Endocrinology-Diabetes | Endocrinology, Diabetes & Metabolism Questions Endocrinology-Diabetes

Reactive Hypoglycemia and my period?

I have had reactive hypoglycemia since I was like 12, I am 20 now and it has gotten bad specifically from the time I ovulate until my period starts. Once my period starts I feel fine and don’t have much trouble with my reactive hypoglycemia but until then I’m sick and weak.

For example, I am a week and a half away from my period and every time I eat an hour later my blood sugar is between 70 and 80 and within two or three hours the lower 60s. I feel like it is worse this month than it has been the last few months.

I recently started taking berberine which my natural path prescribed because my fasting insulin levels were high. Can that have a role in this?

What can I do to prevent these lows before my period?

Female | 20 years old
Complaint duration: At least a year
Medications: Berberine and chromium
Conditions: Reactive Hypoglycemia

2 Answers

Good morning,

Your case is very special and deserves a good evaluation by an endocrinologist in a clinical setting.
Dear Patient,

The treatment of reactive hypoglycemia requires the reduction at meals of sugary foods and starches such as white bread, pasta, juices and use between meals of high protein snacks like cheeses to reduce insulin spikes. I like patients to reduce meal time carbs to 15 grams. Berberine has not been studied enough in the United States. A study I saw on the internet suggested it could lower sugars, so I would not use it.

Respectfully,

Marvin A. Leder, MD FACP FACE
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