Triabolical_ t1_j1aq9t2 wrote on December 22, 2022 at 10:30 PM

Reply to comment by derpderp3200 in How and why do diet and lifestyle changes reverse insulin resistance? by derpderp3200

Interesting.

Your HOMA-IR would suggest that you are mildly insulin resistant, though opinions differ on what a good threshold is.

I believe the symptoms you are getting and the low blood glucose is a sign of reactive hypoglycemia. I don't have enough knowledge about dumping syndrome to have any opinion on it.

I can tell you that I had pretty significant reactive (or postprandial) hypoglycemia - I'd get back from lunch and 90 minute later I'd really want to go to sleep.

For me, the fix was to switch from the sandwiches and burritos I was eating to something that was much, much lower in refined carbs - salads and burrito bowls without the carbs. I ended up full keto and these days I'm what I would call "keto adjacent".

Given that you are having issues with carbohydrate intake, going low-carb for a while would be an interesting experiment.

derpderp3200 OP t1_j1cpaij wrote on December 23, 2022 at 9:11 AM

I never really had hypoglycemia after an actual meal(I know you can get the adrenergic subset of hypoglycemia symptoms without objective hypoglycemia, but it doesn't seem to fit the bill), and my fatigue seems independent of glucose levels- sometimes it hits while they're still high, sometimes after they go back down, sometimes minimal symptoms start before it reaches the peak. I get hours of horrid brain fog, restlessness, anxiety, overwhelming desire to lie down, spend 45-90min in a food coma, and be groggy for several hours afterwards. It gets lighter in the evening, and it's bad enough that I'm afraid of eating during the day. But I'll have to force myself since science suggests that skipping breakfast and one meal a day worsen glucose tolerance, which tracks with my symptoms getting worse after I switched to this.

I'm trying to limit my carb intake, but it's very difficult. For one I'm vegetarian, for two, between ADHD, Sleep Disordered Breathing, and the part of fatigue I now presume to by dysglycemia related, I'm an extremely low functioning person and taking care of myself stretches my capacity very thin.

A lot of the time it's a choice between having some bread and going hungry, and I've been going hungry for a longer time now, which is also bad for my energy levels.