Diabetes India
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hypoglycemia and work

I'm non-diabetic reactive hypoglycemic. And I'm from the US. I recently got a job as a hostess in a bar/restaurant. My hours vary from 3-5-6 hours. I never know what time I'm getting off, for it isn't on my schedule.

My employer was advised about my condition upon applying and being hired. He allowed me to keep snacks very close to me. I'm not allowed breaks. However, I'm really active during my shift and am going up and down stairs and using considerable amount of energy.

I try to eat a full meal before work and I try to snack at work when possible. I've gotten sick nearly every shift for being unable to take a 10 minute break to eat a snack . I tried popping candy to keep it at bay. But it always ends up in a drop in BS a while afterwards .

I've asked about breaks and they've refused. Saying it's not possible. Usually I'm working with 1-2 other people and they always seem to get annoyed when I need to eat. One got angry with me when she asked me to clean the bar and I told her yes, but I needed to eat first. She kept slamming things and rolling her eyes.

I feel bullied, and shamed. and I've become very fearful and afraid of going into work. I spend a lot of time worrying about whether I'm going to be unable to take care of my condition.

Do you think this is wrong, or should something be done? I've told everyone at work and I even offered medical documents and they said they didn't require them.

I'm about to lose my job because I can't perform well, and I'm constantly afraid of hypo episodes.

Advice would be great . Thanks guys

6 Replies

If you are constantly snacking on carbohydrate rich snacks you are going to experience sugar and insulin spikes. Candy is the very worst. The high level of insulin will make your blood sugar crash and you will be constantly hungry.

Try cutting down on carbohydrates and increase your fats. Fats will not spike glucose nor insulin. Try keeping a supply of nuts (macadamia are the richest in fat) cheese, olives etc with you, and switch to a LCHF lifestyle.


i keep almonds, beef sticks, peanut butter crackers and protein bars with me and cheese.


Try low Gi carbs such as quinoa, bulgur wheat, barley, milk, barely ripe banana, dried apricots, sweet corn, beans (boiled from dry), peas, chickpeas, rough oatcakes or sweet potato, aiming for 40-50g per meal, with potentially less at breakfast. Eating sufficient to replenish the amount of glycogen used is optimal.

Don't make assumptions about food; even high fibre foods like Shredded Wheat or Weetabix spike blood glucose and subsequently IGF-1/insulin, as do anomalies such as yoghurt or baked beans.

Crackers, rice, potatoes and most bread will play havoc with your blood glucose levels as will of course refined flour and sugar. Even excess protein is easily turned to glucose, with harmful side products. Processed foods like protein bars are an unhealthy gimmick. Watch for added sugar in things like peanut butter (which is high in omega-6 and lectins too), and avoid preservatives, in beef sticks for example.

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Do you go to a gym or work out on your own? Try work outs when you have free time, at least 2 to 3 hours after you have had food. Start slowly and then you increase intensity after some time. Hopefully this should increase your metabolism rate over period of time and help you get over hypo.

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I've heard that the LCHF can cause some side effects. Is this true? Can it cause hypo episodes as I adjust to the diet?


Some might have some issues like headache, but I never did and have been eating like this for years. Any issues you might get are over in a day or two but it's important to remember this is a lifestyle change, not a 'diet' for the short term.

Remember it's the carbs causing your hypos and if you are concerned, just transition gradually.


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