Reactive Hypoglycemia perhaps??? waiting 3 weeks for doc to call

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Reactive Hypoglycemia perhaps??? waiting 3 weeks for doc to call


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Old 06-05-2012, 21:00   #1
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Default Reactive Hypoglycemia perhaps??? waiting 3 weeks for doc to call

Hi everyone. I am new here. Just registered today but been lurking a while. Here is my story, and my question. Sorry if it is too long...

I had Gestational diabetes with both babies. They are 7 and 4 now. I am currently 39 years old. All tests after both births came back fine. So I never worried about it. Now, I have lost a ton of weight (114 pounds to be exact) and I am more fit and active than ever before in my life....and now suffering from what seems to be low blood sugar very frequently. Ain't that a kick in the pants? Ha ha. So, I got out and dusted off the old meter from pregnancy days. I got some strange #'s so went to my Primary care doc and asked for a test. I had a 3 hour OGTT almost 3 weeks ago and tested with my meter along with the blood draws. Let me tell you, it was no fun. I felt immediately hot and drunk the first hour, then super low and shaky the rest of the test. I finally called today and the person on the phone gave my my results, but told me that there was a note on the chart that said the doc had already discussed with me, and I told her "No, no ma'am No one has called. Please have her call me" So, here are the lab results as told to me over the phone just now:

75 g glucola load
fasting: 71 ...(I got 72 on my Precision xtra)
1 hour 197 ...(I got 217 on my meter)
2 hour 53 ...(I got 62)
3 hour 58 ...(I got 60)

On one hand, I am glad to see that my personal meter is almost accurate. seems it runs a bit high, which is good. Except when I am low, but my body tells me pretty well without really having to test. I have been dying over here waiting for a darn phone call. And glad I called and got the receptionist or whoever to look up my results and agree to give my my numbers over the phone. She said test 1 and 2 said they were "in range" and tests 3 and 4 were "out of range" So, anyway, as I sit and wait for the call.....I thought I would throw this out at all of you to get opinions. Since there seems to be such a wealth of knowledge here. You guys rock! Oh, and I do avoid sugar, eat only complex carbs when I do eat a carb, and I eat high protein at several small meals a day (like 5-6 meals a day) So I know I am doing everything right. Frustrating....

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Old 06-05-2012, 21:15   #2
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Welcome aboard. Not a Doc, but by the look of those numbers you and I could have been twins when I was younger. Mine eventually went into Diabetes. Thats the scary thing about this disease for people that have high insulin out put most of their lives. You get used to the feeling of being low, you eat, you feel fine. Problem was with me, my BG baseline was creeping up constantly, so when I felt low now I was really high, but I would still eat. It all came crashing down.

You are doing good to be on a low carb diet. You want to avoid the insulin triggers, things that force your pancreas to secrete insulin. Most of us here eat LC/HF, low carb high fat. It helps to eat a little more fat. I can go all day now on a few cheese sticks if I have to.

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Old 06-05-2012, 22:08   #3
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oh really? Hmmm well guess I am knocking on diabetes door, or would probably be there if I had not lost over 100 pounds in the last 2 years and started exercising. I hope it is not too late for me. I will let ya know if the doc ever calls. Not sure if she will since the notes said that she had already discussed with me. wth??

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Old 06-05-2012, 22:16   #4
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The few years before diabetes , I didn't have a bg meter but had tons of hypo events or what I thought were hypo events. I would be out shopping and all of a sudden feel like someone had pulled the rug out from under me. After I got diabetes I started to learn more about the disease I realised hypoglycemia and diabetes are very much connected. Normally as your bg falls your pancreas should put out glucagon to signal liver to raise bgs. But this seems to be broken in your case. As my diabetes progressed my pancreas actually put out too much glucagon actually raising my bgs when I was no where near low. So lots of times it is a dysfunction of sigaling. Also you may be insulin resistant. So you spike when you eat carbs and then crash because your pancreas over produces insulin. There are specific diets for IR. You want to avoid any fast acting carbs like sugar, but also things like fruit, wheat, potatoes, rice and pasta. Try to eat smaller meals more often that are comprised with protein, fat and carbs from veggies, seeds and nuts.

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Old 06-05-2012, 22:24   #5
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You definitely had reactive hypoglycemia, but the 1-hour spike suggests that you have impaired glucose tolerance. That's probably why you dropped so low so quickly. You must have felt like garbage! The more I read about reactive hypoglycemia, the more I learn how common it is in people who go onto develop diabetes or are in the early stages of diabetes. I wasn't testing my blood sugar 10 years before my diagnosis, but I remember having the jitters after eating a lot.

In one sense, it's already "too late." Once you have diabetes, pre-diabetes or whatever term we want to use, you can't really unring that bell. On the other hand, you have caught this extremely early and that's cause for joy.

Congratulations on your incredible weight loss. I lost a lot of weight, too, although post-diagnosis. I can't really say that it's worked magic for my blood sugar. I still have diabetes, but it's easier to control and manage with improved insulin resistance.

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Old 06-05-2012, 22:30   #6
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Hi not an MD here either. Just an mb, but have stayed at a HI Express. The big swings up and down are what's giving you the funny feelings. Based on my wife's numbers, your lows aren't far out of line with her, she just doesn't go high. She did suffer with going hypo back a couple of years ago when going to school to be a teacher. (OK more than a couple or maybe I meant decades. I'm still in age sensitive mode with her BD only being a week ago.

Keep an eye on it with your meter. Keep your BG from going high and stave off any problems.

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Old 06-06-2012, 02:41   #7
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Thanks everyone great info!

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Old 06-06-2012, 05:50   #8
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Hello Karlia,
Super drunk the first hour & then shaky and sweaty the next couple of hours. Typical symptoms of hyper & hypo. The new revised norms say that normal BG is between 60-100 so that should relax you a bit. But the swings do indicate a signalling problem like jwags has pointed out. And everyone else has pointed you in the right direction. Diet & exercise should take care of you for the time being. Having an accurate meter is a big help. Do keep a watch on your BG from time to time.

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Old 06-07-2012, 14:05   #9
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sooooooooooo, update time. Just as I suspected, the Primary care doc finally called only after I called and left repeated messages. I am sure she thinks I am a psycho hypochondriac. At this point, I have washed my hands of her, and will not bring up the sugar subject again. I have the info I need from the test. Blah. I suppose I need to see if my insurance will allow me to go see and Endo without a referral. We are in the middle of switching insurance, (Hubs left Active duty ARMY for National Guard) So, basically she said, well you do have some lows, but you are not diabetic....and then silence. She basically did not know what to say. Well, I am more educated on the subject than she, so I will take matters into my own hands. I will just keep testing, keep eating small low to no carb meals, and keep exercising like I am. Once my strips run out, I will send a request for a scrip to her. Hopefully she will fill it without any questions, since now I am the psycho who harasses her, she will avoid calling me. LOL. So, at this point, we will call this a woman's intuition, self diagnosis (with a little help from a 3 hour OGTT) of Insulin resistance, with Reactive Hypoglycemia. BTW I am 5'4" and 142 pounds. 2 pounds away from a "normal" BMI. I have lost 114 already in the past 2 years. I am a vegetarian. So, thanks for all the info. I think I will officially call this place home and go to the "introduction" board and make a proper introduction. Thanks again and have a great day!

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Old 06-07-2012, 15:00   #10
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Hey there! Are we twins, cause we have very similar stories! I had GD, have reactive hypoglycemia, am young and a healthy weight and am a vegetarian! I started eating a low carb high fat diet, which is tough as a vegetarian, but not impossible. I started 2 1/2 weeks ago, and am finally feeling normal again. It was really hard the first week. I felt like mean mommy. But, I haven't had any wild BG swings which is wonderful.
Your primary doc sounds like a notsosmart person. No wonder so many people progress to full blown diabetes! Their doctors don't warn them. Ugh!

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