My blood sugar level was 63 mg/dl when measured after 2 hrs of eating a meal (at 1 pm) today...I ate 2 ladoos made of whole wheat, ghee and sugar and 1 chappati with bengan ka bhartha at 11 am...had taken 1 metformin 1000 mg at 9 am after eating breakfast of a bowl of puffed rice and two monaco biscuits...
Not feeling well at all...this happens to me once in a while since 6 months...a problem of being hypoglycemic after breakfast ....why does the blood sugar level falls below optimum after eating such a high carb meal though Metformin SR tablet was taken?
what to do? experts advise please...
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Ashka9
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high dose of medicine may be the cause ,take500mg and 500 with lunch and check the position
Ashka9
Whenever I have a small cup of tea with sugar (unavoidable sometimes) my BS comes to around 71-75. Have seen this a few times. This reading is around 3 hrs after the tea with sugar.
This sugar causes a surge of blood sugar initially as we lack the first phase insulin release or face insulin resistance. But this sugar also causes a surge of insulin release which brings down the levels to a hypo level later on.
This glycemic excursions are not good for us as the excess insulin levels will cause long term damages and also tax the pancreas for insulin which is as it is taxed. Also this excursion will only build up the insulin resistance in coming days
This the conclusion I am having based on my own experience
But Mr. Shashikant, being hypoglycemic after a meal is not for the first time...it is happening with me once in a while since 8 months or so....even after eating healthy diet like baked dishes made of daal (legumes) + rice flour....though eaten in very small quantity.
And I have heard this happening with almost many diabetics...my neighbour and one of my distant relatives and talked to friends about it...it happens almost with all diabetics though on medicines...like Metformin...whereby Metformin is known to reduce blood sugar only if it is higher than normal...one of the doctor told me that...and I take Metformin SR (Sustained Release) tablet...so drug is not released all at once...right? so....as such I should not be hypo after high carb meal...instead it should by hyperglycemic result.
Prior to detection I used to have similar symptoms
This is a sign of hyperglycemic excursions
High and then low
Cause is same. High carb meal. High insulin release. Sugar crash, more carb needed.
I could understand that.. Which used to happen earlier only now.
Believe this concept
Take it or leave it.
But that's the reality.. A harsh reality.
With LCHF I am now stable. My BS is around 90-95 for most part of the Day with no ravenous hunger signals.
( I am a crazy guy.. Keep testing many times a day to understand the BS levels... Some times.. Also I had a cgm implanted for 14 days... So could understand all these)
I understand the concept you explained not now but since I got diabetes....but this high and low is not happening with me everyday..only sometimes...say once or twice a month...
eating same roti/sabji....everyday....with legumes for some meals..
I will take care in future and will try to avoid sugar altogether...as such I am not fond of sweets...and I eat it very sparingly
I eliminated sugar and sweets for about 2 years after I got diagnosed diabetes in Mar. 2014 but somehow I started eating sugar in some dishes since it is unavoidable...
Your blood sugar must be up and down like a yoyo on a meal by meal basis.
Trying to balance a bad diet with medication is like trying to ride a unicycle with a bent wheel and one pedal!
Overdoing the Metformin might cause a hypo, but who knows what's going on?
What you base your diet on from the example above has undoubtedly caused you condition in the first place, and I'd suggest you are very reluctant to change. Unless you make those changes you will fall under the saying - 'Keep on doing what you're doing and you'll keep on getting what you've got'.
I take your words in a positive manner and I don't have any EGO so to say. I generally avoid eating biscuits and sweets but eat it sometimes.
I know high carb diet may be bad so I avoid rice also....eat rice or rice based items only once or twice a week.
I don't know how to replace wheat...I tried it for 10 days and wished for going gluten free for about 3 months for my Hashimotos thyroiditis but then had my father hospitalized with brain stroke and expired later so could not keep up with the diet routine where I have to make separate meals for myself and can't eat all those items cooked daily for the other family members.
At present, my family circumstances are not such that I can shop separate grocery for myself and follow strict diet routine and also cooking separately all the meals by myself because other family members won't be changing their diet for me. Nobody else has diabetes in my family.
I tried ragi flour, besan (bengal gram flour, millets) while going on gluten free, but I wasn't feeling satisfied without wheat roti and I was not able to digest millets and gram flour or ragi flour daily...may be not habituated to eat it daily?
Anyway, I will try to figure out what to do ...meaning what exact diet I should follow, which grains I should eat and which I should avoid while also having hypothyroidism. If carb intake is too less, thyroid hormones will further reduce which are already released less due to underactive thyroid. So, I have to look into other aspects of diet also...like convenience, able to follow it for long, how will it affect my other diseases...and whether it will be feasible financially also...RIGHT? I am not reluctant to change at all...that's what I wish to convey it to you....there are many factors affecting a person't situation.
I will soon post my recent HbA1c result and other blood reports to have all of your experts' advise.
from google search, meaning of reactive hypoglycemia is...
Reactive hypoglycemia, or postprandial hypoglycemia, is a medical term describing recurrent episodes of symptomatic hypoglycemia occurring within 4 hours after a high carbohydrate meal in people who do not have diabetes.
WHAT ABOUT PEOPLE WHO ALREADY HAVING DIABETES? Will you call it reactive hypoglycemia in diabetic people also when hypoglycemia happens after 2 hours of a meal?
Yeah, I had coffee made in only milk and some besan sev with mamra....(puffed rice) in breakfast yesterday....but after that I didn't get low BS ....I got it after I ate again at 11 am 2 ladoos and 1 chappati with bengan ka bhurtha....I got unwell around 1 am....yesterday
I think it's glimepride which is causing hypo...I am taking Glycomet GP-1 forte tablet which contains 1g of Metformin and 1 mg of glimepride. I read before few months that Metformin should not be taken with sulfonyl ureas but I continued since I never had problem with it for initial 2 years after being diagnosed with diabetes. But recently, I got to know that glimepride causes pancreas to release insulin...so may be insulin spikes happens once in a while after breakfast due to glimepride causing hypo...so I have decided now to take only Metsmall SR 1000 mg tab which I already take at night also....will take in morning the same and eliminate Glycomet GP-1 forte...
I have not changed dose of Metformin since beginning...
I know it was my blunder to continue with glimepride...and didn't read in detail about mechanism of action of glimepride before and also I was not actually knowing in detail how bcf reduces with the progress of disease due to hyperinsulinemia...I just got to know recently in last July when I consulted one diabetologist/endo online where he explained me how Metformin works....I didn't mention then also to him that I am taking Glycomet GP-1 forte...and it contains glimepride...because I was just under impression (ofcourse blindly) that I am taking only Metformin SR 1 g each morning and night. Glimepride just slept out of my mind...
Anyway, sooner the better I understood what is the reason behind my hypo...only once in a while though...I knew however that Glimepride won't allow to lose weight but somehow at the back of my mind, my GP had prescribed it in the beginning and he told me then that it is always good to have combination of drugs then single ingredient...so I think it was working better for my glucose control...but now I understood that it has done enough damage to my BCF as well in addition to causing hypo...
got glycomet tablets for another 3 months or so and bought online so not sure I will be able to give it back....but I am now not taking it for sure after enough understanding it....money wasted is ok...health is more important especially being Pharmacist, I should have understood it long back...but due to job tensions and lack of enough informations, I could not give so much time to gain knowledge about drugs in real life...
thanks Anup for yr response....sorry for not mentioning glycomet in original post...it was just out of my mind as such...
I understand it very well....but unable to follow LCHF diet at present given my and my family's circumstances.
At present, I will try to control carbs as much as possible...though it's difficult being vegetarian...will monitor my glucose levels more closely and more frequently to understand the effect of particular food on my PPBS levels and will try to reduce FBS also....may be by trying to increase insulin sensitivity?
I am getting blood work done tomorrow so in this week itself, I will post my results in forum for all of you to know and advise.
I'm going to send you a PM in a few minutes. Please look for it.
Thanks. Now doing it.
Reason was that these tea with sugar I would have some Time but rarely and it would be outside in some teastall at the end of day where he would be winding up
It would take me a few hours to get home and test myself
At times PP blood sugar can be lower than fasting. It is usually due to excessive response of pancreas to food intake by producing more insulin than required, at times blood sugar may be very low to produce symptom of Hypoglycaemia. Treatment of this is to take small meals more often or reduce the dosage/strengh of metformin in consultation with your doctor.
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when to take medicines ?
Can people eat a simple meal between 5 and 6 PM and then a full meal after getting home from work?
Night BG level after(2 Hours) meal is between the range 140-180. 
Scientific discipline to managing diabetes...
