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. 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. 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 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. 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.
I was stunned about how a physician with so much training in internal medicine could be so wrong. According to the Mayo Clinic, the cause of reactive hypoglycemia isn’t usually pre-diabetes.
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. There are only two ways to get a reactive hypoglycemia diagnosis: a Hyperglucidic Breakfast Test and a home blood glucose monitoring kit.
If only I knew what I knew now, I would have ordered a blood glucose monitoring device and saved Leo the uncomfortable experience. I used a Contour blood glucose monitoring device, which cost less than a single visit to the doctor.
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).
Here are a few of my readings from the first day I tested with the home blood glucose monitoring device. At time of writing, one company out there offers a FREE home glucose monitoring kit that comes with ten free test strips.
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. 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. 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! 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. I’ve been panicking about going into a coma or something so this site already helped in that regard. I absolutely agree–except for the meat that is (I am a vegetarian bordering on vegan).
I had shakinesss,dizziness, mental confusion and feared i was going to fall or something many times for a few months. 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!
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 have been very concerned about my teenage daughter’s physical health for a while now and watched her closely on vacation.
I am not sure why, out of nowhere, I decided to look for answers to my blood sugar issues today, but I did. 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. I was diagnosed with epilepsy in college but after always felt it had something to do with my sugars. I have to make appointment with my neuro, but just wanted to know if anyone has heard of or experienced this. They did the OGTT with glucose checked only at the beginning (after fasting) and at the 2 hour mark. 1) Another OGTT with values for both insulin and glucose taken at least at the 30, 60 and 120 minute marks. 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. Even though I don’t seem to have RH, I thank you for the time and effort you put into this site. 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. 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.
The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or an animal.
If blood sugar levels are either increased or decreased by a greater margin than expected this might indicate a medical condition. Please note that you should perform several consecutive blood glucose tests and not rely on one single measurement. High blood sugar levels affect the arteries throughout the body, especially the organs which have the richest blood circulation: heart, brain, kidney, senses, nerves and other organs. Typical symptoms of high blood sugar levels (diabetes) are thirst, frequent urination and unexpected weight loss.
This blood sugar levels chart is not 100% accurate due to different thresholds set in different countries around the world.
Trace amounts of viral material in human tissue patients than in healthy controls (Helfand et al.
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For decades, the diagnosis of diabetes was based on plasma glucose criteria — either the fasting plasma glucose (FPG) or the two-hour value in the 75g oral glucose tolerance test (OGTT).
Since last year, the American Diabetes Association has recommended using the A1C test to diagnose diabetes, with a threshold of ?6.5 per cent. NICE recommends metformin as an option for first-line glucose-lowering therapy where blood glucose is inadequately controlled using lifestyle interventions alone. Metformin and the thiazolidinediones (TZDs such as pioglitazone) act on the liver to reduce hepatic glucose production.


The glucagon-like peptide-1 (GLP-1) analogues, the inhibitors of dipeptidyl peptidase 4, (DPP-4 inhibitors) and the sulphonylureas are effective in the area of insulin secretion. There are two incretins, known as glucose-dependent insulinotropic peptide (GIP) and glucagon-like peptide-1 (GLP-1). Incretins are going to dominate the field of diabetes over the next five years, Prof O’Shea said.
The active compound GLP-1 (7-36) is very quickly broken down by DPP-4 into the inactive compound GLP-1 (9-36).
Lowering A1C to below or around 7 per cent has been shown to reduce microvascular and neuropathic complications of diabetes and, if implemented soon after the diagnosis of diabetes, is associated with long-term reduction in macrovascular disease.
The landmark UKPDS trial of type II diabetes observed a 16 per cent reduction in cardiovascular complications (combined fatal or nonfatal myocardial infarction [MI] and sudden death) in the intensive glycaemic control arm. Aspirin therapy may be considered as a primary prevention strategy in those with type II diabetes who are at increased cardiovascular risk. Hypertension is a common comorbidity of diabetes, affecting the majority of patients, with prevalence depending on type of diabetes, age, obesity, and ethnicity. Patients with more severe hypertension (systolic blood pressure ?140 or diastolic blood pressure ?90mmHg) at diagnosis or follow-up should receive pharmacologic therapy in addition to lifestyle therapy. The American Diabetes Association says that treatment should include an angiotensin converting enzyme (ACE) or an angiotensin II receptor blocker (ARB). Gastric reduction surgery, either gastric banding or procedures that involve bypassing, transposing or resecting sections of the small intestine — when part of a comprehensive team approach — can be an effective weight-loss treatment for severe obesity. Bariatric surgery has been shown to lead to near or complete normalisation of glycaemia in between 55-95 per cent of patients with type II diabetes, depending on the surgical procedure. Patients with type II diabetes who have undergone bariatric surgery need life-long lifestyle support and medical monitoring.
Dr Velma Harkins of the Irish College of General Practitioners, the National Clinical Lead for Diabetes Prof Richard Firth and Dr John Devlin of the Department of Health published guidelines in regard to diagnosis, targets for clinical care and the interventions that are appropriate at each stage of the disease.
Metformin is contraindicated in those with renal impairment, those at risk of sudden deterioration of renal function and end-stage cardiac and hepatic failure. DPP-4 inhibitors such as sitagliptin and vildagliptin are approved as add-on therapy to metformin.
Do you agree that private hospitals should be paid via the NTPF to cut public hospital waiting lists?
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. An internal medicine doctor is sometimes called “the doctor’s doctor” because of their expertise in pinpointing conditions with a myriad of symptoms. Unfortunately for me, this particular doctor didn’t know that many other conditions can cause reactive hypoglycemia other things other than pre-diabetes. In fact, without a whole lot of expensive testing, it often isn’t clear what the cause is at all. I was floored by the amount of misinformation there is out there on what reactive hypoglycemic should and shouldn’t eat. 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. 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. This chart, will give you an idea of what blood glucose levels look like normally, and what they look like for reactive hypoglycemia. 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. 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). 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.
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’d have either excellent results or terrible results at school with no defined pattern. 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. Epinephrine is a hormone that’s released when you get stressed, along with Adrenaline.
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.
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. After reading your post along with some of the other comments on here, I have felt like I am understood for the first time.
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. The body naturally tightly regulates blood glucose levels (with the help of insulin that is secreted by pancreas) as a part of metabolic homeostasis. Dramatic changes of blood sugar levels have significant physical symptoms and will increase your risk of diabetes-related complications.
The next chart displays all possible blood sugar (glucose) levels along with a short explanation of what the indicators are.
When being tested for diabetes by a impaired fasting glycemia test, blood sugar levels will normally be taken after around eight hours of fasting. However, self blood-glucose monitoring (SBGM) is the single most expensive aspect of diabetes care to the State. It is no longer necessary to measure glucose to make a diagnosis of diabetes, Prof O’Shea said.
Incretins, such as exenatide (Byetta) and liraglutide (Victoza) may be given in type II diabetes. After 10 years of follow-up, the UKPDS showed that for participants originally randomised to intensive glycaemic control — compared with those randomised to conventional glycaemic control — there were long-term reductions in MI (15 per cent with sulfonylurea or insulin as initial pharmacotherapy and 33 per cent with metformin as initial pharmacotherapy). There is an argument in diabetes about whether blood pressure management, rather than glycaemic management, should be pre-eminent. Multiple drug therapy (two or more agents at maximal doses) is generally required to achieve blood-pressure targets.
In this trial, 73 per cent of surgically-treated patients achieved ‘remission’ of their diabetes, compared with 13 per cent of those treated medically. Long-acting, once-daily sulphonylureas may be useful where concordance with therapy is a suspected problem.


I told him I had monitored my blood sugar and it appeared I might have reactive hypoglycemia.
Researchers think that it could be caused by a sensitivity to epinephrine, or a glucogen deficiency, to name just two. 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!
He convulsed and went to the emergency room more times than I’ve been to see a doctor my whole life. Reactive hypoglycemics do not need to monitor their blood glucose except to get a reactive hypoglycemia diagnosis.
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. 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.
My son looked like he was on the same path…exhibiting depression and hyperactivity until we fixed out diet. Download your blood sugar levels log and keep track of your own blood sugar levels – write down all of your measured values. An impaired glucose tolerance test involves taking a concentrated amount of glucose and then measuring blood sugar levels after two hours. All of these agents are used and they all confer a benefit to the A1c — and to cardiovascular and microvascular profiles. There were also reductions in all-cause mortality (13 per cent and 27 per cent respectively).
In type II diabetes, hypertension usually coexists with other cardiometabolic risk factors. The UKPDS study proved that if blood pressure could be controlled, patients did much better. This is especially the case if the diabetes or associated co-morbidities are difficult to control with lifestyle and pharmacologic therapy.
Am J Med 2009) of studies of bariatric surgery involving 3,188 patients with diabetes reported that 78 per cent had remission of diabetes (normalisation of blood glucose levels in the absence of medications) and that the remission rates were sustained in studies that had follow-up exceeding two years.
The Expert Advisory Group in Diabetes in its 2007 report recognised the need for a new model of care for people with type II 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 symptoms of reactive hypoglycemia definitely describe my experience over the past 2 and half years or so. 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. Medical alcohol to clean the skin where you will prick your finger, a sterile tool to prick your finger, some test strips and a glucose meter to read the test strip. Doctors encourage this and need to steer away from it, said Prof Donal O’Shea, Consultant Endocrinologist at St Vincent’s Hospital.
The DPP-IV inhibitors include Januvia (sitagliptin), Onglyza (saxagliptin) and Eucreas — a combination of vildagliptin and metformin. As is the case with microvascular complications, it may be that glycaemic control plays a greater role before macrovascular disease is well developed. Remission rates tend to be lower with procedures that only constrict the stomach, and higher with those that bypass portions of the small intestine.
This integration across primary, secondary and tertiary care requires agreed clinical guidelines. Reactive hypoglycemia is an unusual condition and most doctors are simply not equipped to deal with it.
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).
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?
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.
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. Disturbances in the metabolism of blood sugar levels are mainly the consequence of heredity (diabetes in the family), age (over 40), poor diet, excessive body weight (obesity) and physical inactivity. However, compounds have been developed that activate the GLP-1 receptor with a view to improving insulin secretion. Additionally, there is a suggestion that intestinal bypass procedures may have glycaemic effects that are independent of their effects on weight, perhaps involving incretins. 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. 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? 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.
That should stabilize your blood sugar long enough for you to get a full night’s sleep. For instance, when I began to suspect hypoglycemia, my doctor referred me to an endocrinologist. People with high blood sugar levels can lower their blood sugar levels by maintaining normal body weight, eating healthy and by physical activity. I had to seriously argue over the phone with some people to make an appointment because they did not want to see me. Blood sugar level (or blood sugar concentration) is the amount of glucose (a source of energy) present in your blood at any given time.
I broke up 3 meals into six for about 2 weeks, and all that did was keep me doped up for the entire day.
Over the time a patient’s condition worsens as body cannot make enough insulin to keep blood glucose at normal levels. 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.




A device for measuring blood sugar
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Comments

  1. 07.04.2015 at 21:40:22


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