Causes of Hypoglycemia in this Scenario?

So I've been having issues with lows for a while now. I was hospitalized for an ED in October. At the time, they said it was reactive hypos. But now I'm going low more than just after I eat. I'm dropping randomly. I never go high. I'm calling my PCP tomorrow to ask for a referral to Endo, after having a low of 58 at work Friday night (12:20am Saturday morning). She thought it could be GI related, and it could be because of nausea/vomiting. I'm on Zofran now, and that doesn't seem to be fixing the blood sugar. I'm keeping everything down, and I'm still going really low. It's gotten to the point where I'm just trying not to go below 75 ever, because once it gets down to 75 or lower, I just drop further rapidly. I'm so frustrated with this. I don't know how to fix this. I keep correcting with carbs, apple juice, protein, fats, fiber, etc. Nothing works! Nothing holds me stable for more than 2-3 hours. My A1C was a 5.4 when it was checked last Wednesday. I don't seem to really ever go much above 160 either. I'm frustrated. I don't think these are reactive hypos anymore. I also have hEDS and POTS, but neither of those really explains this. Thoughts?

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u/Lynn_gymnast — 11 hours ago
▲ 1 r/POTS

Dumping Syndrome and POTS

So I saw my PCP today. She agrees with me that the nausea and vomiting could be caused by dumping syndrome, which she thinks is possibly joined with my POTS and hEDS. Regardless of that, wondering if anyone has any experience dealing with both of these things? She put me on Zofran as a stop-gap measure until I can get in with GI, who she referred me to. I see my cardiologist tomorrow. They did labs today. I have high co2 and albumin. From what I can find, those both mean dehydration and can be caused by GI issues. I'm going to ask my cardiologist about ways to rehydrate me. I did manage to keep a bottle of electrolytes down today after taking the first dose of zofran, thankfully. I'm just so sick of all of this. So yea, if anyone has tips or tricks for dealing with POTS and potential dumping syndrome concurrently, that would be great.

Thanks!

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u/Lynn_gymnast — 4 days ago

Where's the line with physical activity and low sugar?

I am so frustrated. I work at a Taco Bell. Usually the night shift. It's 4:30am and I'm just leaving now. I came in at 7pm. How low is it safe to have your sugar when doing manual labor like this? Especially when doing closing cleaning? My sugar kept dipping into the upper 70s. It didn't make it above 100 the entire time I was at work. I usually start getting symptomatic if I'm much lower than 85. I never dropped lower than a 73. And this was with me having my sugar filled energy drink, multiple applesauce pouches, multiple things of fruit snacks, and multiple protein bars throughout the shift. At what point do you tell your employer that it's not safe for you to work at this number and you need to sit and get it back up? I'm frustrated because my body is stupid. I'm not even diagnosed T1 or T2. They just don't know what's wrong with my sugars. They dubbed it reactive hypoglycemia when I was inpatient for atypical anorexia recovery. But that was over 7 months ago that I was discharged. I'm suspecting LADA, but I don't know. I just turned 18 2 months ago. Can you develop full blown T1 at this age? I really don't know. This really just turned into a rant because I'm frustrated by my body not working properly and my employer not getting it. Ugh.

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u/Lynn_gymnast — 19 days ago

CGM Placement

Hi!

So I've started wearing a cgm, just OTC for now, until we can really sort out what's going on. Doctor recommended I get one for a little to see what exactly is going on with my glucose. Per finger pricks, I'm dropping into the 50s-60s after eating. Which is potentially reactive hypos. But I also go low if I don't eat. And before I go low, I skyrocket to above 200. So basically we have no clue what's going on. I'm trying stelo. My question is, where do you place it? I had it on my the back of my outer left upper arm. I'm right handed, so couldn't do my right side. I almost tore it off at work the other night! I work fast food, and was reaching out the drive thru window and felt it lift off my skin. Needle didn't come out, so it's ok, but yea, very nearly ripped it out. Still reading accurately, so will leave until it expires or I find a better spot or it becomes inaccurate, in which case I will change early. So yea, where is a good spot for a cgm? My stomach doesn't really work either, cuz that's right about where the counters hit me, and I wear high-mid rise pants mostly. Can I put it on my thigh? Where's the best place on my thigh to put it? I want to have accurate data when I go back on the 1st to see what's going on. So yea, advice on placement would be great.

Thanks!

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u/Lynn_gymnast — 26 days ago