Discussions By Condition: Diabetes

Reactive Hypoglycemia

Posted In: Diabetes 11 Replies
  • Posted By: deranged
  • March 25, 2011
  • 06:59 PM

My condition is the exact opposite of diabetes, yet there doesn't seem to be an appropriate spot for this post. This is NOT regular hypoglycemia, where one has low blood sugar. My blood sugar levels are perfectly normal, until I eat, then they plunge. This is in reaction to carbs, sugar, starches, caffeine, etc et etc... When I eat these things, my pancreas over-produces insulin. So when they drop, eating carbs or sugar is going to cause my blood sugar levels to drop further. I have also been diagnosed with Celiac Disease, which makes my diet even harder to manage.

My diet (apparently) needs to resemble that of a diabetic, which is why I'm here. I'm having a heck of a time balancing my blood sugar levels. I've spoken with dietitians, who have given some great advice, yet I am still having difficulties. I'm hoping ppl with more experience balancing blood sugar can give me tips and ideas on how to get this right. I am SO very sick right now! All I want is to be able to feel healthy again, and get on with a normal life!

I currently (try) to eat every 2-3 hours. I say "try", as sometimes I am just too nauseous to eat a thing. I avoid simple carbs as best I can (although fruit and rice can also cause me to crash). I avoid caffeine. I try to balance each meal with protein, vegetables, and dairy... higher on the protein than anything else (as instructed). My first meal of the day I have little to no carbs, otherwise I crash, then introduce carbs from there. I am supposed to limit my carb intake to no more than 200g a day, due to the severity of my symptoms. I DO have to replace my oatmeal with quinoa flakes, and my regular bread with flax bread. Not sure if that makes any difference at all.

What am I missing?

BTW: This diagnosis came in only a month ago. Do I only need time to adjust?? I am so lost!

Reply Flag this Discussion

11 Replies:

  • Hi.....I have reactive hypoglycemia too after having gastric bypass. It can be VERY scary when it happens. My blood sugar actually dipped to 24 once. I can usually feel it coming on because I start getting spacy, tingly, my mouth and tongue get numb, I start to sweat profusely. I've learned to avoid it though. I find that if I start my day off on the wrong foot, I'm sick all day. I start my day with either a couple hard boiled eggs or some type of egg product. If I'm in a hurry, I have a hunk of cheese with some cashews and dried cranberries and maybe a high fiber cracker. I eat every 2 hours...and I always start with protein. I find that if I have protein in my stomach, I can usually eat some carbs and have no problem. NEVER eat carbs on an empty stomach..that's hoe I get into trouble. I hope this helps. Chris I keep bananas and granola bars everywhere! In my car, ay work, in my room on the night stand...if I start feeling that feeling, I eat something.
    Chris1234 12 Replies Flag this Response
  • Hey, thanks for that! i was thinking carbs first thing in the morning was one of my issues. I guess I'll switch to eggs and see how that goes. I have been keeping crackers in the car, but nothing by the night table... good idea... :)
    deranged 7 Replies Flag this Response
  • I just wanted to let you know, for the past three days I have taken your advice and consumed only protein for breakfast. Worked beautifully! I also snack on only protein in between meals, to ensure I don't over load on carbs. And I save my fruit for the last meal of the day, so that if I crash, it doesn't really matter. I can just go to bed and sleep it off.I can now tolerate decaf coffee ALOT better. Thankfully! I missed my coffee! Thanks to your one piece of advice, I am on a MUCH better road to getting this under control. I can not thank you enough!:D
    deranged 7 Replies Flag this Response
  • Hi there, I have issues with hyperinsulinemia (its actually a prediabetic state) and low blood sugar levels (hypoglycemia) at times (so low on a couple of my blood tests that it was close to the level which can cause unconsciousness). I like the other poster .. usually have just 2 eggs for breakfast (I hard boil them so its a quick breakfast too). If I need a bigger breakfast, I fry up together a mix of mince, onion, mushroom, capsicum with herbs and spices. My specialist sent me to a nutritionist who has this issue herself as what many nutritionists recommend isnt enough for many of us. I have some rules Ive been told I need to follow. 1/ Eat Protein before I eat anything else. Eat eggs, fish or meat every meal. 2/ Have only one small piece of fruit per day (fruit contains sugar.. fructose). No fruit juice. If I eat flavored yogurt it counts as my fruit. Note.. bananas and some other fruit have a lot of carb, if I include a banana for my daily fruit allowance, I'll only have half of one. 3/ Limit of 2 pieces of bread per day (but in my own case I have to limit that further to 1 cause 2 over a day can give me symptoms.. I usually only have one piece of toast per week). 4/ No cereals as they are too high in carbs). 5/ No Potatoes or corn (both high in carbs) 6/ Restrict root veg (due to carbs) 7/ Only a small amount of rice is allowed (I cant remember how much now but it may of been only a quarter or half a cup of wholegrain rice). Cause my issue is so severe I dont eat rice, grains etc 8/ Have only FULL FAT dairy products. (The fact content in the dairy helps with the insulin).In my own case I restrict dairy too as that can cause me issues due to lactose (milk sugar). So I keep my dairy under 2 cups per day. 9/ No sugar!! or products which have sugar in them. My nutritionist has said she's come across some people who cant tolerate any carbs at all without them causing symptoms. Note my low carb diet needs to be kept far lower then most do who have diabetes. I'll do another post with some food ideas which have really helped me.
    taniaaust1 2267 Replies Flag this Response
  • I forgot to say.. tomatoes are a fruit (so something I dont now have either). I also dont have punkin due to its carbs ........When I was first put on this diet I cried... I'd already cut out a lot due to realising that carbs were making me sick (so had basically cut out breads and cereal) even before the 2 hr GTT showed my issues. The nutritionist made me keep a diet record for 2 weeks and then went throu it with a red marker crossing out everything I ate which I shouldnt have done. I was horrified and distressed to see her cross out 95% of what I ate with a big red marker and tell me I wasnt to be eatting that no more. What felt like a big lifesaver for me was finding Xylitol (as Im sensitive to artificial sweeteners due to another medical condition I have). Xylitol is a natural sweeter with nearly no carbs which tastes and looks just like sugar. Once I found that I was able to sweeten my yogurt. :) and drink my cups of tea again. I buy a great low carb chocolate from my health food shop which is far lower then the low carb chocolates in the supermarket (there are kinds of carbs the body dont absorb and this chocolate has those instead). One can also get chocolate which is sweetened by Stevia which is a herbal sweetener (i usually hate Stevia but in this chocolate it dont have the aweful Stevia taste) I also brought a book on Stir fries and there is a lot of recipes in that I can use including one which tastes like chinese :) . I make marinades from soya source, white wine vinegar, garlic, ginger etc. Sweet and sour sauce can be made from white wine vinegar and other things. For drinks.. as I dont like water much.. I drink a lot of herbal teas and also use a product called "True Lime" which is made from real limes but has no carbs.. instead of cordial. (it also comes in orange "True Orange" i think its called then.. and also comes in raspberry but unfortuantely as the product is made in America.. I cant get those other flavours where i are in Australia). Adding it to soda water.. you can make like lemonaide which has no carbs and tastes nice. www.truelemon.com (I hope the mods wont mind me giving you that link to help you.. I know of no other natural no carb drink thing one can use instead of cordial.. Im not connected in anyway to that company) My favourite very low carb recipe which I make a couple of times a week is an quick and easy oven chicken dish.I get a large chicken breast and cut it in half then on it put a lot of cheese (full fat), capsicum, asparagus from a can, olives and capers and then put it in the oven to cook and you have a filling lovely very low carb meal. best luck
    taniaaust1 2267 Replies Flag this Response
  • I need to limit my carbs to about 130 grams a day. Only protein in the morning (which consists of 2 whey isolate shakes). Roughly 30g of carbs for lunch (with protein), then the other 100g of carbs at supper... again with protein. I can't have breads and cereals as I am also gluten intolerant, and buying gluten free breads/cereals is super expensive :( I eat bread only when I make it, and only at supper. When I go on a carb binge, I can certainly feel it for two or three days, not just the immediate effects. But when I have less than 100g of carbs a day, I also get very sick. For me, it's a very delicate balancing act... and one that is hard to both figure out and follow!I WAS completely intolerant of carbs for a bit. But my system is slowly recovering from the damage done by all the gluten. I'm lucky I'm recovering, as I was told not to get my hopes up. So, I'm also not expecting to make a full recovery. Which, in the long run, is fine with me. I'm eating far healthier now, and feeling better than I have in a while... diet wise anyway ;)Keep the tips coming as you learn your new diet! Every little bit is helpful!
    deranged 7 Replies Flag this Response
  • I need to limit my carbs to about 130 grams a day. Only protein in the morning (which consists of 2 whey isolate shakes). Roughly 30g of carbs for lunch (with protein), then the other 100g of carbs at supper... again with protein. I can't have breads and cereals as I am also gluten intolerant, and buying gluten free breads/cereals is super expensive :( I eat bread only when I make it, and only at supper. When I go on a carb binge, I can certainly feel it for two or three days, not just the immediate effects. Great to hear that you are recovering :) . Im surprised to hear how many carbs you can handle :) Those carbs can really hang about.. I can get extreme bad carb reaction 15-20 mins after I eat carb and still have high carb levels after fasting 12 hrs.
    taniaaust1 2267 Replies Flag this Response
  • Great to hear that you are recovering. Im surprised to hear how many carbs you can handle :) ......I'm surprised I'm actually recovering! And yes, the amount of carbs I can handle is pretty high compared to most ppl (although extremely low compared to my previous carbs-out-of-a-can diet )I find that the more I stay away from gluten, the more non-processed carbs I can handle - like fresh fruit and vegetables. Which surprises me as well. I had no idea gluten could affect your pancreas like this... I still need to watch what I eat, and how I eat it, but I find I am getting better at this. One example would be: I can now have a small amount of carbs for each meal, as long as it is preceded by a fatty protein (nuts, eggs, cheese, etc). And, if I have carbs for breakfast I should skip the coffee :( Even decaf coffee after morning carbs can make me crash. I also figured out how to stop a crash when it begins... fatty protein, then pick at something sugary (like cookies) until the crash levels. I was eating carbs, not realizing that eating them too fast may temporarily stabilize a crash, but will eventually just cause me to crash anyway.iPhone actually has two great apps that I'm using right now. One is "a low gi diet", which just basically tells you the index and load of foods. The other is "intelli-diet". Awesome app. Now that I'm able to start eating more carbs, this app really helps me make sure I'm eating properly AND on time. Which, as we all know, helps reduce crashes. Which was my biggest problem. I'd go a day or more with no food (just not hungry), so of course I'd crash on the smallest amount of carbs. With constant reminders, and meal plans laid out for me, I no longer have to think about how or what I'm going to eat (which is extremely difficult when you have no appetite), I just follow the plan and eat as much of it as I can tolerate. I'll admit, the first few days I crashed every morning. But now that I'm eating regularly, the crashes are very infrequent.Essentially, I'm now eating the way everyone is supposed to eat in the first place. So, looking on the bright side, my health issues have actually become good for me :confused: in a way :p
    deranged 7 Replies Flag this Response
  • Those apps are pretty good - thanks for the tip - I'm going to download them too!Also, check out glycemic index food lists and blood sugar chart tables to compare normal ranges and low insulin foods.The national diabetes foundation also has some excellent free information you can access including free publications - we've been referencing these with our son who is pre-diabetic.I'm surprised I'm actually recovering! And yes, the amount of carbs I can handle is pretty high compared to most ppl (although extremely low compared to my previous carbs-out-of-a-can diet )I find that the more I stay away from gluten, the more non-processed carbs I can handle - like fresh fruit and vegetables. Which surprises me as well. I had no idea gluten could affect your pancreas like this... I still need to watch what I eat, and how I eat it, but I find I am getting better at this. One example would be: I can now have a small amount of carbs for each meal, as long as it is preceded by a fatty protein (nuts, eggs, cheese, etc). And, if I have carbs for breakfast I should skip the coffee :( Even decaf coffee after morning carbs can make me crash. I also figured out how to stop a crash when it begins... fatty protein, then pick at something sugary (like cookies) until the crash levels. I was eating carbs, not realizing that eating them too fast may temporarily stabilize a crash, but will eventually just cause me to crash anyway.iPhone actually has two great apps that I'm using right now. One is "a low gi diet", which just basically tells you the index and load of foods. The other is "intelli-diet". Awesome app. Now that I'm able to start eating more carbs, this app really helps me make sure I'm eating properly AND on time. Which, as we all know, helps reduce crashes. Which was my biggest problem. I'd go a day or more with no food (just not hungry), so of course I'd crash on the smallest amount of carbs. With constant reminders, and meal plans laid out for me, I no longer have to think about how or what I'm going to eat (which is extremely difficult when you have no appetite), I just follow the plan and eat as much of it as I can tolerate. I'll admit, the first few days I crashed every morning. But now that I'm eating regularly, the crashes are very infrequent.Essentially, I'm now eating the way everyone is supposed to eat in the first place. So, looking on the bright side, my health issues have actually become good for me :confused: in a way :p
    lisainlakewood 1 Replies Flag this Response
  • Hi there I know this is an old thread but Im tired of feeling sick!! Even if I follow the diet my nutrisionist gave me have not been able to get better!! I also have Reactive Hypoglycemia and i also have my cortisol levels in high so my blood sugar goes down every to hours and i feel really bad I start to sweat and get verry irritable, I feel hungry and well i also get some headache!! First my nutrsionist told me i was eating too much carbs so i reduced them gradually but even after that i kept getting sick!! So I went to an endocrinologist and he told me that i was not eating enough carbs !! An then I rised a little the carbs but i still feel the same way!! I have benn like this for almost 3 years and now i have gained weight i cannot exercise because my blood sugar will get under 65 !! I need any advice please some one help me Im really desperate!! When they ( nutrisionist and endocrinologist) make me lab tests they always say that they are normal but when i do blood teat with my glucose meter after two hours i have had results of 55 and i have even bought another meter but i get the same results !!so my two meter cant be broken !!
    edu616 1 Replies Flag this Response
  • Hi.....I have reactive hypoglycemia too after having gastric bypass. It can be VERY scary when it happens. My blood sugar actually dipped to 24 once. I can usually feel it coming on because I start getting spacy, tingly, my mouth and tongue get numb, I start to sweat profusely. I've learned to avoid it though. I find that if I start my day off on the wrong foot, I'm sick all day. I start my day with either a couple hard boiled eggs or some type of egg product. If I'm in a hurry, I have a hunk of cheese with some cashews and dried cranberries and maybe a high fiber cracker. I eat every 2 hours...and I always start with protein. I find that if I have protein in my stomach, I can usually eat some carbs and have no problem. NEVER eat carbs on an empty stomach..that's hoe I get into trouble. I hope this helps. Chris I keep bananas and granola bars everywhere! In my car, ay work, in my room on the night stand...if I start feeling that feeling, I eat something.I thought we werent allowed to do bananas cause they're so high on the Glycemic Index ? I avoid bananas and I love them ! I havent had a banana since my dx of RH over a year ago..
    Sunnie 1 Replies
    • November 21, 2013
    • 01:38 PM
    • 0
    Flag this Response
  • Complications of Crohn’s Disease

    Recognize the risks associated with Crohn’s disease.

    8 Surprising Facts About Cholesterol

    Did you know that one in six US adults has high cholesterol?

Thanks! A moderator will review your post and it will be live within the next 24 hours.