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Is it normal to have low blood sugar after a meal?
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1. Is that where reactive hypoglycemia comes from?
It is also frequently observed in patients following bariatric surgery. One of these can be the problem of insulin secretion immediately after a meal, which is associated with a sharp increase in blood glucose levels and consequently a later but excessive release of insulin. Other causes include too little secretions of glucagon (a hormone that raises blood glu glucose) or excessive activity of insulin-like peptide-1 (GLP-1), a simple reduction in blood sugar levels (J.E. Drucker 2013).2. How am I supposed to know I'm having post-meal hypoglycemia?
Symptoms may vary from person to person, as well as from level to level. When sugar falls below 50 mg/dl, there may be symptoms on the central nervous system such as confusion, vision and speech disorders, dizziness, loss of consciousness, tremors, drowsiness, and even sleepiness (N.E. Vella 2017). Some occur when sugar levels fall below 70 mg/ dl, and others even earlier, when the drop is sharp.3. Is it whoever's most at risk of developing reactive hypoglycemia?
Returning to a normal, balanced diet, when more pure glucose is delivered to the cells, there may be an excess of insulin, which, due to increased insulin sensitivity, causes the tissues to excessively reduce glucose. For people who eat irregularly, skip breakfast, eat very high-carb drinks, or consume high amounts of alcohol, the risk of reactive hypoglycemia also increases. Tracic, M. Walicka 2020). Long-term low-carbohydrate diets can lead to increased tissue sensitivities, as well as low-glucose consumption.4. Reactive hypoglycaemia How to diagnose it?
In order to diagnose hypoglycaemia, the presence of the so-called Triad Whipplea (the presence of characteristic symptoms, reduced blood glucose levels and improvement in well-being after carbohydrate intake) should be confirmed (L. Raghavan, J.M. It is also common practice to conduct a 5-hour test of glycemic load (OGTT), during which it is recommended that patients who have been diagnosed with or have not had a specific diagnosis of glucose and other fatty tissue levels and/or alcohol intake, as well as those who have not been observed for at least a few days prior to the diagnosis of diabetes and/ or treatment of diabetes, should be evaluated).5. What do you do when you have symptoms of heart failure?
However, when the sugar level is too low and there is a loss of consciousness, it is necessary to put the patient in a safe side position and call an ambulance so as not to lead to hypoglycaemic fainting (W. When blood glucose levels drop and hyoglycaemia occurs, you should react as soon as possible and give 15 g of simple carbohydrates in the form of pure glucose, fruit, jam, honey or fruit juice.6. Is it even possible to prevent the onset of symptoms?
Meals should be balanced, i.e. they should contain sources of protein, fats and carbohydrates. However, if the high-fat diet and the glucose index are the same, if specific guidelines on reactive hypoglycemia have not been developed, the glycemic index is an indicator of how much glucose in the blood increases after 120 minutes of consuming a product containing 50 g of the carbs. Among the foods with the same high fat content and the high glucose content, it is also possible to include sugar in the water with the active ingredients.7. Does that even depend on what the glycemic index is?
Also of interest is the reduced glycemic index in starch products, which after cooking are first hardened and then heated again. It is resistant to digestive enzymes and thus does not increase glycemia (J. Jeznach-Steinhagen 2016). Adding protein and fat to food allows for a reduction in GL, whereas treatments such as fine cutting, blending or long cooking cause it to increase. This results in the production of a so-called resistant compound, which is a fraction of insoluble fiber.8. Is it even possible to treat reactive hypoglycemia pharmacologically?
Reactive hypoglycaemia is most commonly associated with carbohydrate-reducing acarbose. Lee 2010). Hostalek, M. Hildemann 2015). In such cases, pharmacotherapy may be considered. It should be taken before main meals (A. Metformin is also used in the treatment of RA to treat diabetes and alleviate symptoms of insulin resistance; it has been shown to increase tissue insulin sensitivity (U. Gwilt, S. There are people whose improved nutrition does not protect against episodes of hypoglykemia, as well as those who are highly resistant to dietary changes.
