Reactive Hypoglycemia?

No, the bar won't work the same. Handful of nuts won't work nor will a protein drink. Part of it is the cracker (fast carb) and part of it is the fat in the PB. There is almost no measureable protein in 3 PB crackers, so that's kinda moot.

I think among us, we've tries literally hundreds of things, including stirring sugar into water! But of course, most ppl guess to use sugar to counter a sugar reaction. Some even eat sugar every 2 hrs, thinking they are controlling it vs causing it.

It's just sorta backwards of how normal thought goes.

My OWN opinion is that a limping pancreas is part of the disease of obesity, egg or chicken, who knows? But for us, the pancreas sends out false signals and is otherwise confused, no matter if you weigh 100 or 500 #.

The testing is different, I'm going through the Joslin Diabetes Research dep't for some in two weeks, it's a "mixed meal" blood test, and a IV glucose tolerance test.

 Massachusetts neighbor Just curious, Doesn't a "mixed meal" consist of a glucose drink or ensure type drink which has sugar in it?   I've been told by the symptoms I have and by monitoring my blood sugar levels that I have RHG and since all testing for it contains drinking sugary type drinks, its better to know by the symptoms I have instead of going through testing and first dumping then "crashing"..   That just sounds like a whole lot of misery and more misery!  lol Have you tried peanut butter when you start crashing?  I eat pb daily not only for protein, but it helps get my blood sugar up quickly.  I also find if I dont eat every 3 hours (or miss a meal) I crash easier than I would if I had a steady amount of food entering my system.   Have you looked into the glycemic index?  I started reading all kinds of nutrition books because I HATE feeling this way with the whole RGH thing.  The GI is more confusing, but helpful.  I made an index, printed it and use it when food shopping so I know the right foods to get.   Good luck with your tests, I read your blog (spoken in words like a true Mass resident, straight to the point, no fluff  ) about RGH and stop in again to see your results, thanks for keeping everyone informed!   :)

Yes - the mixed meal will be a 250 calorie 22 sugar gram container of Ensure.  I will dump, and then I will crash.  I hate that I have to dump - but I don't know that they'll do it any other way, and I won't opt out because I have to get a diagnosis.

Here is some info I copied from the Mayo clinic web site.
I hope it helps to explain things.




Most hypoglycemia, or low blood sugar, occurs while fasting. But reactive hypoglycemia is low blood sugar that occurs after a meal -- usually one to three hours after eating. Reactive hypoglycemia can occur in people who do not have diabetes. The cause of most cases of reactive hypoglycemia isn't clear.

Some researchers suggest that certain people may be overly sensitive to the normal release of the hormone epinephrine, which causes many of the symptoms of hypoglycemia. Others believe that deficiencies in glucagon -- a hormone that normally protects against low blood sugar -- may cause reactive hypoglycemia.

Less commonly, reactive hypoglycemia results from excessive production of insulin by the pancreas (hyperinsulinemia) due to a tumor (insulinoma) or high numbers of insulin-producing cells (nesidioblastosis).

Reactive hypoglycemia may also occur after stomach surgery or due to certain enzyme deficiencies, which may interfere with the balance between nutrient absorption and insulin secretion.

Symptoms of hypoglycemia include:

Hunger
Nervousness
Perspiration
Shakiness
Dizziness
Sleepiness
Confusion
Weakness
Anxiety
Reactive hypoglycemia is often difficult to diagnose. Some people who have symptoms that are similar to reactive hypoglycemia may not actually have reactive hypoglycemia. Reactive hypoglycemia typically is not associated with diabetes.

Medical evaluation of reactive hypoglycemia initially focuses on confirming that symptoms are caused by low blood sugar and symptoms resolve once blood sugar has returned to normal. Further evaluation of reactive hypoglycemia depends on the severity of signs and symptoms.

Reactive hypoglycemia usually doesn't require treatment. When needed, treatment may include dietary changes such as:

Eating several small meals and snacks throughout the day -- no more than three hours apart
Avoiding or limiting high-sugar foods, especially on an empty stomach.

All the best

Sher

thanks for finding this information Sher :)