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seem to get hypoglycemic episodes sometimes

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I have had troubles with reactive hypoglycemia for the last 9 years or so. I used to have a snack of pretzels in the afternoon and within an hour I was shaking and almost passed out. I eventually figured out that I needed to avoid high refined carb snacks. I never eat candy or drink sugary drinks. But I still seem to get hypoglycemic episodes sometimes and I can't always figure out why.

Today I had a high protein, low carb meal - paleo bread (9g protein, 6g carbs(1 sugar)) and hemp seed butter (9g protein, 4g carbs(1sugar)). Within an hour, hypoglycemic symptoms began. Is it because I didn't have enough sugar?

Possibly relevant (or not), I think I've been working on a duodenal ulcer (last endoscopy showed duodenal inflammation, hiatal hernia, GERD). My hypoglycemic symptoms coincided with acid/GI discomfort. I also have IBS. So sometimes I wonder if I have undiagnosed "dumping" going on, as well.

Any ideas?

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replied June 8th, 2016
Diabetes Answer A57528
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. Reactive hypoglycemia has been tackled wrong bu you . You need diet rich in fiber and low glycemic index, or simple one that slowly absorbs glucose. All the diet you have been following triggers reactive hypoglycemia. I would also suggest work up to sort out insulin levels.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care

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Tags: Diabetes, Ulcer
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