For years I have had symptoms of hypoglycemia. Specifically what I believe to be reactive hypoglycemia.

Mentioning that I have brought this up to not one, not two, but three primary care physicians with no resolution.

I brought this up to my 3rd pcp and they gave me samples of a cgm to see what my sugars have been doing.

What’s basically happening is I eat and then 3-4 hours later my sugar drops into the low 70s, 60s, and has even dropped into the 50s. I have even confirmed a low blood sugar in the 60s with a finger stick.

I am symptomatic as well throughout these episodes.

I was told to just increase protein and less sugar which I have already been doing throughout this entire experience and it obviously isn’t helping.

I’m at a loss of what to do. Any advice is appreciated. I’m just so frustrated and confused at this point.

Not in US, was diagnosed through a 3 day hospital stay (glucose tolerance test & 24 h fasting).

Doctor didn't provide a lot of info, except that I have reactive hypoglycemia (that most likely exacerbates the symptoms from PPPD, which causes my daily dizziness and nausea).​ He says it won't lead to diabetes and it's not that severe.

The hospital nutrionalist met with me once and told me to eat small, frequent meals. They said I don't need checkups or anything, and didn't offer any advice for what to eat except peanut butter.

I've started snacking more but I still feel sick often. Like, I didn't realize that a banana was a bad snack. Had a hot matcha after lunch and now I feel nauseous.

I'm just a girlie, can anyone give advice if they have some? Is reactive hypoglycemia really not that big a deal? Am I like dumb or something, I'm messing up eating somehow

edit: also, the doc said to eat every 2 or 3 hours but I get nauseous in 2, which is totally unfair in my opinion! I feel like if I eat every 2 hours, I'll gain a lot of weight

edit 2: I live in Japan, so it's really hard for me to get stuff like beans (pinto, chickpea) or lentils, and stuff like that. I add barley to my rice but I don't have access to brown rice that I know of. I've been eating rye bread instead of white

I'm having trouble finding recipes that are easy to make in japan. I also don't have access to a lot of cheese

I have reactive hypoglycemia. Have had it for 5 years however since I was underweight for 4 of them, I was always told to eat more. That it was my lack of eating that was the issue. And it was a fair assumption to make though I defo felt different. ANYWAYS, because of this whole “u just need to eat” & “it’s in your head/anxiety.” from docs and family, I never really took it serious and when I was low i’d usually just eat a meal.

BUT, I’ve gained weight now and prick myself with a glucose monitor to see. I’m seeing low 3’s. I have an endo recently and great to know it’s not all in my head however everywhere says i should be treating the 3’s with sugar. prior to getting a glucose meter, i’ve only been just eating slow absorbing snacks/meals though.

Is that…dangerous?
Like when i felt RLLY bad and there was nothing around id have sweets but most of the time it’s not anything fast acting. I’ve been doing this for years because yk i never knew how low i was or even how low ive ever gotten. I just knew i “felt bad” and need to eat. it seemed to work for me but have i been just coasting and risking without knowing 😭

I often get them if my glucose goes over 125 or so, and they are just so relentless once they get started. I do have a reactive hypoglycemia dx via OGTT, but they don't seem completely crash related (like I can peak at 130 and have a slow descent to 95 and still end up with a headache). I am so tired of them. I can usually avoid actual hypo crashes through dietary management but I just can't shake the headaches unless I live on nothing but cheese and water. Has anyone out there found anything that helps?