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Re: PA and hypoglycemia

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Sounds like me - that was one of the first signs I had that I was sick, over 10

years before I finally had my adrenalectomy. The 3 hour GTT didn't show anything

other than reactive hypoglycemia (mine was around 50 after the test and I got

really, really sick from it - it was a miserable experience). At one point, the

reactive hypo was so bad that I used to pass out at my desk after lunch

regularly! Back then, doctors didn't read the GTT for low blood sugar, only for

high, and since I was clearly not showing that, it was a few more years before I

had a diagnosis.

Eventually I had some other test done for insulin resistance, which were

positive (I think it was fasting C-peptide but I can't remember the exact test).

Until I had the tumor taken out, I dealt with this by restricting carbs. As long

as I stuck to protein, eggs, greens, and nuts (not legumes but tree nuts) I did

pretty well. I always carried a bag of almonds with me in case I was stuck

somewhere where I couldn't get appropriate food.

Post-adrenalectomy, I am able to eat small amounts of carbs (mainly rice and

potatoes) without any problems, and my tests are no longer positive for insulin

resistance.

-msmith1928

Successful left laparoscopic adrenalectomy 10/13/11

>

> I started having these random episodes of tremors, weakness, heart racing and

dizziness either right after eating (especially carbs) or if I don't eat on

time.

>

> From researching online this seems to be " reactive hypoglycemia " .

>

> Does anybody else experienced this? Is this a consequence of untreated PA (I'm

on CCBs which seems to control my BP but not the other PA symptoms)?

>

> Since this is new to me my doctor wants to do a 3 hours GTT to check for

diabetes. I have had marginally low blood glucose (69 mg/dL) before but I was

fasting so my doctor did not raised any issues.

>

> Thank you for replying.

> tiu

>

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Suspect low K induced by PA and carbs. What is K and is it drawn correctly?On Apr 29, 2012, at 9:58 PM, lvasiliu@... wrote: I started having these random episodes of tremors, weakness, heart racing and dizziness either right after eating (especially carbs) or if I don't eat on time. From researching online this seems to be "reactive hypoglycemia". Does anybody else experienced this? Is this a consequence of untreated PA (I'm on CCBs which seems to control my BP but not the other PA symptoms)? Since this is new to me my doctor wants to do a 3 hours GTT to check for diabetes. I have had marginally low blood glucose (69 mg/dL) before but I was fasting so my doctor did not raised any issues. Thank you for replying. tiu

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Again most of this is likely related to low K from PA.CE Grim MDOn Apr 29, 2012, at 10:20 PM, msmith_1928 wrote: Sounds like me - that was one of the first signs I had that I was sick, over 10 years before I finally had my adrenalectomy. The 3 hour GTT didn't show anything other than reactive hypoglycemia (mine was around 50 after the test and I got really, really sick from it - it was a miserable experience). At one point, the reactive hypo was so bad that I used to pass out at my desk after lunch regularly! Back then, doctors didn't read the GTT for low blood sugar, only for high, and since I was clearly not showing that, it was a few more years before I had a diagnosis. Eventually I had some other test done for insulin resistance, which were positive (I think it was fasting C-peptide but I can't remember the exact test). Until I had the tumor taken out, I dealt with this by restricting carbs. As long as I stuck to protein, eggs, greens, and nuts (not legumes but tree nuts) I did pretty well. I always carried a bag of almonds with me in case I was stuck somewhere where I couldn't get appropriate food. Post-adrenalectomy, I am able to eat small amounts of carbs (mainly rice and potatoes) without any problems, and my tests are no longer positive for insulin resistance. -msmith1928 Successful left laparoscopic adrenalectomy 10/13/11 > > I started having these random episodes of tremors, weakness, heart racing and dizziness either right after eating (especially carbs) or if I don't eat on time. > > From researching online this seems to be "reactive hypoglycemia". > > Does anybody else experienced this? Is this a consequence of untreated PA (I'm on CCBs which seems to control my BP but not the other PA symptoms)? > > Since this is new to me my doctor wants to do a 3 hours GTT to check for diabetes. I have had marginally low blood glucose (69 mg/dL) before but I was fasting so my doctor did not raised any issues. > > Thank you for replying. > tiu >

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Are your tremors like Parkinson's. If unsure can go to youtube.

>

> I started having these random episodes of tremors, weakness, heart racing and

dizziness either right after eating (especially carbs) or if I don't eat on

time.

>

> From researching online this seems to be " reactive hypoglycemia " .

>

> Does anybody else experienced this? Is this a consequence of untreated PA (I'm

on CCBs which seems to control my BP but not the other PA symptoms)?

>

> Since this is new to me my doctor wants to do a 3 hours GTT to check for

diabetes. I have had marginally low blood glucose (69 mg/dL) before but I was

fasting so my doctor did not raised any issues.

>

> Thank you for replying.

> tiu

>

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get a blood glucose monitor and test strips and monitor your blood sugar levels

- Avoiding processed carbs - white flour, sugar, bread - in favor of a balance

of proteins, carbs from veggies and fats helped me to maintain a level blood

sugar rather that fluctuations between highs and lows - A carb heavy meal -

such as pasta (which I love) would send my blood sugar " sky high " and then would

quickly drop producing the exact symptoms you noted. Monitoring your blood

sugar frequently in conjunction with journaling your food intake can help you

see what particular foods cause these symptoms. As you become more aware of how

your diet effects you blood sugar levels, you can adjust your meals to help

alleviate your symptoms.

> >

> > I started having these random episodes of tremors, weakness, heart racing

and dizziness either right after eating (especially carbs) or if I don't eat on

time.

> >

> > From researching online this seems to be " reactive hypoglycemia " .

> >

> > Does anybody else experienced this? Is this a consequence of untreated PA

(I'm on CCBs which seems to control my BP but not the other PA symptoms)?

> >

> > Since this is new to me my doctor wants to do a 3 hours GTT to check for

diabetes. I have had marginally low blood glucose (69 mg/dL) before but I was

fasting so my doctor did not raised any issues.

> >

> > Thank you for replying.

> > tiu

> >

>

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Hi Bill,

No, they don't! It feels like INNER tremors, or if I'm doing something I have

some continuous muscle tremors throughout my body.

Like Dr. Grim pointed out this is probably due to potassium depletion in the

body at the cellular level.

>

> Are your tremors like Parkinson's. If unsure can go to youtube.

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Thank you for replying LK and MS.

Incidentally last time when it happened I DID EAT PASTA (which I also love but I

should avoid)!

So it seems that the glucose fluctuations are also a " gift " from PA.

I have been putting off buying a glucose monitor for a while but now I will get

one.

Since I was mostly vegetarian and I am DASHing, I will try to elevate my protein

intake and lower my carbs to see if it will go away. I know that rice, beans and

eggs are my friends.

The funny thing is I cannot eat out anymore. Almost every time when I eat out I

either end up bloated with water the next day or I will have a " glucose

roller-coaster " immediately after.

I hate PA! When I was healthy I could eat ANYTHING without any problem but now

even simple pasta will get my body in overdrive!

> >

> > Sounds like me - that was one of the first signs I had that I was sick, over

10 years before I finally had my adrenalectomy. The 3 hour GTT didn't show

anything other than reactive hypoglycemia (mine was around 50 after the test and

I got really, really sick from it - it was a miserable experience). At one

point, the reactive hypo was so bad that I used to pass out at my desk after

lunch regularly! Back then, doctors didn't read the GTT for low blood sugar,

only for high, and since I was clearly not showing that, it was a few more years

before I had a diagnosis.

> >

> > Eventually I had some other test done for insulin resistance, which were

positive (I think it was fasting C-peptide but I can't remember the exact test).

Until I had the tumor taken out, I dealt with this by restricting carbs. As long

as I stuck to protein, eggs, greens, and nuts (not legumes but tree nuts) I did

pretty well. I always carried a bag of almonds with me in case I was stuck

somewhere where I couldn't get appropriate food.

> >

> > Post-adrenalectomy, I am able to eat small amounts of carbs (mainly rice and

potatoes) without any problems, and my tests are no longer positive for insulin

resistance.

> >

> > -msmith1928

> > Successful left laparoscopic adrenalectomy 10/13/11

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I was vegetarian when my PA first started to show itself. I had to add chicken

and fish back into my diet because beans and rice were too heavy of a carb load.

Even though I can tolerate carbs since the adrenalectomy, I've kept the chicken

and fish in my diet because I seem to do better on a higher protein diet.

The bloating was a constant problem for me as well. Another thing that seems to

have resolved itself since the surgery.

> > >

> > > Sounds like me - that was one of the first signs I had that I was sick,

over 10 years before I finally had my adrenalectomy. The 3 hour GTT didn't show

anything other than reactive hypoglycemia (mine was around 50 after the test and

I got really, really sick from it - it was a miserable experience). At one

point, the reactive hypo was so bad that I used to pass out at my desk after

lunch regularly! Back then, doctors didn't read the GTT for low blood sugar,

only for high, and since I was clearly not showing that, it was a few more years

before I had a diagnosis.

> > >

> > > Eventually I had some other test done for insulin resistance, which were

positive (I think it was fasting C-peptide but I can't remember the exact test).

Until I had the tumor taken out, I dealt with this by restricting carbs. As long

as I stuck to protein, eggs, greens, and nuts (not legumes but tree nuts) I did

pretty well. I always carried a bag of almonds with me in case I was stuck

somewhere where I couldn't get appropriate food.

> > >

> > > Post-adrenalectomy, I am able to eat small amounts of carbs (mainly rice

and potatoes) without any problems, and my tests are no longer positive for

insulin resistance.

> > >

> > > -msmith1928

> > > Successful left laparoscopic adrenalectomy 10/13/11

>

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REsult of low K interferring with insulin release and resistance and maybe even GI motility depending on degree of low K.CE Grim MDOn Apr 30, 2012, at 2:52 PM, msmith_1928 wrote:> So it seems that the glucose fluctuations are also a "gift" from PA.

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