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The continued use of the terminology "functional hypoglycemia" only contributes vagueness to our correct understanding of this metabolic condition. There are a number of conditions associated with postprandial hypoglycemia. One category is the reactive hypoglycemias, which occur in patients with diabetes mellitus diabetes reactive hypoglycemia , gastrointestinal dysfunction alimentary reactive hypoglycemia , hormonal deficiency states hormonal reactive hypoglycemia , and a large patient group characterized as having idiopathic reactive hypoglycemia. Of these causes the alimentary, hormonal, and diabetic patients are less disputed, whereas the idiopathic reactive hypoglycemic group has been referred to as a "nondisease" group.
Characteristic alterations in insulin secretion accompany each of these conditions.
Introduction. Reactive hypoglycemia is low blood glucose (sugar) that occurs within four hours after eating. Symptoms of reactive hypoglycemia may include. Choose a variety of foods and eat a small snack or meal about every three hours. Healthy Eating Guidelines For People with Reactive Hypoglycemia · "Eating.
In bona fide patients, dysinsulinism or hyperinsulinism usually accounts for the hypoglycemia. Some patients may have increased insulin sensitivity, but this association is doubtful or very rare. Patients with this meal-related eating disorder are characterized as ingesting excessive quantities of refined carbohydrate.
In the research setting, the disorder can easily be elicited with the oral glucose tolerance test. However, to establish clinical relevance, the hypoglycemia needs documentation in the home setting with measurements of blood glucose during a postpradial symptomatic episode. The reactive hypoglycemic patients are frequently confused with patients with underlying psychiatric illness. Legumes also act as a source of protein. Protein also takes the body longer to digest, which helps prevent low blood sugar.
Dairy provides protein, carbohydrate, vitamins and minerals and also helps control blood sugar for reactive hypoglycemia. Healthy choices include nonfat milk, 1 percent milk, nonfat and low-fat yogurt and low-fat cheeses. Lean meats and meat substitutes act as a significant source of protein. Including a lean meat or meat substitute with each meal can help you prevent low blood sugar, according to the Jackson-Siegelbaum Gastroenterology Group.
Lean meat choices for reactive hypoglycemia include poultry, fish, pork chops, beef eye of round, lamb chops and veal. Meat substitutes include eggs, peanut butter, nuts and tofu.
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