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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Reactive Hypoglycemia

Hi Dr. I have Reactive Hypoglycemia, My sugar went as low as 45 mmg/ after ingesting carbohydrates. Prozac stopped this reaction back in 2007 when I took it. Now im not taking Prozac because of the side effects, but I am left with the remorse that when I took it, my hypoglycemia went away. It was strange, it was a real sugar down reaction, and one doctor said that it had to do with serotonin being used by the Beta Cells in the Largerhans islets in the pancreas in a process called serotonylation for the secretion of insulin. Prozac s effect as a reuptake inhibitor for serotonin inhibited the serotonin build inside the Beta cell needed for insulin secretion. He said that was the only possible pathway in which Fluoxetine could affect insulin secretion (As I secrete too much insulin). I lost contact with my doctor since then, I moved to another country, and Im gaining weight due to this Reactive Hypoglycemia, neither metphormine nor active carbon do anything (bad side effects for both) what should I do?
Mon, 27 Oct 2014
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Dietitian & Nutritionist 's  Response
As a nutritionist, I can suggest you some dietary modifications which might be of some help. Since, your body is producing too much insulin, I would advise you to change the type of carbohydrates which you are consuming. Avoid refined starchy foods like white rice, white flour or self-raising flour, semolina, pasta and noodles made out of refined flour, potatoes and other roots vegetables, and simple sugars which you will mostly find in glucose, sweetened beverages, fruit juices, soft drinks (not diet drinks), refined sugar (sucrose), sweets, jellies, jams, candies, bakery items like cakes, pastries, chocolates etc. These foods contain alot of sugar which causes sudden increase in blood glucose levels leading to secretion of insulin in large amounts. Instead choose complex carbohydrates like whole grain cereals like brown rice, whole wheat flour products, broken wheat porridges, oats porridge , oat bran and other bran rich foods.



Choose whole fruits like apples, guava, peaches, plums, etc and vegetables as raw salads which will help in preventing reactive hypoglycemia.



Include plenty of fibre in all your meals to prevent blood sugar from rising too quickly. This helps to avoid sugar rush/sugar crash syndrome which is commonly seen in reactive hypoglycemia.



Read labels to avoid foods which have a low fibre and a high sugar content( sucrose, glucose, maltose in malted foods and drinks).



A high fibre diet will not only prevent blood sugar spikes but also help you to control your weight. Hope this answers your query satisfactorily.





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Suggest Treatment For Reactive Hypoglycemia

As a nutritionist, I can suggest you some dietary modifications which might be of some help. Since, your body is producing too much insulin, I would advise you to change the type of carbohydrates which you are consuming. Avoid refined starchy foods like white rice, white flour or self-raising flour, semolina, pasta and noodles made out of refined flour, potatoes and other roots vegetables, and simple sugars which you will mostly find in glucose, sweetened beverages, fruit juices, soft drinks (not diet drinks), refined sugar (sucrose), sweets, jellies, jams, candies, bakery items like cakes, pastries, chocolates etc. These foods contain alot of sugar which causes sudden increase in blood glucose levels leading to secretion of insulin in large amounts. Instead choose complex carbohydrates like whole grain cereals like brown rice, whole wheat flour products, broken wheat porridges, oats porridge , oat bran and other bran rich foods. Choose whole fruits like apples, guava, peaches, plums, etc and vegetables as raw salads which will help in preventing reactive hypoglycemia. Include plenty of fibre in all your meals to prevent blood sugar from rising too quickly. This helps to avoid sugar rush/sugar crash syndrome which is commonly seen in reactive hypoglycemia. Read labels to avoid foods which have a low fibre and a high sugar content( sucrose, glucose, maltose in malted foods and drinks). A high fibre diet will not only prevent blood sugar spikes but also help you to control your weight. Hope this answers your query satisfactorily.