Ep:91 REACTIVE HYPOGLYCEMIA Is it low blood sugar or low sugar inside of your cells? - by R. Cywes
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- Опубликовано: 20 окт 2024
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Astounding…. A voice of reason cries out: Don’t go to the doctor’s office expecting real help. Find the ones who truly honor their oath and training beyond what the university tells them.
May the Creator of this universe give you grace.
Bravo Doc!!! Thank you.
My favorite video EVER! No one has been able to tell me what was happening to me after DIVING into keto/ carnivore...coming from a CARB HEAVY diet....multiple cardiologists visits...hormone specialists...etc..etc...THIS is what's happening to me...Wow! Can't thank you enough Dr.
Oh my goodness! Have struggled with this for years, bad hypo symptoms but dismissed as my blood sugar readings are ‘not low enough to cause those symptoms’. And as I’m not diabetic they’re not interested. Thankyou so much for explaining what numerous doctors and consultants have failed to do. I’m eternally grateful.
I was 16 when i had a 6 hour glucose tolerance test. I lasted only 3 hours and was diagnosed as having reactive hypoglycemia. My father has it too. My symptoms started some years earlier after having antibiotics for streptococcus. I'm 49, mother of 5 and have tried many diets. The advice i got was to eat high protein snacks every 3 hours. As a teen in school that was hard to do. Being one of 6 kids, living in NC, USA, we couldn't afford a lot of meet. I soon realized that eggs made me nauseous, peanuts gave me gas, and i got tired of turkey. Moved to Germany after High School and continued my journey of looking for the right diet, while dealing with different health issues like Candida, skin problems, digestive issues. Age 25, after 2nd child, had gallbladder removed. I've tried fasting, vegan/vegetarian for many years. I have inflammation in elbows. Just recently i tried keto. I ended up eating a protein snack first and then some fruit. After 10 days i could wean off the fruit. The first day carnivore was absolutely amazing. I had energy, needed no nap, was mentally stable ( had burn out and depression the last few years). Although a storm was coming in, my blood pressure was also stable. Usually i would get panic attacks when a storm was coming. When the air pressure fell, my blood pressure would fall as well and i would be so tired. Eating meat has supplied the nutrients i needed. I take HCL and enzymes with each meal to digest it. Digestion was my problem. After antibiotics, my body did not make enough HCL. Candida had thrown everything off balance in the gut. The carnivore diet has helped me the most.
Hi what meats do you eat? I also feel nauseous eating eggs. Meats are also expensive in my country.
Glad that you are doing okay now
@decalibresportz5784 I can get ground beef and sausages made with grade A pork. Funny, if I get fresh pork from the butcher and BBQ it, I don't feel well, but pork salami and sausages I do well on. Sometimes I eat poultry and fish. I hunt the stores for meat that's been marked down in price.
Same.. except.. I am a dude so hard to have kids
Advise on Hypoglycemia
That’s because protein stabilizes you stabilizes your blood sugars so you won’t end up hypo, to lo, it is simple when you become hypo eat something with protein, not something with sugar to bring it up, and also depends on what type of carbohydrates you eat. There’s healthy carbs and then there’s candy bars, which are non-healthy carbs, orange juice, non-healthy carbs. These are things that are gonna give you a spike, but won’t stabilize you and you come crashing down, have a complex carb along with fiber and protein. It’ll stabilize your sugars for longer whereas if you have a candy bar, you’ll get a sharp rise, but it’ll come crashing down, so it all depends on what you eat that brings on the hypo. I’ve always suffered from hypo glycemia episodes now that I’m a type one diabetic I know exactly what food does to stabilize and maintain healthy sugar levels. If you eat fat and protein, fiber complex healthy carbs will stabilize you longer periods of time preventing you from spiking then crashing protein and fat help to control or minimize your spikes and blood sugar so when you eat, eat your fat and your protein first then your carbs because that protein and fat will somewhat prevent you from spiking blood sugars After your protein and fat is when you should have your fiber and carb fiber also stabilizes you, it slows down the absorption of carbs to maintain you for longer periods of time with stable blood sugars and prevent crashing.
Now it makes sense I am reactive hypoglycaemia and started a low carb diet and been crashing loads, now I will do it gradually, so glad I watched this!!!
I suffered with this ailment for years and the diet given to me by doctors did nothing but exasperate the problem. I started eating keto, slowly, last October 2019. Since then I have had NO ill effects. Lost 35 pounds, and can now do what I call "light" fasting throughout the day. I feel GREAT! My husband has done this too and lost over 40 pounds. Oh, and my immunity levels are way high, no sickness, and oddly, my thinning hair grew back. Go figure. Eat Keto folks! Live longer, be healthy. The Food Pyramid is a lie.
Iam also having same symptoms like hypoglycemia without actually having low blood sugar...am frm india..i hav lots of doubts..pls rpy to me...plsss
@@jenifernisha2149 yeah what doubt?
Same symptoms bt diet nt wrking..keto diet wil help?
My weight also increasing..fat diet only little help me..smtime no hunger only shaky..nearly 10 symptoms it difer tms to time..wat i do..pls help me..am in dubai fr dis problem i move from india..in india no dr know abt dis..they only sent me psychiatrist..when i ate sugar dat time only my anxiety peak..every 3 hrs i need food..without carb diet also nt wrk need sm carbs also..wat i hav to do plsssss...i had sm weightloss medicine after dat only i hav dis issue past 2 years...
@@nobbychannel3929 me where to go.
And wat i do..pls guide me..pls...
''this is a life long change''...yes, start slow, get to know your body on keto, 7 months in, 35 pounds gone, that is 5 pounds a month, 5 pounds i don't gain back. and my body now maintain the loss like a new normal, not like a temporary thing.
Thanks for posting that. It goes so slowly it's good to hear from someone farther down the road.
@@ioodyssey3740 and right now i seem to be on a plateau, but it's fine to me cause i'm still 35 pounds lighter. i think my body knows winter is coming and it shouldn't let go of too much fat...loll keep going it's a life long change , bacon and whip cream forever...lolll
@Marhana Ghazali it is probably normal since i don,t have cravings for food outside my meals, hormones are more my problem now, it tries to make me eat more sugary, but knowing it now makes me less stressed. I just make sure to have a good cheese cake without the crust in my fridg when it is the time of the month.
I was recently diagnosed with hypoglycemia. I am type 2 diabetic however what has worked for me to keep my blood sugar above normal range is taking two teaspoons of sea moss eating a little seaweed salad after each meal. No one is saying that diabetes and low blood sugar insulin resistant is a fiber and mineral deficiency. I promise you eating seaweed has high content minerals and fiber... It will raise your blood sugar and keep it at Bay and or sustained it 4 hours before your next meal eat a snack at midnight and add a teaspoon seaweed.. has worked my sugar levels balanced until the morning.
12 months into a very low carb high fat diet I started akmost passing out 30 mins - 1 hour after a high protein lunch salad. My neighbour gave me a glucose monitor and my fasting sugars were 1.4 Australian measurement. Or near death. I added small amounts of starch at each meal and rectified it. It also cured the dreadful insomnia that lack of carbs caused.
By almost passing out I mean dropping to the floor after my whole brain and body went into low gear and slow motion with my vision distorted and barely any control of my limbs. I'm lucky both times were in reach of the bottom of the fridge which had some pears sitting there. As I sucked a pear, I began to recover enough to get up.
Really frightening as I live alone.
I feel for you. This happened to me so many times, and I ended up in the hospital so many times, then ended up with clinical insomnia for a few months many years ago when going zero carb and fasting. I'm afraid to totally give up carbs. I'm very scared. At about 50 grams per day, I seem to do ok. Hope you're doing much better my friend.
So are you still low carbs ? Why did this happen to you oj keto ?
As I write this, I'm trembling and feel like puking. After going low-carb for 3 years, I started eating breakfast again and adding more carbs. Today, I tried eating only eggs and now at lunchtime, I'm legit scared at how my body is reacting. My metabolism has always been very fast and I wonder if I don't get too much keto, like ketoacidosis.
I do better without eating. I fasted 48 hours and felt amazing! I eat my first meal after and thought I was gonna die. I have to switch to eggs/cheese/avocado/nuts and limited berries. That really limits my food options but at least I figured out what’s going on. I also store fat too fast/ and now I know why
Intermittent fasting slowly changed my hunger pings and I have been able to lose 25 lbs in 8 weeks on Carnivore! I do not have diabetes, my doctor said no not YET! Thank you for your ongoing wisdom and explanation! Know your body! 🦁🦁🦁🦁🦁🦁🦁🦁
Since my 20s I often experienced hypoglycemia without diabetes. Without the support of doctors I learned I needed to add protein and fat to my meals, especially breakfast. And now at the age of 62 as my blood glucose rises I learn of this condition called Insulin Resistance and that I probably have had it and Reactive Hypoglyemia for nearly for 40 years. For the last 6 weeks I've been low carb, 16-18 hr fasting , lowering my BG , raising my ketones . After ending my first extended fast of 40hrs today, I achieved a fasting glucose of 77 and ketones 3.5. I was elated into thinking I've reversed the IR, but within an hour of my first all protein/fat meal, I experienced that all familiar hypoglycemic emptiness. As a result of listening to you Dr. C, I realize IR will prevent adequate blood glucose from entering my cells. The message is to stay the course. It'll take more than 6 weeks to unwind 40 years. I just pray it won't take 40 years.
Great sharing, thanks you. Maybe try to break the fast more slowly. Have bone broth first, then lean protein like 1 chicken breast a few hours later for the first 2 days. Keep the fat for day 2 onwards. Maybe this way the protein won't spike your insulin so fast... Lots of mixed information out there about the best way to break a fast. Good luck!
Why is the breakfast usually more problematic than other meals as far as hypoglycemia goes?
@@Healing_Decibels in my case i had it after dinner as well :(. As for breakfast, it's probably because of the spike after fasting 12hrs (from dinner time to breakfast time), so the blood glucose goes up then insulin drops it down
I have to break a fast with bone broth on day 1, followed by green juice (it’s nasty, but pure veggie juice with a bit of lemon) on day 2. After that I can do cooked veggies and salads. A piece of fresh fruit will work on day 2, as well, followed by a salad for the next meal.
Only one time in my life (while on a keto diet) I tried breaking my fast with protein - had eggs and a slice of avocado - and my blood sugar sank so low I could hardly move. That just does not work for my body, even if I’m on a low carb diet.
How are you feeling now? I’m in my 20s and also have reactive hypoglycemia wondering how long it will take to fix
I had this happen when "treating" myself with some sugar free chocolate a month into keto-vore. My blood sugar has been around 120 after a meal and then one night I had some sugar free peppermint bark and ended up in a clammy sweat, clutching a bucket, feeling like my life force was being drained. I tested my glucose and was at a 76. My body is so used to me binging on sugar that the moment I had something sweet it dumped way too much insulin and I crashed HARD. It all makes sense now!
This is a ‘lightbulb moment’ comment for me. Thanks 🙏🏽
Makes sense why Dr. Cywes says be gradual in lowering the carbs. Dr. Pradip Jamnadas explained that until we become more insulin sensitive, our bodies will dump way too much insulin. Be well!
Thanks, Dr. Cywes. This is the best explanation I’ve found on the hypoglycemia topic. I’m a lifelong hypoglycemic, per diagnosis in my early twenties, now approaching 62. I started keto 15 months ago and haven’t crashed once since, though prior to keto crashes had been increasingly frequent and seemingly unpredictable. I always knew I felt better with protein and avoiding sugar, but until I removed starchy foods I got fatter and more miserable. Weight loss is slow, but I’m down 25 pounds and still dropping. About 3 months ago I transitioned to mostly carnivore and feel better than I have in years. Most recently my fasting insulin was 5. All my labs are great except ldl is through the roof, and of course my doctor is pushing statins. My hdl and triglycerides are both improved and well within optimal range. I’m thankful for this way of eating and no longer living with a constant fear of hunger. I’m so glad I found your channel and I look forward to learning more in your future videos.
The Framingham study shows that women over 60 live longer the higher their cholesterol. Find a new doctor. Until more people demand honesty instead of big pharma influence, nothing will change.
You felt better on a carnivore diet because of all of the vitamins and minerals found in meat. However, there's a trade off as it causes acidosis in the body. If you get your vitamins and minerals from whole plant foods, you'll feel just as good but without acidosis
It does not cause acidosis! Meat is not acidic. That's a lie!!! Everything we have been told is a lie!! We were told meat is inflammatory! That's a lie! My inflammation left when I went carnivore! I do also take magnesium, potassium and celtic salt.
You explain things so well!!This has been my life.
My TRYGS where always high from a young age but always pass my fasting glucose test but I had chronic fatigue and fibro from my early 20s and just deeper and deeper spiralling issues.
Never knowing the sugar/carbs are staying in my blood stream and my cells are/were starving.
Insulin resistance is killing us all. AND it is mind blowingly simple to stop.
Heart breaking looking at people everywhere oblivious to their own destiny. But I also find it frustrating people don't want to hear it. As soon as you say keto...no sugar..people think I am a nutter and missing out on living. (their junk toxic life) The world is messed up 😞
I first experienced hypoglycemia while working as a nurse in the hospital. I ate my usual breakfast of cold cereal with milk. About 2 hours later I noticed my hands were shaking and I could not write legibly. I wish I knew then what I know now. Thanks for what you do Dr. Cywes!
oats give me this reaction quite often. and i can't think of any other carb sourse that works this way - not pasta, not rice, not potatoes, not wheat flour bread or any type of cake, not fruits, not even ice cream.
@@EasyGameEhme too
I think refined foods, especially refined grain and flour alone are the worst offenders
Thank you for this video!!! You just explained a problem I have suffered with for years. I didn't understand what was going on until now.. No one talks about this!
This helped so much. I went from high carb no fat to carnivore high fat a month ago. My resting blood sugar is normal. In the 80-90 range, but It will drop down to 63 after a meal. It was confusing the hell out of me. Thank you.
I still don't understand why it drops on a high protein meal. Protein should give at least a smaller spike? Did you add any starch?
You are always a wealth of information! I’ve had to listen to this one several times (one should not try to multitask when wanting important information to sink in!) Thank you for cutting to the chase and laying things on the line!
FINALLY a real explanation that makes sense, after most of a lifetime of not being able to completely depend on my brain because my cognition would just go away, especially 4-5 hrs after my last meal.
Now, at the age of 70, I know to taper off the carbs. Thank you, thank you, thank you.
Profoundly gradual, common sense driven & determined perseverance.... to slowly ameliorate intra cellular hypogylcemia.... hopefully caught it in time. 'Insulin resistance' is the begining of type 2 diabetes isnt it? Scary! Thanks mate❤🎉
I was recently diagnosed as pre-diabetic and was recommended to treat with dietary changes. For 2-3 weeks I reduced refined sugar and excess carbs. I focused on good carbs (wheat bread, brown rice...) and protein with veggies. I recently had what appears to be a hypoglycemic response in the middle of the night.
Never been more glad, to have watched a video till the end ;-)
I bet, a lot of people will have major epiphanies, watching this.
Definitely 👌🏾
Absolutely makes sense! Explains why I feel the way I do
This makes so much sense. I haven't been on keto very long. Not even a week. I was wondering why I still am feeling that "carb crash" type of feeling after eating only fat and protein, and now I see that my cells aren't allowing insulin in. I know about "keto flu" and that it makes you feel fatigued, but I didn't completely understand why--and now I do. Thank you!
Not necessarily. He explained that when you stop eating carbs suddenly (keto diet), your pancreas will keep secreting the previous amounts of insulin so when you stop eating carbs your insulin is too much in your blood so it will deplete your small amounts of sugar in your body, so hypoglycemia symptoms come. (Remember, Insulin transports sugar into cells.)
On the other side, too much insulin recreation by the high amounts of carb consumption will cause a cellular resistance. The cell is "exhausted" of receiving too much insulin and it will stop letting insulin coming in.
Yes, I watched til the end--twice. Explains a lot of my misery as well as that of my daughter, who is near 40 but has struggled with this starting in her teens.
Great advice.
After doing an alternating daily fasting to two weeks I experienced the symptoms of hypoglycemia. Based on your presentation, it probably means that I am having success but should just slow down and take a break. A break will allow time for my body to fully adjust to the lower glucose levels in the blood.
Thank you. Cheers
Thanks doc I always appreciate your knowledge and insight. Type two for 23 years and boy oh boy have I had my share of scary lows over the years. I was on insulin for the last four years and oh what a wild ride that was. Up and down went the blood sugars, that is until I discovered the ketogenic diet 6 months ago. Two months in I became fat adapted and had to start weaning off the 170 units of long and short acting insulin because the lows were dipping into the 30’s. I’ve now been off all insulin for the past four months and it is such a relief to not be on the blood sugar roller coaster any longer. I’m still working on reversing the type two and making slow but steady progress. I’m finding that a ketovore way of eating is working best for me at this point. I also do intermittent fasting and extended fasts as well. Grateful every day that I finally after years of searching I have found the answer to riding myself of this disease. Thank you so much for all you share here on your channel. ❤️🥰❤️
Same here. So grateful that I finally discovered the proper human way of eating. I try to tell others, but they aren’t always ready
Wow it took two months to become fat adapted? Did you feel yucky those two months?
@@jennifervogt1327 I felt great after the first two weeks, inflammation went down and that’s when everything began to really heal. Everyone seems to think that if they eat a ton of fat they will become fat adapted very quickly when in reality fat adaption is a gradual process and can take several weeks and for some up to a year to become completely adapted to burning fat for fuel. This does not mean you will feel crummy while your body is adjusting. Getting rid of the sugar and cutting back on the carbs along with the ultra processed foods is the key to wellness. I’m 2 years into this way of eating and doing great.
I was starting way too fast going down from carbs and after three weeks the crashes and roller coaster spikes and lows became absolutely unbearable. So thanks for the tip to take it slow. I brought some dark organic bread back into my diet and at first will continue to keep white wheat and industry sugar out for a while, before also reducing all other dark whole grain baked products. Then I reduce white rice, then fruits and potatoes will be last.
I find your vids very interesting. I work in the UK, NHS, so do pass this on to my colleagues.
…So I tested and my BS went to 58. I felt awful jumping from a high carb to a low/zero carb. I throttled back like you said and I had a great day today. I upped my carbs very very slightly and it helped! I added potassium rich foods and that helped as well. TYSM.
3.3 on my CGM is low. Finally an answer as to what in the world is going on. I'm not on meds, active and whenever I try keto or carnivore my BG crashes then I get scared and drink juice and half sugar cube to bring it up. It's like a vicious cycle. Start slowly with frequency and qty. Thanks so much Doc!!!
Ive had reactive hypoglycemia since birth. Im now 50 and the keto diet has changed my live.
I had no choice.
I was smacked out of nowhere by ketoacidosis and had no idea what was happening.
I couldn't eat a carb if I wanted to at the time. Had no choice but to stop carbs and I even started fasting because I was afraid to eat anything.
RUclips channels like this one saved me big time.
How much insulin do you take as baseline now?
@@dana102083
Zero.
I tried to see my doctor, but he told me it was "illegal to meet him".
Through experimentation, I know I can eat carbs again.
I mostly avoid them though.
@@dialecticalmonist3405 then it likely wasnt ketoacidosis my friend. Ketoacidosis only occurs in type 1 diabetics and insulin is essential for life, even on low carb. Im glad you're sticking to it!!
@@dana102083
Maybe not, but all the symptoms I've heard about matched it.
Why would I feel like I'm frying from the inside after eating carbs, with the strongest smell of acetone?
Dr. C. I love your common sense approach. I am so glad to have found keto and carnivore and so glad to have you, Dr. Berry, Dr. Westman. My father had severe diabetes and heart disease. I am convinced it was caused by his diet. He was a first generation Greek who came to America and began eating the standard American diet after he got back from WWII. He died at 59. I still miss him. If only Drs. were taught this in med school and taught it to their patients. My Dad, and would have lived a lot longer and my Mom wouldn't have spent her last couple of years on this earth at sea in her dementia.
@Ev I agree! I lost my oldest sister to complications related to diabetes 23 years ago...
@@jeepgurl1379 So sorry for your loss. I can't imagine how that hurt. (p/s-also a jeepgurl)
One thing Dr. Cywes didn't mention, that may not be obvious to all viewers, is when you get reactive hypoglycemia you will get a strong craving for refined carbohydrates so it can be a vicious cycle.
Thats the beginning of reactive hypoglycemia. After some months or years, you will not crave anything, you will not even want to eat anything. Reactive hypoglycemia gets worst if the one does not take care of it.
I was looking and searching for an explanation on this and could never find it. Now randomly RUclips puts it on my feed.
Anyway thanks for the info
I tried keto for 5 weeks but felt so hypo that at the end I couldn't get up anymore. I think you're right, starting slowly might be the way. I've had reactive hypoglycemia since I was 8 years old.
I started eating plant based years ago and I never have an issue now. I do get symptoms if I eat pasta or white rice though.
Dr. Cywes is a BEAST love this channel!
About 50 or so years ago, hypoglycemia was the current self-diagnosed fad ailment everyone was sure they had. It came and went like flavor of the month. Oddly, the remedy was protein, not carbs. I think half my friends always carried nuts and cheese in their purses to save themselves in case of emergency. Your explanation and suggestions make sense.
hard candy was my fill in, then peanut butter and milk. I;m so grateful for keto. Gone are those awful dips.
love the way you explain things, makes it so easy to understand
Thank you for explaining this. I am going to throttle my carbs down slowly. I went hard core and crashed. ❤❤❤
Thank Gosh for Dr Cwyes! My BS since going Carnivorne from keto , have gone from 86--93 To 58-63( Morning reading) on Carnivore Keto mojo alarms but I feel GREAT!
Your fasted morning levels are between 58-63? And you feel great ? Isn’t that to low sugar levels
This is the most helpful information I’ve found so far, on reactive hypoglycaemia. It, along with POTS are destroying my quality of life, but this gives me hope.
Who are you treating both conditions of you don’t mind sharing?
@@Healing_Decibels Did you mean ‘how’? I’m still learning. For Reactive Hypoglycaemia, I find eating a low carb, high protein diet helpful. For POTS, I am trying compression socks, laying down at the first sign of an attack, not panicking. Still a long way to go. Cannot work.
@@willystillythanks for responding. Yes I meant “how” of course. How do compression stocking a play into this? Aren’t they usually prescribed for varicose veins? I would appreciate if you could clarify the pots connection. I’m sorry you can’t work. Do these conditions qualify one for disability and how realistic would that be?
I have both as well. Trying low carb but I even had an episode after eating raspberries. It’s been tough. Learning not to panic has been helpful bc now I know what’s happening, when I didn’t it was terrifying.
It's all about carbs withdrawals under extreme conditions such as corrective surgery and other mitigations,,, variations,, glucose response and reactions.
Thank you Doc. I think I had this issue for years.
Interesting and educational too, thanks.
I am 69 and have been in ketosis for 6 months. Blood glucose started out at 140 and is now averaging 107 after fasting for 16hours but glucose reads about the same all day, ketones avg 1.0. I have lost 15lbs over the 6 months. Feel great, but think I will move to carnivore (although I love broccoli cooked in butter :) looking forward to get up in the morning and seeing my glucose below 90. Feel like I did in my 30s
Modern food fools us. Carnivore for centuries must have been good for something-right?. Real food for the win. Good to hear your healing at home.
@@tjellis1479 Carb Addiction Doc is right...one has to ease into ketosis. I just thought I was for the first two months if not longer. Becoming fat adapted is not easy (but I am older and was a foodie:). Then when you get there and your body continues to change you continue to adapt. Wish I had done this years ago but let's see how I feel after I have lost another 20lbs. Can't wait till I have to go buy new clothes :)
john leever FAST‼️
@@kkangelita6015 my eating window is 6 hours. I eat (a little bacon at 11 and mostly eat at 5pm) most days. I keep reading about fasting and watching RUclips so I do fast....or should I move to fasting for 24 hours? I guess one has to adapt to fasting? I already gave up my favorite mean which was early bkfast:) I think some of us who are new to this....keto and carnivore have to adapt. Still this "lifestyle is simply amazing. Seems like most of us can't get enough info and I find myself watching the docs on RUclips and reading responses to see how others are adapting. And I used to make fun of those who "went off on weird diets". All the drama as that would be all they would take about...and now I have. joined them :)
Good idea
I've been on this LC journey for 2 1/2 years and I've been tracking down source's of insulin resistance in my body. One was not easily identified, Low Testosterone. Once I started TRT, I brought my HbA1c down to 5.5
hey James , can you please tell what TRT stands for , and secondly did increase in testosterone help the RH? thanks. I think i might be suffering with the same issue.
@@asmian Testosterone Replacement Therapy is used in my case to reduce insulin resistance.
Excellent video! Thank you so much!
Thank you for explaining this. ❤
I THINK THIS VIDEO IS GONNA SAVE MY LIFE!
I watched till the end😊
Thanks Doc.. The voice of reason which explains the true cause of reactive hypoglycemia.
Thank you Dr Cywes for this very important information
Thank you for the gems. They are a girls best friend. 😘
However, don't wallow in the "swampy center" longer than necessary.
Been on keto lifestyle for 2 months. My body is finally accepting fat as a source of fuel and I’m starting to feel the incredible difference in stable energy. Any tricks on consuming more folate and potassium. I’m tracking all my intake on cronometer and even with a cup of spinach and kale, I can’t seem to optimize my intake. ? You were the factor why I started keto and I thank you.
This was the best explanation. Thank you!
Brilliant and well explained and super useful!
Excellent! and very useful....
Love. (Thank you for the end).
Great info.
Went to a low carb diet to experience it. As we seem to be hearing in this clip, I got low blood sugar with symptoms of mental fog. It went down to 3.6 mmol/L, but as our posting Dr says, that is only what we can easily measure and does not show what the situation is in our cells. I quickly corrected it with some orange juice, and went back to the drawing board. After contemplation, I tried just no sugar, but kept the carbs. That helped the overall situation indeed. Tinea disappeared for example. Fungi like sugar? Now I plan to reduce carbs - slowly.
Fungi LOVE sugar
Thank you for this video!
Excellent! Thank you!
Dr. Cywes. I am a bodybuilder and I currently follow a low carbohydrate diet. I get around 2000 calories on my off-days and 2700 calories on the days that I work out. My question is regarding muscle growth on the Ketogenic diet. On a ketogenic diet, I get 0.8g of protein per lb of bodyweight (163 lb) so 130g protein, and 20-40g of fat per meal (120g daily). Adding up the calories from the fats and proteins you get (120g fat*9=1080 cal)+(130g protein*4=520 cal) and (60g carbs*4=240 cal). The total calories here when maxing out this equation is 1840 cal. Is there an exception to any of these macro's for bodybuilders to improve calorie intake? Thank you!
I'm a huge fan of your page and I'd like to start a ketogenic diet. Keep up the great info!
dude, golden era body builders ate low carb no sugar diet. they usually were in cafifornia, then after training they took a break at beach to get vitamin d to build muscle. you dont absorb vitamin d (or c) with a lot of sugar into your body.
you will need to eat a lot, they eat more or less carnivore plus milk.
thomas delaurer made a video about this. you train cardio after or in the middle of meals and you train weights at end of a fasting/meal. after the training, you can eat.
first you need to be fat adapted to get into this diet, or you will loose too much mass. go slowing increasing the fat, . the fat plus carb will make you very big, but i think even if only fat have less gains, its much healthier.
if you eat many times a day, you raise your insulin, i think thats good for building muscle.... if you do that with carbs every day, you cam develop palumbolism. so the cure is intermitent fasting and keto. i dont know if eat a lot every day multiple times and keto make you bigger, but its my theory.
This was a great video,, i needed this intracellular hypoglycemia!! wow
I just finished a strict Keo diet for 3 months. Lost weight, got fit again, etc. I celebrated today with just a LITTLE chocolate. 15 grams of sugar, after no dugar for months. Just had a damn INSULIN attack, I could feel coming on,it wasn't major, but I felt it. This sucks. I'm not diabetic at all, have no signs of it. My body does NOT like sugar. So I'm guessing I'm cursed with this no matter what. I can never enjoy sugar again it seems. No matter how much I reverse insulin resistance.
Take sugar very slowly, for example start with eating few roasted almond a day only, eat that for a week and then eat 1 slice of apple a day. Just like that. Reactive hypoglycemia is not a disease to be fixed, there is no solution for it. Yes it is a curse for the life time and you have to learn to live with it.
When I do activities such as drawing, coding or one that I need to think a lot, Reactive Hypoglycemia 'activates' and I start cold sweat, trembling and much hunger (or hungry )
You highlighted my issue .
Not necessarily. You can have normal glucose on the blood meter and have cellular low blood sugar which means the Sugar isn't getting into the cells. It's just circulating around in the bloodstream because the insulin isn't letting it get into the cells either insulin resistance
I think I have that! I measure my glucose on the blood meter in the morning and it’s normal it’s 95 . But when I went to the doctor my doctor said I had low blood sugar hypoglycemia
You rock doc
Wow that WAS a gem! I have never heard the term Intracellular Hypoglycemia before and I've been a Type2 diabetic for 22 years! Just one thing though... how do you correct the issue?
The doc would say that reducing your carbohydrate intake is the key to controlling T2D and severe blood glucose swings, and by reducing he means by about 95%, although as he says here it is advisable for you to reduce the level gradually. There are many thousands of people who have reversed T2D by consistent low-carb eating, despite the toxic indifference of the ADA. I highly recommend that you read Dr. Ken Berry's book "Lies My Doctor Told Me".
@@marcusmitchell7567 Thank you. I've already done all you mention and have switched to a carnivore diet. My A1c went from 8.6 down to 5,7 and then dropped again to 5.4. My cholesterol, triglycerides and ALL other blood work is well within normal levels. My average blood glucose is around 85. I've been a diabetic for 22 years and thanks to the good low carb doctors I'm now doing well. I was asking if there is anything further that can be done because while I've lost significant weight I want to lose a lot more.
I just got a CGM and am having regular crashes at night while sleeping with pretty stable (high) readings during the day. Carnivore for one year and still have sugar readings in the 100-115 range during the day. Crashes are below 55 which sets off the alarm and wakes me up (not good for sleep!). Any suggestions to avoid these night crashes?
Same with me.
Thank you Dr, finally!
I've suffered with an anxiety disorder and agoraphobia for 25 years now. I managed to beat both but had a relapse about three years ago when they both came back. At the time I was over 300 lbs and I've been slowly working on dropping my weight down to 200lbs. I've only just recently been guessing that a lot of my anxiety is due to low blood sugar and I'm in the processes of testing this theory out through diet and a glucose monitor. Although when my blood sugar drops the numbers aren't in the range that would put it at a low level, my body seems to over react and pumps out the adrenaline and cortisol causing anxiety. During this episode if I eat something usually within half and hour my anxiety just slows to a trickle and just stops. I'm not diabetic and I'm not showing signs of prediabetes but for some reason my body is sensitive to blood sugar drops. I'm hoping that by getting away from the SAD diet now in my 40's I won't have to worry about becoming insulin resistant down the road.
Sry..i dnt undrstd wat u r saying..pls explain in simple english..i thnk me too hav same issues..
I have anxiety disorder since 2017. In mid 2019, I started to had excessive hunger frequently. During 2022 January, all of a sudden tried intermittent fasting 12 hours /day fast. And then I got into this trap. I m started crashing every 2-3 hours...all symptoms of hypoglycemia startrd appears after a high carb meal/sugary tea etc...even I can't getup from bed without dizziness.
How are u feeling right now?
Please have a word for clinically reactive hypoglycemic.... I have struggled all my life, I am 49. Did what diabetes doctors/endocrinologists advised and it did not work (eat frequently small meals, no sugar, carbs) but vegies and legumes made me more hungry and I did not have a switch to stop eating ( I can eat endless amount of sweets once I start, I have never looked fat but have %40 fat ratio hidden in my body). Meat... we were told to eat 1-2 a week is enough! Tried Keto but I get terrible headaches however carnivore feels better but then I need to eat whenever I crave. My body has changed in just 2 weeks I look more like myself 10 years ago (I have hashiotos as well, I guess I was swollen and that is gone). However my blood glucose is around 70-90 constantly which does not sound to healthy. I mean metabolism should have some ups and downs right?
Averagec onsumer here, most of my sugar comes from intact fruit, avoiding junk. My hba1c was 29 last month, OGTT also great. I only rarely have symptoms of hypo, most often associated with physical activity and often getting hot. Where do I stand?
Thank you Dr Cywes...are you aware of any connection between carb/sugar consumption or diet in general and peripheral nephropathy?
Excellent. Thank you Dr Cywes! Subscribed. EDIT: {Gotta stay for the Gems} 😉⁂
Honestly I'm so confused. I am a 15 year old female and have always been a very healthy eater my whole life. Healthy amount of carbs and protein. Since I was about 4 or 5 I dealt with small "crashes" I would get dizzy and weak. Not very severely at that time. But as soon as I turned 12 it became a lot more severe. I kept telling my mom, but because she had never witnessed my "crashes" she thought I was just over reacting. When I turned 13 it was so bad I would pass out a few times a week. Not for long periods just for about 5-10 seconds and then I would be conscious again. I would sweat a lot even in the winter time, I was super weak and shaky all the time. So finally I was taken in during summer break and "tested" for T1D. My pediatrician literally came in, looked at me, pricked my finger and said yah this is totally normal you'll be okay. So we leave and I continue on till I was 14. During my 8th grade school year it had gotten sooo bad. I passed out fairly regularly and would totally lose strength to even move. I also experienced times where I would go numb in my hands and legs. It happened in the car one time and my mom witnessed it so we finally went in again my pediatrician once again literally just looked at me and said. "Uhm... Well I think it's reactive hypoglycemia. It's totally normal for kids your age" no tests nothing. He gave me a diet that he said would work. It's been about 4 months now and no matter how I eat I can't gain weight and my symptoms have barely changed. So I just don't know anymore I've given up. Nothing seems to work and I haven't gotten any better. Should I get checked for T1D officially or is there something else that this might be. I need some help I'm just so lost. Thank you!
The keto mojo is great for ketones but it’s way way off for sugar levels. It reads 30-50 points too high and this is at fasting levels. The freestyle precision neo is what I use and it’s much much closer to actual levels (I take all my meters with me and check them against arm draw results)
I use a keto and sugar monitor. I feel ok at 55 to 60 but my fellow medical friends say it’s to low.
Its ok bc of ketosis but borderline. No wiggle room
@@robertcywes2966I'm overweight, carb-addict, practicing keto on and off for the last 6 months due to rebounds, I have lost 20 pounds and gaining it back again many times. I found your videos with the perspective of addiction and they hit many facts. Finally I believe I have a chance to pull it off this time, thanks for everything. My fasted insulin on day 1 was 42.5 uUl/ml. Fasted (blood glucose) BG on day 1 101. Then I started keto (sticking o zero carbs) and 1 or 2 meals a day. I have used a CGM for a couple of weeks and my BG by day 3 went to the 60s and then average is 56, sometimes getting low 40s and I believed once 38-39. Dawn effects about 15-20 points and quickly drop back. I haven't touched the 70s since. I really don't have cravings, nor felt shaky nor sweaty hands. Can I say I'm getting keto adapted and that's why my sugar is that low? Do I need to eat a bit of carbs to raise it? or should I stick to the plan and wait for my body to lower insulin and get back BG to the 60s and 70s?
I have had glycaemia since young. Not diabetic. I eat meat, fats, veggies and berries. I don't eat fruits as it spikes my insulin. No high carbs, sugars, fructose. I had glycaemia in the beginning. Almost a year since no glycemia so far...
I've been wondering what the heck this was. Kinda went wild straight away. Might up there carbs, a bit.
Im so glad i watched dr eric, this doctor and other different sources. I had reactive hypo, because i used anti psychtoics and antidepressends. Some of these medicines raises the bloodsugar.
Within 6 days of keto and IF i was on 1 keto meal a day. But i aid some pure chocolade an hour later, because i thought i needed some sugar.
The other thing was i took my medications with the meal. This al together raised my bloodsugar to quick and to fast en for to long insuline was released, which gave me to long low bloodsugar, with all the symptoms of a hypo.
Then i took some proteïn and some water. The last one did the trick. At least i think. The water thinnes the bloodsugar and after an hour i was almost back to normal. Maybe the protein helped too.
So try take a few glasses of water if you think you have a reactive hypo and avoid sugars in the beginning. If you really have a hypo, then sugar will help. Of course, consult with your doctor first
I wish I knew this 5 years ago
Wish i knew this 30 years ago...
I have listen to this video a few times. For years I have had this problem but no one could tell me what it was. I thank you so much for explaining I have had problemmfor years felt awful and when I would go on a low calorie diet it would trigger the problem but I never had an answer. How I know what it is and what to do. Thank you.
Sugar addict all my life. 50lbs overweight. Recently did some low carb/keo with IF and whenever I eat carbs now I get RH. Is this due to me being more sensitive to insulin now? My A1c was only 5.1 but I can't eat carbs anymore so am back doing keto. How long until my insulin levels drop down enough to allow me to eat some carbs without a reaction?
I got dizzy, sweaty, and felt like I was going to faint while doing chores. I had to hold myself up and tested my blood sugar. (I bought a glucose monitor because I haven't felt to great lately). It was 51. This has been increasing in the last year. I use sugar free products and I'm not diabetic. Finding something with sugar wasn't easy. I'm going to town tomorrow to get some frozen juice and sweets for my increasing episodes.
My tests at the local clinic are normal every year. But my symptoms aren't normal. Is there a test for intracellular levels? You probably mentioned it but I wasn't focused. I'm sitting here with a heavy fog in my head trying to feel better so I can finish my chores.
I've been sleeping more days between 12-18 hours and still exhausted. Tired of these symptoms! But there's nothing showing up in my tests. Everything's normal! If I'm about to keel over but nothings wrong.... it's frustrating!
Maybe it's not diabetes but something else. I don't know. It comes and goes. I've been keeping a record. For the most part my glucose test are in the low 80s before a meal and in the low 120s 2 hours after. I feel fine! But not today.
It hits the most while active. It had been awhile since I ate. Perhaps my blood sugar tankedfrom the activity plus not having eaten in awhile. Like, a double whammy! All I had was flavored electrolyte packets. Nothing else with sugar cuz it's all sugar free. I ate the innards of a stuffed pepper. Been sitting here for about 15 minutes slowly feeling better. I don't know how much sugar is in those drink packets. I also had strawberry milk.
I'm not a doctor but the actual doctor can't find nothing wrong. I'm watching videos to understand better about how to change my routines up to find balance with my symptoms. Eventually something has to work. Fingers crossed!
I sure needed this. My boyfriend swears he has hypoglycemia but has never been checked and never diagnosed. What can I tell him so he can either stop it or deal with it? He eats a lot of junk~ First thing in the morning....a bowl of cereal~
Guys, get yourself a freestyle 3 sensor and u will know right the way! I get hypoglycemia multiple times per day and night!
Same here im 18 months carnivore and im crashing multiple times a day and its becoming frightening, and still no clear answers so ill just keep searching for the answers
@@lizellehattingh281have you figured more out? I have been carnivore for three years and still struggle with strong hunger pangs and low blood sugar. I would be very interested in anything else you've discovered
Last spring I did strict Keto (20 grams) for six months. I felt great and lost 20 pounds but my lower legs were bright red, swollen, and tender. I also started sweating more. It wasn't a problem until the hot San Antonio summer months when I was burning up every day. Do you have any videos on possible adverse symptoms of keto?
Thanks for your videos, Doc. I have learned more since I have discovered you (a few days ago) than in the last 9 months I've been doing the keto lifestyle. I am a serious carbaholic and it's been a struggle to give up my favorite - homemade yeast bread. Nonetheless, I gave it up and I have lost 18 pounds since I started Keto. Also, I do IF but I can't get down to OMAD. I have to eat twice. Does that mean I am not fat adapted? How can I tell if I am? Thanks again, Doc and congrats to both you and your beautiful wife, that baby boy is precious.
Thanks! OMAD happens 2MAD IS FINE
I'm on low carb diet , when fasting it goes to middle 50's in the last hours of fasting with no symptoms, an hour or 2 later it jumps to the 80's due to glucagon .
I wish I had understood this 20 years ago
What is the solution? To get past this problem and reverse the reactive hypoglycemia
I was just wondering the same thing a whole lot of information but no answers, i crash multiple times a day and im carnivore for 18 months now and this is a new thing so im quite frightened
@@lizellehattingh281 you can’t ignore this. Best to modify the diet to lessen the chances of crashing, while staying as low in carbs as possible. If the doctor is reading the comments I hope he gives a solution or else Admits that he doesn’t in fact have one !🙏
This was helpful. The other day, I had waffles. At lunch I had some leftover ham. Just ham - no carbs or anything. Couple hours later my blood sugar was 60. I guess this is reactive hypoglycemia, but I dunno. I have a tumor on each of my adrenals, so I think I'll ask the endo about it to be safe since I know now tumors can make hormones. I figure if I got tumors on my adrenals, why not the pancreas as well.
I used to think the keto diet was a nonsense fad.. Then I developed severe reactive hypoglycemia in only a few months.
I still don't have a diagnosis as to why, but in the meantime, fasting and keto seems to be saving my life.
My only intake of carbs is a snack of nuts and cheese (the cheese doesn't even have any) a few hours after my only meal. It seems to stabilize me until the next evening.
Just got a cgm, was getting alerts all night about my sugar being too low. The lowest was 55, I felt great and was not hungry at all. The more my sugar raises, the worse I feel. If it’s 110-130 after a meal, that’s when I feel hypoglycemic, feeling shaky, and feel like a need emergency snack. What’s going on? It’s the opposite of what I ever heard. Fyi I’m not keto.
When I wake up my blood sugar is in normal range, but when I workout, it drops very quickly and I feel like crap. What's the best way to prevent blood sugar from dropping way to low during a workout?
Protein like nuts before workout. I have started that where my protein came after the workout and now it had to change thanks to this problem! It’s hard to do abs with food on the stomach!