I had hypoglycemia. I don’t really remember the levels, but I do remember that it wasn’t bad enough to cause any alarm in the Dr. He basically said that it was something like “borderline” hypoglycemia, but I should watch what I eat. ie. avoid sugar, and carbs and eat often.
    I consider myself a generally healthy person, and my lifestyle has been one of avoiding sugar and eating snacks. (I Do have an occasional pastry, or sweet, but I generally avoid them.)
    This said, For the past three months my health has been in a downward spiral. I felt constantly tired, no energy, and I began to get frequent migraine headaches. I get headaches a lot, since I am a “stressy” person, but the migraines were getting really frequent and knocking me out for 3-4 days at a time. First time I went to Dr my routine urine test showed urine tract infection, and pregnancy!! I took blood test and it came back positive, but I have been taking birth control for 7 yrs (since my last child) and was pretty certain I was NOT pregnant. Three days later a second blood test came back negative. I continued to feel lousy though. Tired, headachey, lethargic.
    I came down with a nasty cold, and the urine tract infection continued, so I went on a stronger antibiotic. While I was taking the antibiotic I went to bed early one night and didn’t eat before bed. At around midnight I woke feeling nausea and thought it must be the antibiotic and that I should eat something right way! I got up, and as I made my way to the kitchen everything started to spin, I got on my hands and knees and was trying to crawl to the sofa, but I guess I didn’t make it since I “woke up” on the floor next to the sofa, and almost swallowing my tooth that I had broken!
    Anyway, Dr ha all kinds of tests, everything came back normal! The only slight irregularity was the glucose test. On an empty stomach it was 90, but after eating, and two hrs later, it was down to 75. I know that 75 is not considered hypoglycemia, but since I didn’t monitor it any further I don’t know if it would drop further? The Dr wasn’t very helpful, I guess when it is not a medically recognized disease, one becomes less interesting! I was beginning to feel like I must be crazy! I guess, even though I knew about hypoglycemia, I must have unconsciously “slipped” at some point.
    So, now for the questions.
    1. Would hypoglycemia would cause me to pass out?
    2.Is stress a factor in making reactive hypoglycemia worse (making it spike despite generally healthy eating habits?

    Thanks in advance!

    1. Steph

      Hello, Rebekah,

      The answer to both your questions is yes. You can pass out and stress can exacerbate RH. I’m not sure what test your doc gave you but RH cannot be diagnosed with a 2 hour or 5 hour GTT. You need either ambulatory testing or hyperglucidic breakfast test.

      Best of luck with your journey to figure this all out.

      Stephanie

      1. Rebekah

        Thanks so much for answering! I am planning to buy a glucose meter this week so I can monitor my sugar myself….thing is, I don’t usually get shaky… (unless I haven’t eaten for a really long time) what happens is that AFTER I eat I get a headache. Mornings I am usually fine….then after lunch I get a headache and I lose energy. Well, I guess I will just have to monitor and see what it is my body is doing! Thanks again for the response, and mostly for reading my post. I means a lot to be able to write about this without either getting blown off, or getting a “are you crazy?” look! :)

  49. Rebekah

    OOps One more question?
    The one thing the Dr DID diagnose was very poor blood flow (circulation). Not sure what it is called but he used an instrument that measures the blood flow and he said that normal would be 20, and in my legs the readings were 5!
    Could RH be related to bad circulation?

  50. Sara

    Wow! Found this site after reading a sentence about RH on a Gestational Diabetes site. For years I wondered what was wrong with me – I would get brain fogs and have huge energy crashes if I didn’t eat or ate the “wrong” thing (never quite sure what it was, but new I couldn’t eat just sugar on an empty stomach). My husband even kept food in his glove box for me, and knew when I said I need ed to eat it meant RIGHT NOW. I have struggled with uncontrollable exhaustion (first day at a new job – that was embarrassing), really horrible mood swings, and the vagueness and unpredictability of it all. When pregnant with my first child, I was on metformin for the first 15 weeks (my OB put me on it to help with regulating my cycle, but I got pregnant before I actually started) and I felt fanstastic. I also had seen a nutritionist and on her advice was eating six times a day, very balanced diet with lots of protein and frequent servings of whole grains. I felt pretty good throughout that pregnancy, but my daughter was born with very low blood sugar (like they don’t know why she was in convulsions), so this pregnancy I am on a full GD diet. It has made a huge difference in my energy, but I still notice I get that drained feeling about 2 hours after I eat, like all the sugar has been sucked from my brain. With my first, I failed the one-hour GTT, but passed the 3-hour with my number dropping pretty quickly. I thought that was great at the time, but now I realize that may indicate RH. Also, my AC1 test was normal (5.5), though slightly on the high side. I’ve just been so puzzled how I could be so sensitive to the timing and content of meals and not be diabetic, but RH could make sense for me.

    So, a few things I am wondering:
    - Does the fact that I may have responded well to metformin indicate I may be pre-diabetic rather than a candidate for RH?
    - Is testing for RH while pregnant feasible?
    - I feel like I tipped into worse symptoms after I went from overweight to technically obese. Does this make sense with what you know?

    I have pretty awesome doctors, so I will be talking to them. It would be amazing if this is what I have – it would explain so much, and I seem to be able to manage it with careful food choices and exercise.

    1. Steph

      Sara,
      The only way to tell if you have pre-diabetic RH (insulin resistance), vs. non-diabetic RH (I have insulin sensitivity) is through a glucose tolerance test including insulin level measurement. You can test for RH during pregnancy — get a home testing kit (ambulatory testing) and just monitor when your levels dip. Excess weight will make your symptoms worse. I hope that answers all of your qs!
      Good luck!
      Stephanie

  51. Sara

    More than a few typos above!
    * They didn’t know why my daughter WASN’T having convulsions.

    Also, I am very overweight (hate that other o word), but carry most of my weight around my stomach, hips, and thighs.

  52. Bob

    Hello, thank you so much for your website and taking the time to update it! I have what I believe is reactive hypoglycemia. I can eat and then 2-3 hours later have really low blood sugar. I hate it. Just tonight I got feeling really weak, dizzy and confused about 2:30-3 hours after I ate a sandwich with turkey, cheese and regular hamburger bun. Also had some sun chips and a gatorade with it. I knew my BS was low so I drank a good bit of gatorade to raise it quick and 5 or so minutes later I went and checked and I was 61. Drank more gatorade and 12 minutes later got it up to 95.

    I work outdoors a lot and need just need to know what I can eat without preparing a small meal or something every 2 hours.

    Any help is GREATLY appreciated! Thanks!

    I’ve been to my regular doc and an endo and the endo just blows it off and says to eat better and exercise. I am trying as I have lost 10 lbs but have more to go.

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