Our expert says:
If you suffer from what is called reactive hypoglycaemia, then the sudden drop in blood glucose and increase in insulin levels usually only occurs quite a long time after eating. In such cases the GTT needs to be done over a period of up to 4 or more hours (not fun, but it may be necessary to pinpoint exactly when your insulin peaks and your glucose crashes. For your own sake, Please consult a registered dietitian, because the correct diet is one of the most important factors in the treatment of hypoglycaemia. Visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area. The dietitian will take your hypoglycaemia and exercise into account when working out a diet for you, which will be based on low-fat foods with a low glycaemic index (GI). Click on 'Diet' and 'Weight loss' and 'The Glycaemic Index' and read the articles on the GI. Also click on ‘Food as Medicine' on the Diet Site and then on ‘Type 2 diabetes’. Although it is excellent that you do exercise, the dietitian will have to advise if you need to have a high-GI food before exercise and possibly also afterwards to boost your blood glucose levels to help control the symptoms while still allowing your to exercise.
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