[yoonede]

I'm almost positive I have reactive hypoglycemia. My typical pattern is a blood glucose spike after eating that stays mostly in the normal range at 1 hour, but then crashes into the hypoglycemic range by hours 2 or 3. I've had my blood sugar fall into the thirties a couple hours after a sugary meal. For the most part, my sugars run in the 70s and low 80s, but I frequently "feel" low (headaches, dizziness, sugar cravings, light headedness, brain fog, etc.) So it's confusing to me that my A1C is in the pre-diabetic range.

Except...I've tested a few times at the 30 minute mark and my blood sugars are in the 160-180 range quite often. Is this significant? (it's back to the normal range by 1 hour mark)

I can't see the endocrinologist until September. I plan to keep testing, trying to adjust my diet, and observing the patterns until then so I can go to the appointment armed with as much info as possible. If the 30 minute pattern is significant, I'll keep testing then to collect the info. But I don't want to waste test strips if it's not important. I can't find anything on the internet about whether normal people have spikes like this after eating.

I am not on any medications.

[dano]

Normally, we test at 1 hour and 2 hours. By all means keep testing. You could periodically try .5, 1, 1.5 & 2 hours after a high carb meal. It's better to have too much info than not enough when you meet with your Endo.

[albertolacon]

It seems that you are actually doing very well, Carbs will raise your sugar level on everyone, even non-diabetics, it is the inability to self-regulate (body) that causes the disease. If you are back to very good numbers an hour after eating carbs, your body is being efficient. Try this, get a family member or friend to help you. Have the person eat carbs and test them after 30 minutes and you will see their result and compare to yours. You could have the same meal in case amount to judge the difference. It appears that you are doing great.