There has to be something you're doing wrong, otherwise you have something else going on where your sugar is a symptom of it. What are you eating (post EVERYTHING)? There has to be something you've been doing improperly.

Thank you for your response.

Unfortunately, there is nothing I am doing wrong. Systematically, my body has become used to certain foods and over compensates.

Sister was diagnosed with reactive hypoglycemia in her mid 20's when she used to pass out and have crying spells (still can continue to this day, but she seems to have it under better control), mine started at 32 and has progressively become worse.

As I stated, my initial dietary control workd just fine with complex carbohydrates, but as time progressed, the interval of time between eating decreased to the point of where I can no longer eat anything except for beef, pork and eggs. The last food group to be eliminated was cheese. I was able to do pretty good with slices of American Cheese until one day, I felt the change coming on where the adrenaline and reactive symptoms would kick in prematurely. The same thing happened with a particular brand of pre-cooked sausage that had raw sugar in its contents. I was able to eat several links for three months until the same type of response. To my surprose, I changed to this brand's other type of sausage that didn't have any sugar because it need to be cooked. Fortunately, I have been eating that successfully for 6 months now.

Bizarre, I know. This is why I'm searching for answers or those with similar problems. I have had an ultra-sound performed on my upper right quadrant and your standard battery of endocrine tests. Insulin levels are low after a 12 hour fast.

Things happen so fast now (within 20 minutes), I can't even record a drop in sugar if I were to eat carbs. A few years ago, I was able to document the drop an hour and a half after eating with a glucose meter (i.e., 115, 110, 95, 75 and then as it shot back up to the 90's, I would then feel the adrenaline rush).

So my theory is that my body has become accustomed to overreacting.

You'd be surprised. Give me a list of everything you've been eating. For you to have this happen, you didn't do something right, that's the only possibility other than your body breaking apart. For example, you mention a sausage with SUGAR in it. You should have NEVER eaten this at all. Doing stuff like this simply progressively brings you back to the same state, I know you did something wrong just on the fact that you mentioned that little thing. What sort of complex carbs are we talking here? If white rice, bad one, you just jacked yourself for years if you ate that for awhile, it's not a complex carb and I know a few people who have made that mistake. No sugar in the other sausage? You sure? If there's anything in there like molasses, honey, turbinado, dextrose, corn syrup or a plethora of other even sneakier names, it doesn't matter. Very few sausages I've found have stuff that you can eat in them, and these types I've only found made at health food stores made IN the store. How about starch? If there was wheat in it you screwed yourself again, trust me, you did something wrong, but I need a thorough list to tell you. American Cheese? You ate processed cheese? I can't even begin to explain how much that sucks. I bet you'd do fine on raw, organic cheese. 20 minutes is also quite odd because digestion really doesn't complete for 30 minutes, otherwise any sugar you eat is immediately put into the blood through your stomach and mouth, but it still takes a bit if it's not a simple sugar. And your sugar 'shooting' up to 90 is great, that does not explain the adrenaline rush at all. If you truly have a sugar problem, I'll tell you what you did wrong, but I need a thorough list. Trust me.

I'm not a doctor, but it sounds to me like you have the classic signs of a Panic Disorder. Physically, you can probably process carbs like everyone else, but mentally, you are oversensitized to the normal effects of sugars. I would, with medical advice, try and break through this barrier you seem to have put up. When you feel the effects, tell yourself you are just being overly sensitive and it's completely normal.