Blood Sugar level 45-69 mg/dL after eating - all about Reactive Hypoglycemia

After you've consumed your meal, you got your blood sugar level 45-69 mg/dL after eating (58, 57 56, 55, 54, 53, 52, 51, 50, 49, 48, 47, 46, 45. This is called Reactive Hypoglycemia, a condition in which hypoglycemia occurs four hours after having your meal. 

WHY? And get to know how to avoid having such low blood sugar after eating in the future. 

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Blood Sugar level 45-69 mg/dL after eating - Causes of Reactive Hypoglycemia

The diagnosis of Reactive Hypoglycemia is done through:

- interview regarding your actual signs and symptoms

- measuring your blood sugar by drawing a blood sample from the arm and send to lab for confirmation

- clinical observation of symptoms that are being subsided after consuming something to eat/drink. 

If symptoms will disappear and blood sugar will raise up to 70 mg/dL, then Reactive Hypoglycemia is confirmed. 

There is no confirmed cause to Reactive hypoglycemia, and this is still an open discussion. 

I do not want to enter into medical research or clinical observatory statements as this will not be of any interest for you. 

I want to make you clear some points of those probable causes of low blood sugar level 45-59 mg/dL after eating like:

- increased sensitivity to epinephrine action (in some patients)

- deficiency of production/secretion of glucagon

- stomach surgeries (food passing rapidly into the small intestines). 

- rare enzyme deficiencies (e.g. hereditary fructose intolerance determined by food intolerance testing)

Blood Sugar level 45-69 mg/dL after eating - Treating Acute Episodes

Acute episodes of low blood sugar level 58, 57 ,56, 55, 54, 53, 52, 51, 50, 49, 48, 47, 46, 45 mg/dL can be treated with eating sugary cubes/one third cup of raisins or drinking one third cup of apple juice. 

If after 15 minutes, the symptoms won't subside, then, can have another sugary food/drink until blood sugar will get back to 70 mg/dL. 

Blood Sugar level 45-69 mg/dL after eating -  Relieving and Preventing Reactive Hypoglycemia

I usually recommend my patients with risk or if diagnosed with Reactive Hypoglycemia to:

- have frequent meals/snacks every three hours; the size of meal portion should be reduced too

- increase physical activity

- encourage to eat a variety of food, especially those high in fiber content and protein

- avoid/limit sugary foods especially if your stomach is empty

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