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From: Eddie on 22 Aug 2006 13:10
I have just been diagnosed with reactive hypoglycemia, 20 years late
but we got there. This in itself is not a problem. My GTT came out with
a low of 3.9 which I believe is quite mild. What I do have a problem
with is my sensitivity to my own sugars. I crash off pretty much
anything, even just a handful of spinach leaves. Porridge for breakfast
means no more than 3 spoonful's every hour or so. Any more than this
and after 2 hours or so I crash like a switch has been flicked, I will
be 'off line' for about 4 minutes and then back on just as fast. If I
do crash its almost impossible to recover by eating because I feel like
I'm operating on a knife edge. Too high a GI means I will have a more
servere problem in 20 mins, too low and nothing will happen at all.
Snacking is tricky because of overlapping crashes.

The NHS dietician said he had never seen anything like it. Well, I
seemed to know more than he did so I dont quite know how to take it.
Has anyone else had this, is it common? I'm very active so I would
think I have a fast metabolism, but still.

From: Nicky on 22 Aug 2006 14:04

"Eddie" <everreadyeddie(a)gmail.com> wrote in message
news:1156266631.467567.248720(a)75g2000cwc.googlegroups.com...
> Has anyone else had this, is it common? I'm very active so I would
> think I have a fast metabolism, but still.
>

It is fairly common - it tends to be a precursor to full-blown diabetes. The
trick seems to be to keep your bgs as stable as possible - which is going to
mean buying a blood glucose meter and begging your doc for some strips; they
cost 50p each, so it's an expensive pastime doing the research out of your
own pocket.

Eating oatmeal, whatever its GI, is obviously not working for you. Try an
omelette or similar for breakfast, and see what happens. Test before and at
one and 2 hours after you eat. Repeat this process to build up a database of
how different foods react for you - the GI is a reasonable guide, but not
infallible, as you've discovered.

Recently there's been a couple of people with reactive hypoglycemia over on
alt.support.diabetes, our mainly American sister group - you might want to
ask for advice over there.

HTH.

Nicky.

--
A1c 10.5/5.3/<6 T2 DX 05/2004
No Metformin, 100ug Thyroxine
95/72/72Kg


From: Trinkwasser on 22 Aug 2006 15:19
On Tue, 22 Aug 2006 19:04:15 +0100, "Nicky"
<ukc802466929(a)btconnect.com> wrote:

>
>"Eddie" <everreadyeddie(a)gmail.com> wrote in message
>news:1156266631.467567.248720(a)75g2000cwc.googlegroups.com...
>> Has anyone else had this, is it common? I'm very active so I would
>> think I have a fast metabolism, but still.
>>
>
>It is fairly common - it tends to be a precursor to full-blown diabetes. The
>trick seems to be to keep your bgs as stable as possible - which is going to
>mean buying a blood glucose meter and begging your doc for some strips; they
>cost 50p each, so it's an expensive pastime doing the research out of your
>own pocket.

http://jennifer.flyingrat.net/

http://www.phlaunt.com/diabetes/

Two different Jennies, two lots of good information.

I'm on the cusp between reactive hypoglycemia and diabetes proper,
what I've found helpful is to try to eliminate the BG peaks - mainly
by eliminating carbs especially in the am, and distributing them in
small but increasing doses through the day. Then the lows seem to
improve.

And more importantly, the fast changes between one and t'other, which
are what were leaving me feeling poleaxed.

>Eating oatmeal, whatever its GI, is obviously not working for you. Try an
>omelette or similar for breakfast, and see what happens. Test before and at
>one and 2 hours after you eat. Repeat this process to build up a database of
>how different foods react for you - the GI is a reasonable guide, but not
>infallible, as you've discovered.

I'm limited to a maximum of two oatcakes for breakfast, bowls of
cereal and even oatmeal, are far too carby in the morning. Go back up
the group, there've been some good breakfast suggestions. Don't expect
what anyone else does to necessarily work for *you* but there should
be some good ideas you can try, and test afterwards.

>Recently there's been a couple of people with reactive hypoglycemia over on
>alt.support.diabetes, our mainly American sister group - you might want to
>ask for advice over there.

There's also alt.support.hypoglycemia
From: Alan S on 22 Aug 2006 17:27
On 22 Aug 2006 10:10:31 -0700, "Eddie"
<everreadyeddie(a)gmail.com> wrote:

>I have just been diagnosed with reactive hypoglycemia, 20 years late
>but we got there. This in itself is not a problem. My GTT came out with
>a low of 3.9 which I believe is quite mild. What I do have a problem
>with is my sensitivity to my own sugars. I crash off pretty much
>anything, even just a handful of spinach leaves. Porridge for breakfast
>means no more than 3 spoonful's every hour or so. Any more than this
>and after 2 hours or so I crash like a switch has been flicked, I will
>be 'off line' for about 4 minutes and then back on just as fast. If I
>do crash its almost impossible to recover by eating because I feel like
>I'm operating on a knife edge. Too high a GI means I will have a more
>servere problem in 20 mins, too low and nothing will happen at all.
>Snacking is tricky because of overlapping crashes.
>
>The NHS dietician said he had never seen anything like it. Well, I
>seemed to know more than he did so I dont quite know how to take it.
>Has anyone else had this, is it common? I'm very active so I would
>think I have a fast metabolism, but still.

As Nicky and Trink said - the answer is to try not to go
high so that you don't swing low afterwards. They gave
excellent advice, so I'll just endorse their comments.

Unfortunately, many of us have had similar experiences with
dieticians. Mine said that "Type 2's never have hypos" while
I was shaking like a leaf in front of him.

Read this, print it out, and put it into practice. Forget
all preconceptions you ever had as to what is a "good"
breakfast or "healthy eating".
http://jennifer.flyingrat.net/

later, when you've improved your menu to minimise the hypos,
you can review the result to improve the nutritional side.

Cheers Alan, T2, Australia.
d&e, metformin 500mg
--
I have no medical qualifications beyond my own experience.
Choose your advisers carefully, because experience can be
an expensive teacher.

Everything in Moderation - Except Laughter.




From: Eddie on 3 Sep 2006 06:18
Thanks guys. I know there are thousands like me but its only brought
home when you make contact.

I now have a meter. My endocrinologist is unsure whether I am having
sugar related crashes and wants to rule it out if possible, hence the
meter. His thinking is that my bgl is practically normal. When I crash,
I get confused, cant talk, have to sleep but I dont get sweats. I
switch on and off within seconds sometimes. This all follows the usual
GI pattern, seems sugar related to me, and if there is one thing I have
leant, there are all sorts of variants out there. We will see.

To avoid diabetes the trick seems to be, dont wear out the pancreas
i.e.avoid the spikes and dont carb up to avoid the dips. I would hope
with my bgl being practically a variation on normal, I shouldn't be in
too much risk of this. Its my symptoms that are dramatic. But who
knows.

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