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What is reactive hypoglycemia?
Reactive hypoglycemia is low blood sugar that
occurs usually 1 to 3 hours after eating.
What are the signs and symptoms?
• Signs and symptoms may include hunger,
weakness, shakiness, sleepiness,
lightheadedness, anxiety and confusion.
• Because these symptoms are also symptoms of
other problems, it is often difficult to diagnose.
How is reactive hypoglycemia diagnosed?
Your doctor may:
• Ask about signs and symptoms
• Test your blood sugar while you are having
symptoms
• Check to see whether the symptoms improve
after eating or drinking
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How can I avoid symptoms?
Medical treatment usually is not needed for
reactive hypoglycemia, however, symptoms may
be avoided by paying closer attention to mealtime.
These suggestions will help:
• Eat 5 to 6 small meals or snacks spaced apart
throughout the day.
• Eat a variety of foods with each meal including
meats, poultry, fish, whole grains, fruits,
vegetables and dairy products.
• Avoid foods with large amounts of sugar
especially on an empty stomach. Examples are
regular soft drinks, fruit drinks, syrups, candy,
cookies, pie and cakes.
• Try to choose foods high in fiber, such as whole-
wheat bread and pasta, brown or wild rice, fresh
fruits and vegetables, and dried beans, peas and
other legumes.
• Include physical activity in your daily routine.
• Avoid beverages and foods containing caffeine.
• Limit or avoid alcohol.
Who can I talk to about reactive
hypoglycemia?
Your doctor can refer you to a registered dietitian
for personalized meal planning and nutrition
therapy. The long-term goal of nutrition therapy is
to incorporate eating habits that will keep blood
sugar levels as stable as possible.
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