HomeAnswersEndocrinologyhypoglycemiaI have hypoglycemia after having a mixed meal test. Kindly suggest.

How to manage hypoglycemia?

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Published At April 5, 2024
Reviewed AtApril 5, 2024

Patient's Query

Hello doctor,

I realized earlier this year that I was having hypos after buying a glucose monitor because episodes were getting worse and I always felt like I needed sugar, my general physician (GP) was not concerned as my HbA1c was fine so checked myself and realized I was having hypos, I get dizzy and cannot think at all and cannot see properly (have never passed out at all) the lowest I have recorded so far is 1.1mmol but my blood-test is all fine. I have had a short synacthen test which was fine (this test was because my cortisol was low but then the day I came to do this test my cortisol was fine and reacted normally) and also I have had a mixed meal test which dropped my sugar from 6.2 to 1.1 in 40 minutes, but the thing is it seems that absolutely anything makes me drop. Kindly suggest.

Hello,

Welcome to icliniq.com.

Based on the information, hypoglycemia (low blood sugar) can have serious consequences if left untreated, and it is essential to manage it effectively to prevent complications. The fact that your HbA1c (a measure of your average blood sugar over the past two to three months) is within the normal range suggests that you may not have diabetes, but the frequent episodes of hypoglycemia could still indicate an underlying medical condition. It is essential to provide your healthcare provider with a detailed medical history, including any medications you are currently taking, any recent injuries or illnesses, and any family history of similar symptoms. They can help determine the underlying cause of your symptoms and develop an appropriate treatment plan. The fact that absolutely anything seems to make you drop suggests that you may have a condition called reactive hypoglycemia, which is characterized by low blood sugar after eating. This condition can be caused by several factors, such as insulin overproduction, impaired glucose metabolism, or excessive carbohydrate intake. Your healthcare provider can help determine the underlying cause of your reactive hypoglycemia and develop a personalized treatment plan that addresses your specific symptoms and lifestyle factors.

In the meantime, it is essential to monitor your blood sugar regularly and keep a food diary to identify any patterns or triggers that may be contributing to your hypoglycemia. You may also want to consider working with a registered dietitian or nutritionist to develop a healthy eating plan that meets your specific needs and helps prevent hypoglycemia. It is also essential to carry a source of fast-acting carbohydrates, such as glucose tablets or fruit juice, with you at all times in case of an emergency hypoglycemic episode.

I hope you find this information helpful.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vandana Andrews
Dr. Vandana Andrews

General Practitioner

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