Talk to me about reactive hypoglycemia

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Talk to me about reactive hypoglycemia


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Old 05-26-2012, 03:08   #1
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I did something very stupid today, and I feel pretty awful about it. I had gestational diabetes with my last pregnancy (I'm 8 months postpartum) and have been randomly checking my blood sugar since. Anyhow, some of readings have been quite high (Around 200). I have a doctors appointment in 5 weeks. I guess I'm still in denial that anything could be wrong, so I decided to do my own OGTT. I ate a serving of jelly beans this morning and tested at fasting (70s) 1 hour (160) 90 minutes (150) 2 hours (90) and finally 2.5 hours (50!!). I felt AWFUL. I almost called my husband to come home because I was seriously concerned that I might pass out with two small children in the home. I did NOT expect my sugars to crash that much. Why does that happen? Is it a symptom of prediabetes? I was barely functional for the rest of the day. I was exhausted, like I had run a marathon. I've been trying to find info on reactive hypoglycemia, but I'm not finding anything substantial. Is it a precursor to type 1 or type 2 or both?

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Old 05-26-2012, 03:37   #2
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You have geatational diabetes? It would be difficult to tell if your body would have reacted the same way outside of pregnancy.

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Old 05-26-2012, 03:39   #3
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Oh sorry, you HAD gestational diabetes. Looks like by your numbers you are prediabetic, but only your dr will be able to tell you.

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Old 05-26-2012, 03:42   #4
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I'm not pregnant now, my baby is 8 months old. I had GD when I was pregnant with her. Now I'm concerned that my blood sugar is wacky, pregnant or not!

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Old 05-26-2012, 03:44   #5
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Is it normal for a prediabetic to have such a dramatic crash in blood sugar?

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Old 05-26-2012, 03:55   #6
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Originally Posted by CatholicMama View Post
Is it normal for a prediabetic to have such a dramatic crash in blood sugar?
It's quite normal. Here's a great website I think you will find helpful. Blood Sugar 101.

From the "Am I Diabetic" page:
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Low Blood Sugar
If your blood sugar goes up at one hour and then drops below 70 mg/dl (3.9 mmol/L)at the two hour point you have what is called "reactive hypoglycemia." Your blood sugar went up but your body cranked out a huge dose of insulin to bring it back down--too much, in fact. That high dose of insulin resulted in your ending up with low blood sugar.

This, too, may be an early warning sign that you might be headed for diabetes, though it may take a decade or more until it becomes apparent. Even if you don't progress to diabetes, reactive hypoglycemia may be a sign that you are insulin resistant and that your cell's resistance to insulin is forcing your body to secrete the very large insulin doses that are driving your blood sugar low. Insulin resistance, with or without diabetes, may be a precursor to heart disease. Be sure to discuss this result with your doctor.
Until you are able to see your doctor, I would avoid anymore high carb loads. As you've discovered, going too low afterwards can be scary! *HUG*

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Old 05-26-2012, 04:01   #7
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It's quite normal. Here's a great website I think you will find helpful. Blood Sugar 101.

From the "Am I Diabetic" page:


Until you are able to see your doctor, I would avoid anymore high carb loads. As you've discovered, going too low afterwards can be scary! *HUG*
Thank you! Yes I've been reading blood sugar 101, but not the part about reactive hypoglycemia. WOW! I'm still astounded that I have prediabetes. I know that it's not really about weight and age, but darn it, I'm super skinny and young! I just don't understand why this is happening.

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Old 05-26-2012, 04:18   #8
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Thank you! Yes I've been reading blood sugar 101, but not the part about reactive hypoglycemia. WOW! I'm still astounded that I have prediabetes. I know that it's not really about weight and age, but darn it, I'm super skinny and young! I just don't understand why this is happening.
I completely understand the feeling of disbelief. I was diagnosed at 28 only to go back through my old labs to discover that I have had diabetes since I was about 10. I was underweight, an athlete and none of that protected me.

I believe that if I had gotten an early warning and changed to a low-carb diet I could have prevented a lot of damage (and heartache!). So consider this your early warning and start making changes.

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Old 05-26-2012, 05:47   #9
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I believe your numbers are completely within the normal range on the high end. That leaves the hypoglycemia. Conveniently, whether diabetes, pre-diabetes or hypoglycemia, the intial step is the same: reduce consumption of foods which result in glucose. That is mainly carbs but also protein. The only other choice is fats. So, you will need to swap out most of the carbs you eat for fats without increasing protein.

For hypoglycemia specifically, you may need to keep the time between eating shorter during waking hours. Many people who have this problem have to eat something every 3 hours or so all day to avoid a hypo. After step one above, you can determine if you also need this.

This should be a relatively easy condition to keep well-controlled - at least much easier than type 2 diabetes! By getting on top of it early - and it appears that now IS early - you should be able to do just fine for a long, long time.

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Old 05-26-2012, 13:01   #10
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Many of those of us who are now full blown diabetics started out with hypoglycemia for quite awhile. I think it is the flip side of the same condition, a dysfunctional pancreas. When you eat a large amount of carbs, even bread or grains it forces your pancreas to overproduce insulin. Usually when you are Insulin Resistant the insulin is not immediately recognized so the pancreas doesn't shut off. When all this insulin hits your bg crashes. In a normal functioning pancreas your pancreas would put out some glucagon that signals liver to dump glucose. With reactive hypo, your pancreas does not do this.

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