Checking blood sugars

I think you are right, I think if it were RH it would be 70 or lower..not sure when it would drop that low though..when experiencing systems or a certain amount of time after eating etc...I was orginally concerned that it was RH but it doesn't look like it..I am a little concerned that my sugars are getting that high but I don't know maybe thats normal when you dump...

Having lived and studied reactive hypoglycemia and diabetes for the last two decades, and read so much, I know more than most doctors/nurses, unless they are endo's, I can tell you what both are.

Reactive Hypoglycemia is a glucose reaction to a high carb loaded meal. It usually means your blood sugars are BELOW 70. You can be running very high blood sugars consistently and still get the same feeling above 70.

Example if your average runs 180-200 then anything below 120-140 will feel low.

Hypoglycemia

Now, normal blood sugars run 70-99 fasting. After meals 70-140.
Hypoglycemic, under 70.
Reactive Hypoglycemia, your blood sugar goes high first then bottoms out after 90 mins to 3 hours.

For some reason, the bariatric community is calling reactive hypoglycemia as "Late Dumping" since the symptoms are so similar but the timing is different.

An example of RH...just after I went on insulin, I decided on spaghetti for supper. Pre-meal was well within range of 80-110.

If your fasting first thing in the morning is between 100-125, you are considered pre-diabetic. Above 126 and you are considered diabetic.

While Glucose monitoring kits are very accurate these days, the only way to do a real diagnosis is to use whole blood drawn in a testing tube. And to also get an A1C done which is the "average" of the last three months. Red blood cells only live 90 days so that is one reason diabetics have that test done every 3 months.

However with a glucose monitor, you can get a feel for what is going on and doing more protein, with no more than 2 hours between while awake is critical in avoiding issues. For those who want freedom it's even g more quickly.

Making sure you eat a bedtime snack is one way to help it not go low during the night,

Liz

I dump on sugar, sugar substitutes and fat.  Even though I know my limits, I foolishly stretch them occasionally and pay for it. When will I learn???

I was tested at the lab and had blood glucose tolerance testing and blood drawn over two hours. I was diagnosed with reactive hypoglycemia and I even had dumping when I had my VSG.  My reading would reach to 15.4 (USA 277) and within 20 mins would drop to 1.8 (US 32.4) and at this point I was out cold on the floor.  Sugar, high carbs even high lactose in milk make me dump.  I have found now my sugar tolerance is no more than 15% or 15 grams per 100 grams of weight, and then I need to calculate an entire meal in case there is some sugar in a gravy as well as sugar in a cooking sauce etc.  It's all become a science to work out what to eat.

thanks Karin, sounds like you dump on items  very similar to what I do..hmm..will have to bring this up to the doctor to see if they can test my blood...