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. Reactive hypoglycaemia (non-insulinoma pancreatogenous hypoglycemia syndrome) is a seemingly rare and potentially serious complication following gastric bypass.
If you think you may have low blood sugar after eating, you should measure your blood sugar level using a glucometer available at any pharmacy. You will need to experiment with foods and figure out what YOUR triggers are, and what foods work BEST to bring you back from a sugar crash. Here is what happens in experiment A, when 12 patients 2 years after gastric bypass suspected on Reactive hypoglycaemia, are given a high carbohydrate meal of 8 oz.
Here is what happens when the same patients are given a low-carbohydrate meal was composed of decaffeinated black coffee or tea without sugar, 1 egg, a 1-oz. Note how the glucose level and the insulin level stay within normal levels and DO NOT SPIKE WIDELY as in experiment A.
These experiments show us why we should not treat reactive hypoglycaemia like we do in diabetics. In cases of severe hypoglycemia with loss of consciousness, immediate treatment with 3-4 glucose tablets (5 g each) or 3-4 tsp of honey should be given to patients who can swallow. One of the things I wanted to talk to him about was these Sugar Binges I have been having from time to time. Not long after I got really sleepy as I always seem to get after eating a heavy dose of carbs.
My daughter sat there and watched as I ate Gummy Jolly Ranchers, Sweettarts, Rock Candy and then I poured some Sour Blue Sugar stuff in my mouth. Reactive hypoglycemia is common after gastric bypass surgery because of the lack of a pylorus.
What should you do if you think you have reactive hypoglycemia after having a meal or snack? They say to pick up a Blood Sugar Meter which I am going to do to have on hand myself now that I know this is what I have.
If you think you are having a reactive hypoglycemia episode and have a meter check your blood sugar. You can help prevent reactive hypoglycemia by following your diet guidelines for bariatric surgery. Instead of sugars and simple carbohydrates, eat complex carbohydrates because they release less sugar over a longer period of time.
So this is yet another thing I was never told about prior to having my Gastric Bypass Surgery and will have to live with this going forward. I will make an appointment with my bariatric doctor and see what he has to say about it all, but again I know it is just the Reactive Hypoglycemia.

If you think you may be experiencing Reactive Hypoglycemia please make an appointment with your doctor to discuss.
Then we added another new med to my pile for this damn bladder issue I have had for quite some time now.
Oh and he also looked at my sinuses which are always a mess and I have horrible swollen turbinates in there.
Please be aware that those hypoglycemic episodes can progress to something called hypoglycemia unawareness. That is true – I put a baggie with some hard candies in my purse, but I will also add in some Glucose Tabs when I get to the store and purchase some.
I also suffer from SAD and am NOT looking forward to the upcoming colder months here in New Englad! Yeah it is crazy, but now I also know that running and gorging on sweets can be just as dangerous to me. My name is Rebecca and I am a 39 year old Cancer Survivor (surgically removed in January 2011 – Renal Cell Carcinoma Stage 3 Tumor Grade T3) and after that, a gastric bypass patient. When I was in the hospital, and the ER when these episodes occur, I usually do not have my blood drawn for an hour or two after the episode. OMG that sounds so scary and I would love to know what they find – please keep me updated on your condition. I have had fundoplication surgery 3 weeks ago and im getting reactive hypoglycemia symptoms 1-2 hours after food and i get shaky and dizzy and have to eat something sweet. I understand what all you are going through, and I’m sorry it is not a fun experience at all. Thank You for sharing your story – yes it is so scary and I am glad u know what is going on. 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.
Do the test an hour before a meal, a few minutes after eating, an hour afterward, two hours after, etc. Your food log including the times you eat and any blood sugar highs or lows on that same log will be used to spot any patterns that might develop. Make sure you are following our dietary guidelines and instructions – eat protein first, then the complex carbohydrates and lastly the healthy fats. For example, diabetics are asked to eat candy to bring their blood sugar up quickly from an overdose of insulin (the cause of their hypoglycaemia). I always go with a list unfortunately, I think it is all part of the getting old crap and let me tell you I don’t like it – not one bit!! Do you remember my post back at the beginning of July – I was possessed and had a Late Night Sugar Binge? It is almost as though I get into a sugar trance as I have said in my other post – it is crazy, really crazy. Of course after the one last night I got online and googled my symptoms and found it matched what is called Reactive Hypoglycemia. Even though these foods are high in sugar and can raise your blood sugar, your blood sugar will go too high too fast which is not safe. I did not have this in the beginning probably started about a year post op which they say is about when it can occur for most. I will however do the following going forward… I will never eat a meal that is only carbs which is when it happens to me in all the times I have had episodes. I am glad I found out what it was that has been going on with me and now I will avoid doing the things that cause it to happen and hopefully not go through that again.
Normally I get them in my left one, but now my right has been acting up and in lots of pain so he did that one today. I get horrible sinus headaches all the time and do sinus spray before bed cause when I wake up in the morning is when it is at its worst. First surgery was April 24, 2013- could not stop vomiting after, tore open hernia repair, no tolerance to anything, initial surgery was supposed to be simple sleeve, well not so simple, 5 months later had to have revision RNY with second repair of tear and Endoscopy after endoscopy to try and stretch my trachea opening for liquids to flow through because closed to tight after hernia repair was not allowing liquid down, well after second surgery RNY still could not tolerate liquids- dropped 116 pounds in less than 6 months, had to be hospitalized due to blockage and kink in intestine, doc attempted to intubeate without success- well i was put on ativan because of this traumatic experience, so on top of the zoloft for anxiety and depression and all the fibro meds and lumbar disc meds and migraine meds and injections that were supposed to be taken away, I was no put on a PICC line for feeding and now out of work going on 7 months mind you I was yelled at at work by a sup and have a claim because they wrongfully suspended me but are now telling me to hurry and get back before i loose my work station, anywho, i am on this feeding line, still cant eat my thyroid starts attacking my body, I now have developed hashimotos thyroiditis more meds, scans, ultrasounds, the good stuff, well I fuinally force myself to get semi better enought to go back to work so they can stop harrassing me and all of a sudden the room starts spinning, i start shaking, sweating, cant remember a word I am saying, and feel like I am about to pass out, this happens a few more time before I finally go to my Endo doc who tells me its my blood sugars and check them, well there at 32. 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. Keep a food log and keep track of your blood glucose readings at all the various times before and after meals.
Over time you’ll be able to spot trends and understand how your body is working a bit better.
The rule-of-thumb is a bit of simple carbohydrates to bring the crash up quickly, then a balance of protein and fat to keep the glucose up. The picture to the right is my blue tongue after I was done binging that I texted to my friend telling her I had another sugar binge. Of course I was not going to officially diagnose myself with that until I spoke to my doctor.
In many cases, this can occur relatively rapidly, leading to quick absorption of carbohydrates in the small intestine. But wait there is more… My doctor wants me to get an appointment with my bariatric doctor to discuss this issue and have more testing done.
I will also be purchasing a Blood Sugar (Glucose) Meter and glucose tablets to keep on hand.
So I will try this new med to see if it helps and also go for some testing to see what may be going on. Well he said one side was pretty swollen, but being I still smoke (I know I do not need the lecture) it irritates them worse – which I knew.
I would love to put it out there because we all should be aware of these things and that is one of the reasons I share my story and everything that comes with it. 2011 and it was about a year and a half later when I first started having problems with low blood sugars.
I was rather shocked since every time I check my sugar with the meter, I get low numbers.(75 on empty stomach to 90 two hours after lunch). 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. Here is the story; We had gotten Chinese Food for lunch and I got Garlic Beef and Shrimp along with the Fried Rice Combo.
I was able to feel this wave go through me as my blood sugars dropped along with my blood pressure probably.
So today when I saw the doctor I did not tell him what my thoughts were and explained what was going on.
Under normal circumstances, the pylorus gradually introduces food into the small intestine.
This is something I have been doing and I come to find out it is a no no.So if I have another episode I will no longer raid my baking cabinet that is for sure.
There is another part of this called NIPHS Noninsulinoma Pancreatogenous Hypoglycemia Syndrome. Not looking forward to the side effects being dry eyes and mouth, but if it helps who cares right? Having never had problems with my blood sugars i was very unaware what was happening when I started having the shaky, sweaty, blurry vision symptoms.
I had it twice to make sure it actually was resulting from what I was eating and not something else. I am dizzy now typing, sugars dropping as I type, they drop fast, dont go up fast like they drop, doc says if this doesnt work I will loose my pancreas and induce diabetes the whole reason I had the surgery to avoid diabetes and to loose the weight, but like you said it, AT LEAST IM SKINNY NOW!!!!!!!
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.
Diabetics who inject themselves with too much insulin, can develop reactive hypoglycaemia because insulin drops their blood glucose to very low levels. I started to get a bit shaky, weak and drunk feeling and feel as though I needed to eat sugar ASAP.
Following gastric bypass, the mechanism for moderation is removed, and food is “dumped” into the small intestine. Luckily I have a younger sister who had issues with low sugars during her pregnancy and so she was able to suggest that being the problem.
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.
Low blood glucose levels can occur in certain patients after gastric bypass (exact number not known) and this can produce several symptoms of varied severity. So later at night I heated up the leftovers which now was mostly rice and some veggies and not much protein left in it. Well I was right, Yup I actually correctly diagnosed myself via the internet – can u believe it? I had to seriously argue over the phone with some people to make an appointment because they did not want to see me. I knew I probably should not eat all that rice, but like an idiot went ahead and ate it – all of it. I honestly do not think I have that it is the more extreme side of things if you have the drop in sugar pretty much after every meal. I broke up 3 meals into six for about 2 weeks, and all that did was keep me doped up for the entire day. Like I said that is very rare and I cannot even find a good link to share with you explaining exactly what it is, so sorry about that.
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. Luckily it will wake me if I’m sleeping because i get so sweaty that is my biggest fear is to sleep through an episode and then slip in to a coma. 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.

Glucose tolerance test level range
High low blood sugar levels symptoms 8dpo
Normal glucose levels for 60 year old female


  1. 09.12.2013 at 22:47:44

    May faint, have a seizure, and in severe cases, may implementation.

    Author: QLADIATOR_16
  2. 09.12.2013 at 23:35:37

    Diabetes medications can cause hypoglycemia and their daily lives as shown by normal.

    Author: Roni_013