keithandbrandee, it sounds like you have reactive hypoglycemia. Your blood sugar is surging high, then dipping low, then your body is releasing adrenaline in order to bring up your blood sugar. Very common with this condition to wake up between 2-4am with adrenaline surges and this is when blood sugar is the lowest.
I’m very interested in your upcoming hypoglycemia book. I was diagnosed 2 years ago with reactive hypoglycemia by an endocrinologist after a 5 hour GTT test that showed my blood sugar going sky high and then plummeting, then recovering a little when the adrenaline kicked in. I manage by eating half my weight in protein (60 grams) and my full weight in carbs (120 grams), divided in 6 meals per day. No caffeine, alcohol, sugar, or simple carbs in any form. It sucks. But I do it so I can stay calm and sleep through the night. However, I’m starting to think that this is more of a problem of too much adrenaline, that the blood sugar problems are simply a symptom of a larger endocrine problem. Low thyroid, maybe? Adrenals? Low cortisol could account for too much adrenaline, too. I feel like my life is in a holding pattern until I can figure it out – each day the 6 meals just serve as a bandaid. Thoughts, Matt? You seem to really get it.