As long as I can remember, I’ve had symptoms of reactive hypoglycemia. It was finally diagnosed in my early 30’s after almost passing out at work twice in one week. The family doc told me I was having panic attacks and that reactive hypoglycemia is a myth. I was referred to an endocrinologist after I tested my blood sugar and it read 50mg/DL at the time of the symptoms. Take that doc! You don’t know what you’re talking about!
Matt is the only person that has addressed this issue, and I’m hungry for more info! There are two things that cause my blood sugar to plummet. One of them is preventable, but will be quite a sacrifice. That is my morning cup of joe. Yes, a simple cup of coffee can send my blood sugar plummeting. The other one is a morning workout. Some times this is the only feasible time for me, but I feel like crap all morning even if I do eat.
To have reactive hypoglycemia, you’d need some level of hyperglycemia. Otherwise, it wouldn’t be really reactive but just hypoglycemia. If you confirmed your BG at 50 then you need to check things out. Hopefully measure glucagon and liver function to see if there is BG dysregulation that’s non-rectively hypoglycemic. You need to check your A1c, FBG, and insulin/C-Peptide to confirm if that’s the case and hopefully do an OGTT with both BG and C-Peptide to measure insulin secretion.