Are you trying the diet I have on here or something else? That's my first question. That doesn't look like sawtooth to me, sawtooth would be something like 98 60 98 60, a constant up and down motion, not an up for a bit and then down and then up a bit and then down thing, it will just keep going up and down and not taper off. Your results do seem consistent with hypoglycemia, however. And yes, unfortunately, the worse you feel, generally it means you're doing the best you can. It's your body's revolt against eating right. When I experienced it I couldn't believe it. That's why I say in my diet thread that you can basically expect to feel like you're dying of cancer. That's how it should feel. Everything will feel terrible, your mind will be a whirl and you'll swear you're going to kill someone any second. If you feel like that, it's the beginning of getting better.

Yes, I am trying your diet. There have been a few slips, but not many. Total carbs from about 60 to 100. Felt pretty good in first week, 2nd was terrible, some improvement in the 3rd, 4th was down. Really since then, I have had some good days, but it hasn't been too promising lately. The best days are when I drop the carbs for a few days to 60 or so, and I feel better initially, but then when I start to get nauseated I add carbs and feel decent for a day or two then start up the cycle of more severe adrenal/neuroglycopenic symptoms. Last week was the 7th week and it was terrible, this week is trending that same way.

I learned that the ketosis dramatically reduces the insulin response, thus the reason I feel better when ketones are in the blood. In fact, this is a treatment approach for some similar conditions like glucagon storage disease.

Aside from a Ketogenic Diet, the only other thing that has given me a break is exercise, but I have been paying the price afterwards. In fact before the diet, I would feel normal for just about the entire day following exercise, but one or two days later I would feel terrible. This would slowly improve as the week went on.

This past Sunday, I had a good breakfast, had mid morning snack, had a large protein rich lunch with limited carbs, two hours later I had some cheese and a few strawberries, and 15 mins after that I did about an hour of high intensity biking with about 3 oz of juice mixed with a 2 liters of water. Afterwards I had an apple and some almonds, and then went on to have dinner and snacks that were slightly higher in carbs. The last snack was all protein. Woke up Monday morning shaky and weak, and havent' been very good since then. I can't make it 2 hours without eating, but if I miss that window in the morning, the day is pretty much over.

It is becoming clear that when I miss the window of opportunity and eat just a bit late then this insulin response is combining with the rebound response following the inital drop, so you can pretty much guarantee a bad reaction the next time. There is a margin for error in the evening when blood sugars are higher due to automatic hormonal response, but in the morning I have no margin. I think this is what is so difficult when you are getting that rebound so soon after eating because you basically have to eat continuously.

Sometimes I feel better just riding out the drops and waiting four hours between meals, presumably because I'm not pairing the insulin rebound from the first meal with the insulin response from the second. Also, as I think you probably discovered, the more frequently you eat the less flexibility you have. Conversely, if you don't break the cycle, you can't make any progress.

I think as I have seen others mention, the very low blood sugar is not fun, but I can think when it is low. It seems to be those blasts of adrenalin that are causing such havoc with my ability to think. I think I have probably had the hypoglycemia for years and was largely unaware of the symptoms of going low, but once you start having the adrenal symptoms, you don't have amnesia for these.

Any thoughts on timing of the meals or how I can exercise without such adverse consequences? Do you have any knowledge or experience with glycerine oil..I need something in midmorning and early afternoon to boost my blood sugar without triggering insulin. I pieced together some different threads about things to take to lower insulin, but I wasn't sure about your recommendation for vitamin C and olive oil. Should I take the olive oil with each meal..before, during or after? Also, you say it gets worse before it gets better, but were you having severe symptoms when you first started a diet? Before trying to fix this thing were you basically on a high carb/low fat diet? Was moderate to intense exercise something that triggered your symptoms?

On the bright side, there are many positive benefits from your diet: more energy, I'm sure my lipid profile is much improved, fewer allergy symptoms, sleep better, less likely to wake up with headache.

(I don't remember if this is on your list, but onions most definitely lower blood sugar--I stay away from them.)

I appreciate any advice you can offer!

Wait a minute, are you using my old diet?

I have been following this:

http://ehealthforum.com/health/topic119108 .html

But I have read your other threads, that contain more info, like some references to olive oil and vitamin C.

I thought I was ok at first on a little fruit and the Ezekial bread (small quantitiy), but maybe that is the problem.

Yesterday's breakfast: 2 large boiled eggs, 1/2 avocado, 3/4 slice of Ezekial, couple of tablesppons of olive oil, several slices of apple. (About 15-20 carbs.)
Brewer's yeast, chromium, b vitamin complex, vitamin C

2 hours later I not feeling too good. Actually, I can feel a reaction to anything but the smallest amount of carbs within 15 mins or so, which I assume is the insulin response. Back in the days when I ate refined sugar, I certainly don't recall this sensation. Of course this initial reaction is nothing like what follows. Then if I eat again at 10:00, it just gets worse every time...which I now understand to be my adrenalin response pushing the levels back up without me eating anything. Combine the rebound with insulin increasing foods and I'm in trouble.

Respond to my response in the other thread here so I can keep better track of it. Thanks! Another thing I can suggest is to cut the bread in the MORNING and then add the little bit you've been eating later in the day, but not for dinner.