Hi! Quick question - in 1991 the Army did some testing on my and decided that I have "reactive hypoglycemia". I used to have to eat every few hours or I would get shaky. I adopted a low carb, Paleo, primal-type diet a couple years ago which I love. I feel so much better and never get shaky, even when I fast for 16 hours or so (I did fast-5/Primal) for a while.
On blood tests my fasting blood sugar is around 70 or so. Never raised a concern. I am now on an EMT team and got a new glucometer for my kit. Someone asked what my "normal, during the day" blood sugar was (since my mom got diabetes a few years ago). I didn't know so I have begun testing several times a day.
Here's the thing: my blood sugar is in the 80's upon waking. 45 minutes after breakfast (buffalo burger/veggie scramble in coconut oil or something similar - protein and good fat) it will be the same or even a couple of points lower. Mid morning and again 30-45 minutes after lunch it is still in the 80's or so. The test numbers seem to be stable no matter if I eat, don't eat, or have just slept 8 hours. The last several months I probably average 20-50 carbs a day - mostly from veggies, Chobani yogurt and Kombucha tea. Are these numbers bad or okay?
The facility nurse says my pancreas is over-producing insulin and it will wear out soon if I don't "fix" this. I got the impression I would die a horrible death. I was told to eat something sugary every few hours in order to always keep my blood sugar number over 100. Seriously, this goes against what seems natural to me. I don't feel tired or bad at all. Is it more important to have your blood sugar levels above 100, or is it okay/healthy if they are stable in the 80's? I want to be as healthy as possible so I'll fix this if I need to.
Thanks for any info or guidance. Jennifer (41 yr female)
I would seriously question the RN's ability to do her job properly. That is the most nonsensical advice she could give. 80 is a perfectly normal level. Hypoglycemia is a concern when your glucose is below 70.
If the RN says you're overproducing insulin maybe she can suggest how eating more sugar will solve the problem?
Are you at a healthy bodyweight? One possible cause could be some type of leptin resistance, because leptin affects PEPCK which is a key gluconeogenic enzyme. Gluconeogenesis is when your liver makes glucose in order to maintain your blood sugar in an optimal range. Perhaps the amount of glucose your liver makes after meals is lower than normal? That's really a shot in the dark though, because you can go long periods of time between meals without eating. Have you ever had your insulin levels tested? Have you been like this your whole life? Do you stay gluten free?
This article by Chris Kresser helped me a lot. http://chriskresser.com/how-to-prevent-diabetes-and-heart-disease-for-16 Good luck.
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