Talk:Reactive hypoglycemia

Copying
This material is a duplicate of material found at http://diabetes.niddk.nih.gov/dm/pubs/hypoglycemia. This material is not copyrighted and may be freely distributed; however, I think a citation is appropriate. MJSkia1 00:03, 24 June 2006 (UTC)

Redirect?
Should Sugar crash redirect here?

Yes it should
please merge

No. Sugar Crash should NOT redirect here. "Sugar crash" is a phenomenon that can be experienced by anyone after eating a large amount of refined carbohydrates. In contrast, Reactive Hypoglycemia is a specific symptom that only occurs in people with specific disorders (such as Hashimoto's Thyroiditis).24.177.0.122 (talk) 21:08, 6 April 2011 (UTC)

obsessive behavior and how to impale yourself on your own citation
Natehdogg, I will stop deleting the "obsessive behavior" so you don't have a meltdown, but will offer you some education. First, you have apparently miss-cited the full article, which was published in Diabetes, not Am J Psychiat, in 1973. This leads me to suspect you haven't any idea what it says. Second, the article does not claim obsessive behavior is a "common symptom" of reactive hypoglycemia (which is what the list is entitled). I doubt even you consider it a common symptom of it. Third, and more importantly, the article does not claim that reactive hypoglycemia causes the symptom of obsessive behavior. Read it. Fred Hofeldt was one of the senior authors and has published a book (Preventing Reactive Hypoglycemia, St. Louis:Warren H. Green, 1983 ISBN 87527-214-2) and several articles on reactive hypoglycemia since then. He was an endocrinologist known for his special interest in reactive hypoglycemia, not one of those who doubted whether there is such a disease. He was particularly interested in the psychological profiles of people with the condition (he presented a review of the topic "Psychological profile in reactive hypoglycemia" at the 3rd International Symposium on Hypoglycemia in 1987; it is available in the published proceedings). His most recent full review of the topic likely to be accessible to you if you have access to a medical library was published in 1989 in Endocrinol Metab Clin N Am 18:185-201. In both the review articles and the book he references the 1973 Diabetes article with Anthony but not an Am J Psychiat article. If you actually read what he has published, it is that there is indeed a strong association between a variety of psychiatric and personality disorders and a self-diagnosis of reactive hypoglycemia, but that none of the research studies have been able to demonstrate that the psychiatric disorders are caused by low glucose levels, and most of the patients with psychiatric symptoms did not even have demonstrably low glucose levels. So put it in the list if you have to have your way, but why not add all the other MMPI characteristics of the self-diagnosed patients? I can give you "citations" that blame hypoglycemia for arson, UFO sightings, and a long list of antisocial behaviors but most of them are basically unsubstantiated crank assertions, not scientific research. alteripse 05:45, 12 March 2007 (UTC)

haha! sounds like we might be suffering from blood sugar related ocd. only joking! i think i was reacting to my very first addition being removed so quickly - i am sorry i referenced incorrectly - the study was actually one by Ford et al. at the Mayo Clinic. If you would like the full reference let me know. i agree - it is not a common symptom and the evidence is based not upon spontaneous symptoms but upon those induced by an oral glucose test. The link is tenuous at best but I was speaking from experience of sufferers - considering the controversy around the condition and the fact that we could quite rightly include all of the MMPI characteristics and a whole host of other vague symptoms maybe speculation is not a good idea. I will remove 'obsessive behavior' as a symptom but I intend to expand the r. hypoglycemia section, giving more practical advice to sufferers and may include a section about reactive hypo. in relation to personality where I may mention it again. Apologies for the confusion - your expertise will be much appreciated if I do indeed make any further changes. regards

Another Question
I could not identify that one cause of reactive hypoglycemia was "Pre-Diabetes" from the given reference, should it be removed from the list of possible causes? —Preceding unsigned comment added by 67.166.101.157 (talk) 07:34, 29 December 2007 (UTC)

I think yes. I cannot find one single reference or source that states RH is caused by prediabetes. In fact, I found more than one reference stating the opposite, including the University of dusseldorf http://www.uni-duesseldorf.de/MedFak/insulinoma/english%20homepage/mainpage/subpage/Epostpran_hypo.htm and a prominent endocrinologist Jean-Frederic Brun (http://jeanfrederic.brun.free.fr/postprandial%20hypo%20review%20diabetes%20metab.pdf) whose lengthy discussion on PRH causes make no mention of prediabetes whatsoever. Brit67chick (talk) 19:38, 24 May 2009 (UTC)

treatment / diet
Hello, I'm reactive hypoglycemic and I've seen abundant dairy products warned against consuming on the majority of hypoglycemia diets, where as for example popcorn often shows up as a recommended snack. They seem to be reversed on here. I know better than to take medical advice from wikipedia but maybe for those who don't; a better sourced list of pro/con foods than the current one. This is by no means a difinitive list http://www.gicare.com/pated/edtot19.htm but definitely more consistent with other lists I've read where as the wikipedia version is not (note: inclusion of pototoes, popcorn and avoidance of whole milk and cheeses).

Genetic Causes/Hypoglycemia:

I would like to mention that genetic possibility should be mentioned. I'm not exactly sure how you get something like that on the main page (since I'm rather sure I shouldn't do it). My Grandmother, Mother, and I all have "hypoglycemia" (which seems more like reactive hypoglycemia, in my mind, because our bodies do "flush"). Thusly, the problem itself is probably genetic.

For example my Grandmother has hypoclycemia, my Uncle showed symptoms when he was a kid and has MVP (a variant of dysautonomia), my Mother has it quite severely, my Aunt has diabetes, my Father has dysautonomia, and I have hypoglycemia and dysautonomia mildly.

I've never heard of anyone having it because of having diabetes, either. I've shown symptoms since the age of six, my mother was diagnosed at two, and my Grandmother fainted in her cereal as a baby. I've also never seen anyone have it because of starvation, poisoning, etc.

Of course, we also all have dysautonomia, a nervous system condition, which may cause the problems that are classed as hypoglycemia. So, you could also say the condition itself was caused by an upset in our autonomic nervous systems. Since 5-25% of all people (supposedly) have dysautonomia, but very few actually are aware of it unless they have severe symptoms (which include adrenalin surges, "personality glitches", palpitations of the heart, out of body experiences, and rages--which are all included in hypoglycemia). So, I would like to suggest that the condition can be both genetic and/or caused by a more widespread condition. Dysautonomia, I may note, is known to cause diabetes as well. It affects involuntary aspects; which include your adrenalin glad (adrenalin), pancreas (insulin), heart, etc.

Do with that tid bit as you will, but frankly I thought noting this would be important. It's passed on through three generations, after all.

I would also mention that both my father and I are lactose intolerant and being a vegetarian would probably cause me to have seizures, so your mentions of what is proper to eat may very well be wrong. I normally eat a stable diet of meat, vegetables, and occasionally rice or pasta. Dessert is a foreign topic for me and fruit causes as many problems for me as the average Pop Tart. —Preceding unsigned comment added by 67.9.24.247 (talk) 19:00, 4 September 2010 (UTC)


 * Closed as ancient unsigned anecdotal spam advertising dead link. μηδείς (talk) 22:59, 5 November 2017 (UTC)

Link to French article is a spam
I don't know how to make the correction, but the link for the French article (Français) is a useless spam link. There is, however, no specific link in French for this article, only the general "Hypoglycémie" article - no "hypoglycémie réactionnelle" article created yet. Thanks — Preceding unsigned comment added by 24.201.114.71 (talk) 22:32, 22 January 2015 (UTC)

Merger proposal
I propose that Sugar crash be merged into Reactive hypoglycemia. The two articles are about the same subject, and contain basically the same information. Tevildo (talk) 07:18, 4 November 2017 (UTC)
 * Support as nominator. Tevildo (talk)
 * Support these two articles cover the exact same phenomenon, and differ only in their scientific versus colloquial titles. μηδείς (talk) 16:59, 4 November 2017 (UTC)
 * Support common sense. Obscurasky (talk) 16:03, 5 November 2017 (UTC)
 * Support, with the caveat that Sugar Crash be kept as a redirect. Actually, WP:COMMONNAME may indicate to keep the name as Sugar crash, with the technical word getting the redirect. Tough call, but merge nonetheless. SemanticMantis (talk) 17:37, 5 November 2017 (UTC)
 * The common name argument makes some sense, and of course a redirect should remain whatever the actual mechanics of the merger. μηδείς (talk) 22:55, 5 November 2017 (UTC)


 * Support as well (they're the same thing), and while I personally prefer Reactive Hypoglycemia keeping the article and Sugar Crash being the redirect, SemanticMantis makes an excellent point about WP:COMMONNAME. NekoKatsun (talk) 14:54, 29 November 2017 (UTC)

IMO improper use of passive voice
"It is recommended that the term reactive hypoglycemia be reserved..." Recommended by whom, exactly? It's possible, sort of, to infer this from the following text, but IMO this sort of assertion needs a referenced source.

Specialty
What is the medical specialty for applying sugar crash? 2404:8000:1027:2C72:C5A7:7091:1921:34F7 (talk) 23:56, 18 September 2023 (UTC)

Treatment of acute and chronic hypoglycaemia in reactive hypoglycaemia
The Wikipedia article on reactive hypoglycaemia is mostly excellent. However, the advice for treatment of acute hypoglycaemia is extremely inaccurate and dangerous from my experience as someone with this condition, which I manage very carefully with specific dietary intake and timing.

When your blood sugar drops too low because you haven’t eaten, the best thing to do is have some protein & complex carb, eg half slice of wholemeal/mega-grain bread or crackers with some protein - eg salmon, tuna, chicken, peanut butter etc, or a ready made protein ball with NO ADDED SUGAR.

I have only once taken a sweet/lolly when my blood sugar had dropped because I’d left my food bag at home by accident and was desperate to stabilise my blood sugar but nobody had any protein. As I’d seen shows on TV where diabetics were given something sugary, in desperation as this was the only food anybody had on them, I ate a sweet/lolly. I felt incredible for about a minute or so and then crashed so bad it was scary! Never again. Someone had to rush me home to get appropriate food. I’m now very careful to always have emergency protein balls/bars or tins of tuna and crackers in my car and at work, in addition to always having an insulated hamper with every meal for the entire day prepped and ready.

For regulating blood sugar on a daily basis, following is an example daily diet - which is pretty much what I always eat.

I eat every 2.5 hours, I eat very healthily, with NO refined sugar at all. Every meal is a mix of small amount of complex carbohydrates, protein and vegetables/fruit.

Breakfast: porridge rolled oats cooked with half soy milk/half water;

mid-morning: cacao shake/hot choc with protein powder - made with water and a little coconut milk;

lunch: half a slice of toasted gluten free mega-grain sourdough bread (quite dense so half slice is enough) with cooked salmon 100-120g pan fried in a little olive oil with garlic & ginger, and a very small amount of maple syrup (too much causes problems with my blood sugar I’ve noticed) + raw organic broccoli & carrot;

mid-afternoon: fresh not TOO ripe pineapple blended in a portable blender with water (or coconut milk) + cacao nibs & chia seeds;

dinner: half slice of toasted gluten free mega-grain sourdough with a cooked frozen (Syndian brand) lentil burger + raw broccoli & carrot;

mid evening: fresh papaya (sometimes add chia seeds);

later evening before bed: half or full slice of toasted gluten free mega-grain sourdough with half tin tuna in olive oil, topped with organic cucumber slices & iceberg lettuce.

Eating this way changes my life and stabilises my blood sugar perfectly.

I cook up four salmon fillets and four lentil burgers at a time, to make meal prep for work easier.

Whenever I eat out, I try to keep the pattern of complex carb, protein and veges, similar to what I would usually eat.

If I want treats, I buy from health food/raw food places and only eat things made with low GI sugars such as coconut palm sugar.

I buy Knox & Aya ice-cream - their macadamia choc-fudge brownie flavour is amazing, choc runny-comb is also nice.

Pana macadamia chocolate (white choc) is another treat. Sadly Pana now add refined sugar to their ice-creams, which I found out the hard way by having an extreme blood sugar response - only to later learn after contacting them, that they’d changed their ingredients and no longer only used coconut palm sugar but now have added refined sugar. I was gutted until I discovered Knox & Aya ice-cream.

I also take chromium supplements daily which I’ve found helps. Working out regularly also helps. I stay very slim on this diet and never feel hungry (163cm - 55kg). Lbloislane (talk) 13:33, 28 November 2023 (UTC)