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Does the drop of blood sugar during my GTT show reactive hypoglyceamia despite it being above 3(54)? Also could I have both reactive and fasting hypoglycaemia rather than just one or the other? Lastly i know ketones should go up during fasting but is it normal for the level to be grossely high at 5 i think (at the moment a possible cortisol deficiency is being looed into could this be linked to it)?


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replied May 21st, 2008
Hypoglycemia Answer A4151
There are 3 criteria that indicate you have reactive hypoglycemia: to have symptoms of hypoglycemia, to have low blood glucose level while experiencing those symptoms, and to have the symptoms stop when the blood glucose level becomes normal. You had a glucose level decrease soon after a glucose intake but it wasn’t accompanied by any symptoms. I believe that it is more likely that you have fasting hypoglycemia.


A cortisol deficiency can cause fasting hypoglycemia. Cortisol and ACTH blood levels need to be checked.


You should consult an endocrinologist about your condition.


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