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Q: Frequency of lows?
asked by: slurpies on August 21st, 2008
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I am drastically changing my diet, as I have been for the past 7 days.

I still wake up to sugars in the 68-75 range.

If I only eat proteins I'll be around 70 all day.

I drop to the high 60s in the day doing protein/fats and a balanced amount of complex carbs, no simple sugars.

I can drop 8 times a day or so to these levels, and feel bad at anything below 80 or 85.

I feel lightheaded and almost faint most of the day most days.
Eating sugars or anything and my blood sugar will go into the 50's 40's or 30's after a bit.

My doctor considers this a very dangerous pattern. But I seem to be reading people going through worse on occasion.

For people who haven't been able to correct their sugars through diet, how often do you get low? Can you function much at all?
Just a few questions I was curious of.
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Stan
replied on August 22nd, 2008
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Just one comment, don't expect your diet to be working fully for SEVERAL MONTHS. One week is hardly anything for this condition, unfortunately. You have to stick with it and NEVER falter.
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VictoriaGB
replied on August 25th, 2008
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That sounds odd.

If you were to eat a good complex carb meal, do your sugars not go higher than 70?? What about sugar, if you were to have a high sugar drink, how high would your blood sugar rise at the one hour mark?

You need to see a gastro soon. If your blood sugar isn't rising higher than that at any point after eating then there's likely a digestive problem causing it. It could be that your body can't break more complex carbs and sugars down into glucose, and glucose itself causes your pancreas to over react.

What has your doctor said so far, has he done any tests?
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VictoriaGB
replied on August 25th, 2008
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To add, 70 isn't that bad a blood sugar reading, if it was a fasting one. After eating, that's far from normal.
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Stan
replied on August 25th, 2008
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Definitely, especially after only an hour, but you should be checking at 1.5 to be certain of things like that. That's supposedly when sugar peaks the most, so you could have had a much higher reading 30 minutes later.
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slurpies
replied on August 25th, 2008
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VictoriaGB wrote:
To add, 70 isn't that bad a blood sugar reading, if it was a fasting one. After eating, that's far from normal.


Thanks for the reply. Yeah I can definitely get my sugars above 70.
But staying above it is the problem. My sugars go above 100 quite often, which is fine, and I'd prefer it that way. But if I wake at 70, eat some plain oatmeal for complex carbs, plain eggs for proteins and fats, and some nuts, my blood sugar may rise for a while, and then randomly drop to the 70s over and over, if i were to check it every 20 minutes or so it's a strange pattern.

Diet works for the most of the day, but I can still get over 5-6 drops a day eating a good diet.

Thanks to you and Stan for replying.
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VictoriaGB
replied on August 25th, 2008
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Depending on what's eaten, and your metabolism, it could be anywhere between 20 minutes and two hours. My sugar spikes at 30 minutes if I've eaten something like fruit or milk, but 60 minutes in a GTT with 75g sugar, or with more complex carbs.

After I've had fruit, my blood sugar spikes at 30 minutes, then by 1 hour it's back down around 70. But that's a particularly fast reaction and I already know I have a problem with fruit.

How soon after eating are you taking your readings? You could try taking readings at 30 minutes, 1 hour, 1 and half hour, 2 hours after the same meal. That way you can find the point where it spikes.
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VictoriaGB
replied on August 25th, 2008
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Blood sugar readings in the higher 70's would be normal for a fasting reading, or for a reading taken before a meal. Lower 70's are pushing it. Although the bench mark for a 'hypoglycemic blood sugar' is around 40-45 depending on the source, lower 70's wouldn't be a concern to a lot of doctors as it's 'common'.

What is it your doctor has said/done so far?
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slurpies
replied on August 25th, 2008
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VictoriaGB wrote:
Blood sugar readings in the higher 70's would be normal for a fasting reading, or for a reading taken before a meal. Lower 70's are pushing it. Although the bench mark for a 'hypoglycemic blood sugar' is around 40-45 depending on the source, lower 70's wouldn't be a concern to a lot of doctors as it's 'common'.

What is it your doctor has said/done so far?


Well I've on my 5th endo now, who decided to check my insulin for the first time, which is always reading very high after all meals. So is proinsulin and Cpeptide.
I know 70s aren't much of a concern, but oddly with me I feel shaky and weak. Especially when getting them an hour or two after eating.

My 60's, 50's and 40's are terrible though. I feel bad for days after that.
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VictoriaGB
replied on August 25th, 2008
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What would happen if you didn't eat? Would your sugars still go low?
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slurpies
replied on August 25th, 2008
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VictoriaGB wrote:
What would happen if you didn't eat? Would your sugars still go low?


They would be low 70s high 60s. Then probably balance out to 70-80s.

My 3 day fast at the hospital went like this.

Day 1:
mostly 80s and 90s.

Day 2: mostly 70s & 60s.

Day 3: mostly 60's. I got a 58 and a 57 on this day. My insulin remained perfect all 3 days.

10 hours before the test was over, i got a 31 on my blood draw. But two different glucose monitors got me around 58.

The doctors said 58 is okay, as long as it doesn't fall below 50 or 45.
They said the 31 was probably an error being that my insulin was fine then and the glucose meters read much difference.

F
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VictoriaGB
replied on August 25th, 2008
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I can't believe that. Blood being drawn and tested in a lab is far more reliable than readings shown on glucose meters. Glucose meters have an error margin of 1mmol (18 your units?) each way.

But since your insulin stayed within range the whole time it does suggest your problem is diet related. A gastro might be of help to you, sensitivities/intolerances can cause low blood sugar.

There may be foods in your diet that a typical hypoglycemic diet wouldn't filter out. You may want to try an elimination diet to find the guilty foods. It may not be just sugar that's causing you problems, although if your insulin is high then sugar will be the main culprite.

Do you suffer any other symptoms apart from low blood sugar? Any bloating, wind, diarrhea?
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slurpies
replied on August 25th, 2008
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That's what I thought about the 31 reading via the veins, they're usually so accurate. It was odd, I just didn't feel any worse than my sugar of 58 two hours before, and my meter still read the exact same. It's confusing.

Yeah I have lots of other symptoms. Low libido, blood sugar dropping from anything sexual at all, not an energy problem though, I can run for hours or work outside all day and not get any more drops. My stools are often unformed, especially on bad blood sugar days, its like I just chewed my food and it came out exactly that way. My gastro says everything's fine. I don't see how that's possible at all. I am tired a lot, weak a lot, get mentally out of it, depressed anxious etc. Hot baths make things worse. I have some low pituitary hormones; fsh lh, minorly low testosterone, my DHEA level is almost 0.

I'm an odd one. Been to over 30 docs and specialists at this point.
I just want to try to help anyone I can with what I've been through thus far.
Thanks Victoria.
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VictoriaGB
replied on August 25th, 2008
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Join the club with the numerous doctors Very Happy Some will sit there and say there's nothing wrong with you, like the one I had a couple of weeks ago. Unfortunately most doctors work by testing, and when nothing shows up on blood tests they're clueless. I don't envy them, they have a budget to stick to (here in the UK they do anyway), and there may be a lot more people who have seemingly more serious conditions that a few blood tests can diagnose. It's still very frustrating. My father has seen specialist after specialist for the last 20 years, spent weeks in different hospitals, and still they have no idea what's wrong with him...

Something to consider with the lab result is that errors do occur in the labs. I know, I work in one Surprised It could be that something had happened to the sample before it got tested, or maybe the equipment wasn't calibrated properly or the BMS was having an off day - it shouldn't but it does happen. To be honest if you felt no different, and were still conscious at that point, chances are the 58 was more accurate. Still that's quite low.

DHEA seems to be more of a concern if it's high, though I'd think almost 0 would be a concern too...I can check that out.

Keep persisting with the doctors, but in the mean time keep working on getting better yourself. I would look into an elimination diet, or at least eliminate any suspect foods and go from there. Assuming this is diet related, you'll have to go through food elimination to find what you can and can't eat, regardless of whether you're diagnosed. Common food groups to eliminate would be sugar (glucose, fructose (fruit sugar), galactose, sucrose (table sugar), lactose (milk sugar)), wheat, cereals too if you think they may cause problems. The diet will take a lot of planning and preparation.

How many calories are you consuming roughly?
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