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Conditions and Diseases > Hypoglycemia Forum > Manageing Reactive Hypoglycemia (Page 1)
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Q: Manageing Reactive Hypoglycemia
asked by: Dutchmann2 on April 24th, 2009
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Rolling Eyes I am new to this board but, I hope to get to know some of you. I have things to add and things to learn from all of you.
I eat 6 meals daily but, I do not snack in between meals. The reasons I do this is because, my blood glucose goes up to around 115 mg/dl after meals. If my glucose levels raise anymore than that, I get really sick to my stomach, and I have all sorts of wierd feelings come over me. Why, I do not know? At the same time if my blood glucose level drops below 70 mg/dl, I go into hypoglycemic episodes. By the way incase you are wondering, I measure my glucose in (Whole Blood Messurments not, plasma as the new meters do. I use OneTouch basic meter which measures in whole blood. I will not get into the difference betweein plasma and whole blood readings at this time.
Others have mentioned that they eat snacks in between meals, exactly how this is possible I do not know at this time. I always include in my meals, Protein, fruits, and vegetables. Allergic to cheese, cottage cheese, yogurt, etc... but, for some reason I am able to drink small amounts of 2% milk, go figure. Allergic to tree nuts and other nuts. Also, allergic to food additives, and other chemicals, too.
Anyone else other members with this way of managing their Hypoglycemia?
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Stan
replied on April 24th, 2009
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It's impossible for you to be allergic to cheese and not milk. Have you actually been tested for allergies? I ask this because when I was still sick, I was certain I myself was allergic to cheese because it seemed every time I ate it I got sick. Got tested and found it was not true, so I stuck through it and eventually it went away. My assumption is that, in severe states like I was in, the body has trouble processing fats and since these food items generally have more fat than certain types of milk, it was likely the issue. I have verified this only through self testing, eating different types of fats on purpose to see the effect and it seems to be the cause. Hydrogenated oils, for example, will make me want to vomit for about five days after eating them and I'll have terrible sugar symptoms. If you got tested for allergies and have clear results indicating you have certain problems with certain foods, then it's more difficult to eat correctly, but I suspect you're not eating something right. After I figured out my diet I was 100% better (and then some) within only about 6-7 months. Many people on here have had great results using my methods. I only eat three times a day now with occasional snacks if I feel the need. Post what you're generally eating, I'd bet there's something wrong you're doing. As far as nuts are concerned, what about seeds? You can get no-sugar added sunbutter (from sunflower seeds) and could eat pumpkin seeds or sunflower seeds. Shouldn't have a problem with those. Were you actually tested for nut allergies?
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Dutchmann2
replied on April 24th, 2009
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Hypoglycemia
I eat what I found that works for me through trial and error methods just like you. I have not found any others that eat my diet which works for me. Thus my opinion is everyone is different and we all have other health issues which prevents us from eating simular foods on a daily basis.
Olive Oil
Fruits, black berries, strawberries for they release natural sugars slowly into the blood stream
Proteins, Lentils, chicken soup noodles or brown rice with chicken.
carrots, celery, zucchini, yellow squash,
Ritz no-salt crackers
2% milk
Real orange juisce, Simply Orange with no sugar added
Hard Boiled egg-whites
Blue Burries
Small pieces of chicken cooked up tender
Fresh cooked chicken broth no-salt added
I do not smoke, drink, or chew and, I do not drink foods with caffiene.
I take vitamin supplements, Folic, B6, B12, D3, acidophilus table
These just some of the things that are in my daily diet.
PS. Apples raise my blood glucose up to high, too quickly after I eat them.

Dutchmann2
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Dutchmann2
replied on April 24th, 2009
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Hypoglycemia
I eat what I found that works for me through trial and error methods just like you. I have not found any others that eat my diet which works for me. Thus my opinion is everyone is different and we all have other health issues which prevents us from eating simular foods on a daily basis.
Olive Oil
Fruits, black berries, strawberries for they release natural sugars slowly into the blood stream
Proteins, Lentils, chicken soup noodles or brown rice with chicken.
carrots, celery, zucchini, yellow squash,
Ritz no-salt crackers
2% milk
Real orange juisce, Simply Orange with no sugar added
Hard Boiled egg-whites
Blue Burries
Small pieces of chicken cooked up tender
Fresh cooked chicken broth no-salt added
I do not smoke, drink, or chew and, I do not drink foods with caffiene.
I take vitamin supplements, Folic, B6, B12, D3, acidophilus table
These just some of the things that are in my daily diet.
PS. Apples raise my blood glucose up to high, too quickly after I eat them.

Dutchmann2
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Stan
replied on April 24th, 2009
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Re: Hypoglycemia
Trust me, what I figured out will work for anyone. If what you are eating actually worked you wouldn't have to be eating as often as you are. Here's what's wrong with your diet:

1. Lentils. You should avoid these and beans at the beginning, or at least restrict your intake of them.

2. Noodles? Tell me for the love of god they're at least not white, regular noodles you can buy anywhere? If so, BIG problem right there. Even if they're whole grain you can still have problems with them. Look for a brand called Ezekiel. That's the only type you should be eating.

3. Rice can be problematic for many people, if you feel okay with it, go ahead, but only brown or wild. Wild is preferable.

4. Carrots. Root vegetables are quite risky with this condition, at least at first, later you may only be able to handle them in smaller amounts for a long time.

5. If by yellow squash you mean butternut, you shouldn't be eating too much of it. Spagetti squash is okay, but tastes terrible unless you pack it with spices. If you mean the squash that looks like zucchini, it's okay too. I seem to remember I once ate like this...

6. RITZ?!!! Excuse me, but...HAHAHAHAHAHAHA! Are you kidding me? You clearly have no idea what you're doing. I thought you said you were avoiding processed sugar? What in the world do you think is in those things. DO NOT EAT THEM.

7. I hope you're cutting your juice with equal amounts of water and drinking it no more than once every other day, if that. Straight, unsweetened berry juices are your best bet.

8. Eat the whole egg. All of the nutritional value and tons of good nutrients and such are in the yolk. Pointless without it.

9. Check the label on your broth. If it's not organic, chances are there's something in it you don't want to be consuming. If you see anything like evaporated cane juice, celery juice, etc., it's just sugar.

10. Everything else is okay, it's good to start on berries as your fruit source, but keep in mind they're loaded with chemicals if you're getting them non-organic. That's the big problem with them. Most berries top the list of foods with the most chemicals on them.
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Dutchmann2
replied on April 24th, 2009
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The theme is natural as much as possible
I have never been able to eat other people's diet as they do for their medical problems are not my medical problems. I am quiet sure you have other medical problems and, I too have other medical problems to deal with besides hypoglycemia. These things I must keep in mind when working out my diet. I have been known to read other people's post on diets and have taken suggestions that I think might work for me but, with a grain of salt, sort of speaking.
Yes, I do eat brown rice, and yes, it only take a handful of food per meal to get my glucose level to rise to 115 mg/dl in the whole blood meter scale not the Plasma scale. These are two different meters and two different blood glucose scales of measurments.
yes, I eat the fresh blackberries, fresh strawberries, and fresh orange juice only for emergencies, it is 100% natural no sugar added. Olive oil makes food stay in your stomach longer and is very good for your health. I emport my olive oil directly from Athens, Greece.
I am also allergic to Yeast and Wheat Gluten as well as whey.
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Stan
replied on April 24th, 2009
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I see you didn't respond to my concerns. Go ahead and keep eating the things, if you want, but you won't get anywhere. I'm starting to think you just think you have problems. You said up there you eat RITZ crackers. Then you say you are allergic to wheat? But yet you said you're eating chicken soup noodles. In case you're not aware, here are the ingredients for Ritz crackers:

Enriched Flour (Wheat Flour, Niacin, Reduced Iron, Thiamine Mononitrate [Vitamin B1], Riboflavin [Vitamin B2], Folic Acid), Partially Hydrogenated Soybean Oil, Sugar, High Fructose Corn Syrup, Salt Leavening (Baking Soda, Calcium Phosphate), Soy Lecithin (emulsifier), Malted Barley Flour.

Yeah, good choice. Not only is there sugar in them, but they are packed with wheat. How exactly are you eating them, then, I must ask? Were you actually tested for hypoglycemia? Did you have a fasting test done, GTT or A1C test? I'm starting to doubt what you're saying based on your responses, you're contradicting yourself left and right.
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Dutchmann2
replied on April 24th, 2009
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Test three times with the A1C Test...
I was tested way back in February 1988. The test results came back positive for Hypoglycemia. But, the family practice doctor never revealed it to me. He just said to me lab test came back normal your blood is ok. I went the next few years without knowing it. Then, last year a pychologist was trying to treat me for Anxiety only because that was what she was told was my problem by previous doctor at the VA. She ask me on a whem did I ever have an A1C test done on me. I told her it was done year ago. She told me, she wanted me to have aleast a couple more done. The results was hypoglycemia. She then stop my treatment and told me to take care of the hypoglycemia first then, she would address anxiety. It was in her opinion that I did not have seizures or anxiety but, a blood condtion. That leads me to my present state. I have had no more anxiety attacks nor, seizures since treating myself for hypoglycemia. I have been panic attack and seizure free for almost a year now. I have lost alot of weight but, my muscles do appear stronger though. I did my research and it did say in many doctor reports that lentils were a good natural blood sugar stablizer. I cannot eat bread, it makes me wheaze like an asthma attack would. Whey drinks and powders make me extremely ill, upsets my stomach. Cottage Cheese made my stomach puff up and fill full of gas and made me feels very ill indeed. The fruits I eat do not bother me nor do the vegetables I eat. Broccoli just sit on my stomach produces gas and make me feel ill and gas pressure. So, I let my body most of the time tell me what it can and cannot tolerate. Common sense thing, you know.
I also test my blood glucose levels before and after a meal and I keep a chart on it.
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Stan
replied on April 24th, 2009
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Why didn't you respond about the crackers? Are you ducking the question? Listen to me, what you said makes no sense. You can't eat bread but you're popping Ritz crackers? Let me say it again, they have WHEAT and SUGAR in them, two things you claim you can't eat. I assume you haven't tried sprouted grain products, which you should have no problem with. Heck, if you can eat Ritz crackers you can probably eat most of anything. What were your A1C results? If lentils were as good as you think, you wouldn't have to be eating as often as you are. Cottage cheese will do that to you if you're eating non-organic, because only organic varieties, as I've found, keep out the bad stuff. Regular cottage cheese tends to have lots of stuff in it you shouldn't be eating. I know the broccoli sensation very well, when I was doing bad I could hardly eat it. This shows me you're not getting much of anywhere if you have a problem with it. The gas is a sign your digestive system, is functioning on hardly any energy and your intestinal bacterial probably isn't doing so hot either. I suggest you stop eating the crackers first, and then read up a little more because you've somewhere been given some pretty lame information.
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Dutchmann2
replied on April 24th, 2009
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It makes sense to me.........
I eat only what my body allows me to eat. I take allot of people suggestion for eating different food as long as they are in the three main groups, protein, vegetables, Fruits. If I try them and they give me some adverse re-action I just plain do not eat that food again. Sometimes we have to trust our bodies when it comes to foods. Like I said before, "One size does not fit all." You may put something out on the board and six people look at it. Four may say later it works fine, the other two may say it does not work at all. When you are in the middle age to older group, you may have other health problems that prevent you from eating the normal hypoglycemic diet. How long you have had the hypoglycemic condition and how long you have had it without treatment counts as well. The longer you go without treatment the more damage it does to your body. In my case, I have had almost 20 yrs without treatments due to no fault of mine. I simply did not know I had it, I just knew something was wrong with me. I had no name for it. I was not given the proper tests again until last year. The doctor whom knew back in 1988 knew but I did not know personally. Mine may never be fully under controll.
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Stan
replied on April 25th, 2009
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Yes, the longer the harder it is, but you're still not responding. WHY ARE YOU EATING RITZ CRACKERS. The ingredients contain sugar, corn syrup and high fructose corn syrup! Of course you're not going to be doing so hot if you're eating food like that! Unfortunately, hypoglycemia is not a condition where you can just 'trust your gut,' literally or figuratively. If you're eating them because they seem to make you feel better, your brain is tricking you. It knows what it needs to do to get itself its glucose, at the expense of everything else in the body. You're never going to be under control unless you learn what you need to eat. I'm not trying to tear you apart, but when I read what you posted up there I couldn't believe you were eating some of the things you are. And if you think people have failed using my diet, you're wrong. No one has yet. Only one girl sort-of did, but it was only because she refused to listen to me. She continued to eat white rice and humus and refused to cut them out, so she never got anywhere and eventually disappeared altogether. Not sure what happened to her. What were your results?
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Dutchmann2
replied on April 26th, 2009
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My results are just this.......
When, I eat the brown rice mixed with the brown lentils, vegetables, and small pieces of chopped chicken breats, my glucose takes longer to raise and longer to drop on me. I can go to 4 - 4.5 hours during the night before I have to eat again. My blood glucose stays pretty steady, it drop is so very slow. I few more like sleeping at night after eating this meal with my fruit and three ounces of 2% milk. The only problem is that I cannot eat this kind of bulky foods at every meal. I have problems swallowing foods if they are too bulky in nature. You have to remember, the VA Hospital has screwed up my nervous system after years of taking all those anxiety medications which I did not need to take. I should have been treating the Hypoglycemia instead of the so-called anxiety.
Remember this alos, when the medical community convince you and treated you for something you do not have, your brain begins to believe it after a while. It will take me years to undo if I can at all the damage to my nervous system by the medical community. Please keep that in mind Stan........
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Stan
replied on April 26th, 2009
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I meant what were your test results.
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Manisha_Miswaliya
replied on April 27th, 2009
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Is it truth ?
Hi buddies i just wanna share with u that ::::
Reactive hypoglycemia usually doesn't require treatment. If needed, it may help to:

* Eat several small meals and snacks throughout the day, no more than three hours apart
* Eat high-fiber foods
* Avoid or limit sugary foods, especially on an empty stomach
* Include physical activity in your daily routine
i read it on a site, i feels its a great truth, is it ?
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Niklas89
replied on April 28th, 2009
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I dont' agree ...
With eating smaller meals.
Reactive Hypoglycemia has nothing to do with fasting hypoglycemia, they're like day and night.

Reactive Hypoglycemia has been called "dysinsulinemia" or "carbohydrates intolerance" which are better terms.

Reactive Hypoglycemia is caused by the body overeaction to the carbohydrates in a meal meal 2 or 3 hours after eating, by overproducing insulin. Most symptoms are not caused by low sugar per se, but by massie adrenalin release to bring blood sugar up. It's the adrenalin rushes which cause anxiety, panick, irritability, depression.

If you need to eat often it means that your body is still overeacting to something in your meal. It's not a cure, it's not a therapy nor an improvement, it's just masking the symptoms. Your body reacts and you eat so it reacts again and you eat, it's never ending cycle. The problem is that the more you eat the more often you're having lows and the more lows you have the more you're straining your body, your pancreas and leading yourself to the diabete path.

A good reason to avoid eating often is that insulin needs at least 5 hours to go back to baseline levels. If you eat when insulin is still high, you make it even higher, which is exactly what Reactive Hypoglycemia is all about: hyperinsulinemia.

The best strategies for Reactive Hypoglycemia are those which lower insulin, not those tha raise it.

Fats lower insulin
Few regular meals lower insulin
No sugar lower insulin
Moderate protein lower insulin
Fasting between meals lowers insulin
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Dutchmann2
replied on April 29th, 2009
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How would you recommend eating.....
Occording to your schedule what would you eat and how often would you eat a meal, sir?

Sometimes when, I for get to eat for 5 hours between meals, my glucose levels drop to 65 mg/dl or lower and I start having these skaky, trembling, hungry pains. At other times, I get the same pains when my blood glucose gets below 80 mg/dl. Whole blood measurements only. I use the OneTouch Basic Test meter and I keep my results on the software given out by the OneTouch Company. It helps track glucose level scores.
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Stan
replied on April 29th, 2009
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I recommend eating like that, it's what got me to eventually eat only 3-4 times a day (with occasional snacks depending on how much I work out each day). However, I do agree that you achieve it mainly through a usage of higher protein and fat meals and lower carbohydrates. As I slowly spread out my meals, I increased my carbohydrates and eventually solidified it to where the bulk of my fat and protein intake occurs in the morning and afternoon, lunch being the biggest meal with a snack before it.
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Niklas89
replied on April 30th, 2009
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Re: How would you recommend eating.....
dutchmann2 wrote:
Occording to your schedule what would you eat and how often would you eat a meal, sir?

Sometimes when, I for get to eat for 5 hours between meals, my glucose levels drop to 65 mg/dl or lower and I start having these skaky, trembling, hungry pains. At other times, I get the same pains when my blood glucose gets below 80 mg/dl. Whole blood measurements only. I use the OneTouch Basic Test meter and I keep my results on the software given out by the OneTouch Company. It helps track glucose level scores.


I do believe that your blood sugar crashes in you don't eat every few hours.
But it's important to understand why it is happening.

It is not happening because your body uses more sugar or need more sugar.
It is happening because you're eating to the food you eat.

Being unable to go long enough without eating is a precious hint that we're not managing our glycemia. How do you know that? Because you ate something that made you produce too much insulin, something your body doesn't tolerate and the excessively insulin reaction is exactly what causes your blood sugar to lower.

In a way the "hypoglycemia" part of this diseases is the least important or relevant factor. Hypoglycemia is just a symptom. The real problems are a dangerously impaired glucose metabolism, hyperinsulinemia and hyper epinephrine release.

For example:

if I drink 5 oz of sweetened fruit juice and eat chocolate pudding, frosted cereals, chocolate biscuits and a piece of cake, my blood sugar will drop after 3 hours.

if I drink a glass of water and eat three fried eggs, a bunch of wallnuts, a piece of brie and spring greens with extra virgin olive oil, my sugar won't drop for at least 7 hours. As a matter of fact, I have reached a point where when not eating I can burn my fat stores so not only I could virtually fast for 30 hours and more but I would also feel as good as it gets in the process. Our body is able to maintain sugar balance when we fast, it's when we ingest foods that we mess things up.

Consider the first meal example. After my sugar crashes I could simply eat an hard boiled egg and a piece of cheese and feel immediately better while claiming I'm keeping my hypoglycemia under control. But that would be a delusion. The reason I needed to eat that piece of cheese and that egg in between my meals is indeed that my meals contained "reactive foods" which skyroketed my insulin and crashed my blood sugar. Someone believe that eating often is a sort of "cure" would feel like they're managing or healing their hypoglycemia even when eating pure sugar meals. That's because the symptoms of sugar crash due to poor food choices are masked by eating often.

Let me explain why it's a big dilemma.

Two people suffer from reactive hypoglycemia: Max and Jim.
They both have impaired glucose metabolism and hyperinsulinemia.

Max has several crashes a day, but as long as the follows the suggestion to eat often he can create a feeding-cycle in which the effects of those crashes are eventually not felt.

Jim has several crashes a day but he makes sure to consume foods which don't trigger massive insulin release and allow him to avoid those crash that would force him to eat often.

Both feel a lot better and claim they have had no "episodes" since them.

Jim is an healthier person and long term feel like a new guy.
Max few year later is diagnosed type 2 diabetics, his pancreactic functions have been damaged and his cholesterol and oxidative stress levels are at their peak.

The problem is that Jim really decreased insulin in his body, while Max just masked (by eating often) the fact that his body was releasing more and more insulin and the excess of insulin (which is correlated to heart disease, cancer, plaques, fast aging and more) was getting worse and worse till a point of no return.

A reason why I suggest to eat few times a day or at least to switch from eating often to few meals a day as soon as possible, is that insulin needs at least 5-6 hours to go back to baseline levels after a meal. This means that after 2 hours you have eaten, insulin is still high in your blood. If you eat at this point you raise it a lot more. And just like with diabetes, the management of Reactive Hypoglycemia is the management of insulin itself.

My eating schedule is as simple as eating when truly hunger.
Cravings due to poor sugar metabolism are not hunger.
I have water faster in the past and I know what truly hunger is.
It's a pleasant sensation wich makes the though of whatever food (i.e. lettuce) exilerating and comforting. You salivates and feel happy and full of energy. Your senses are stronger (probably to help you find food) and you feel no pangs and tiredness.

People in the Western World don't know what hunger is.
Since they eat around the clock and don't know hunger they're basically forcing food down a body which doesn't want to be fed. Many researches prove that forced eating or eating under stress (no for real hunger) has detrimental effects on metabolism and hormone regulation. Recent interest for Intermmitent Fasting (I suggest the book "Eat Stop Eat") has allowed the concept of "hunger" and studies showing its importance, to reappear from the forgotten dimension they were hidden in.

Sometimes I have breakfast and sometimes I don't.
I usually have lunch when I want to eat or can, so it's never a fixed time.
If I had an active day I have a snack in middle afternoon around 6-5 pm.
Finally I have a dinner, which is usually the biggest meal of the day.
It's pretty natural to have a small breakfast and a big dinner.
It is more in tune with our cyrcadian cycles.

When we don't eat or eat little we're in an active phase.
We're burning energy and stores, we're more concentrated on whatever activity we do and less likely to eat.

When we finally eat, we're in a rest phase. We are in a storing phase, we are less concentrated and more prone to resting or napping, we have a full stomach and high relaxing serotoning levels induced by eating.

So dinner should be a bigger meal, satisfying and preparing us for the night rest.
People with Reactive Hypoglycemia tends to feel better in the evening and night.
That's people the body is less reactive and more glucose tolerant. There are several researches showing that the body is naturally better at maintaining balanced blood sugar at night. In fact in the morning we don't have low blood sugar. During the night we release enough glycogen to have pretty normal or even high blood sugar on waking time. So there's no physiological need to eat or bring blood sugars back.
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Dutchmann2
replied on April 30th, 2009
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In my case my body has been ruined....
It was no fault of my own that my body is nearly ruined at this time. I was never told that, I had such a condition called hypoglycemia. In fact I dought I could have even spelled the work back then.
How would you like to be in a situation where you knew you were sick and had something wrond with you. Something that needed seriously looke at. Suppose, you ask and begged the doctors to take you serious when you told the doctors you were sick. The doctor would always shrug me off their sholders and never even test or give me a name for my sickness.
As everyone knows, if you do not know the name or the kind of sickness you have, you do not know how to treat it.
At the present time my cholestrol is high or on the border between high or maximum. My blood pressure is low. It stays around 110 -114 over 70. (110/70) or (114/73) These are lower than normal blood pressure according to the health professionals.
Until, I started watching what I eat, how often I eat, and testing my glucose meter, I use to have panic attacks and seizure-like smyptoms every day of my life. (Really)
Now, you are telling me all that anxiety and seizure-like activities was all caused by food and food alone?
Please explain to me that living with hypoglycemia for over twenty years and not treating it did not harm me. I honetly do believe that I have be harmed greatly by the US Government in their treatment of my body. I believe the low blood pressure, anxiety, and seizures were a direct reasult of not being treated for Hypoglycemia. 20 -30 yrs going without treatment I very lucky that I do not have diabetes or dead at this time. There were many times that I lay on my kitchen and living room floor and had to be rushed off to the hospital many times in the past. Each time the doctor would just give me and IV in the harm, wait and watch and then send me home without any kind of test.
After they taked to the VA Doctors, they would just write down, "Anciety attack." Or they would Write down seizure activities and nothing ever become of it.
Since, last August 2008, I have had no panic attacks or seizures, why?
In my opinion it is my treatment of my hypoglycemia and one brave VA doctor who took it upon herself to have me tested for Hypoglycemia that has pulled me out of the fire.
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Stan
replied on April 30th, 2009
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True, but you're not treating yourself properly. You seem to be of the opinion that your body cannot change at this point, but it won't if you keep eating some of the things you do. Certain foods must be totally avoided forever. I will tell you this, keep eating this way, and in a few years, if you're lucky, your symptoms will begin to get worse. I know of this many who had it and didn't know. He started to treat it in a way similar to you, eating like 8 times a day. Soon he had to eat more, and then he started to use Quik and would drink a glass of that. Then it was two, soon like five and it would only give him about two hours of peace each day. You're just masking the symptoms at the moment, keep eating some of the things you do at the frequency you do and you're bound to get worse in time.
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