Please provide an appropriate diet for reactive hypoglycemia (so that the sugar and other parameters normalize).

First of all, start eating your meals regularly and without haste. During the day, meals should be 4-5, and the maximum time between them should be 3-4 hours. This will help to prevent a sudden drop in blood glucose levels. You should absolutely eat your first breakfast, because in the morning your body is most prone to low sugar.

What products to limit in reactive hypoglycemia?

In addition, it is worth remembering that hypoglycemia is promoted by alcohol consumption, especially on an empty stomach, so people diagnosed with reactive hypoglycemia should avoid drinking alcohol, and if so, only with a meal. To prevent a sudden drop in blood glucose, you should also avoid eating foods rich in easily digestible carbohydrates, i.e. mono- and disaccharides (glucose, sucrose). These include, among others: sugar, honey, sweets, cakes and cookies, confectionery bread, carbonated drinks (cola type), fruit juices (even if not sweetened), food products made of white flour and products sweetened with glucose-fructose (or corn) syrup ( e.g. Nesquik breakfast cereals, muesli bars).

Use of the glycemic index (IG) in reactive hypoglycaemia

An alternative to them can be products with a low glycemic index (GI), that is, those that cause mild increases and an equally mild decrease in blood glucose, preventing its rapid fluctuations in a short time. A low glycemic index is characteristic of most raw vegetables (exceptions: pumpkin, turnips, heat-treated potatoes), pulses, breads and whole grain and wholemeal products, milk and un-sweetened dairy products, and some fruits, e.g. grapefruits, oranges , peach or apple. It is also a good idea to eat low GI foods and fruits with a higher GI in one meal. This will significantly slow down the absorption of carbohydrates into the blood, and at the same time allow you to eat fruits, which are rich in valuable vitamins and minerals, without the risk of hypoglycaemia. In this case, however, moderation is important (maximum 2-3 fruits a day, withoutindex).

The glycemic index of a meal (and thus the release of insulin into the blood) can also be reduced by adding dietary fiber to the meal in the form of e.g. oat bran, rye or ready-made fiber preparations, e.g. based on apple pectin. This is a good solution when, for some reason, you are unable to consume an adequate portion of raw or short-cooked vegetables (3-4 servings) and cooked legume seeds (at least 1 serving per week). However, you must remember about good hydration of the body (2-3 liters / day). Rapid fluctuations in blood glucose, often leading to hypoglycaemia, can also be prevented by eating foods high in carbohydrates (e.g. bread, cereals, pasta, vegetables, fruit) with pure protein products (e.g. meat, cold cuts, cottage cheese) which practically have no effect on its growth in the blood and thus limit the release of insulin.

In most patients with reactive hypoglycemia, adherence to dietary recommendations protects against hypoglycemia. Sometimes, however, additional medical intervention may be required in the form of the use of appropriate medications.

Remember that our expert's answer is informative and will not replace a visit to the doctor.

Katarzyna Pryzmont

Katarzyna Pryzmont - dietitian, psychodietician, owner of the ATP dietary office. He specializes in losing weight for adults, conducts workshops and lectures on motivation when changing eating habits, among others. "How to deal with temptations while losing weight". More at www.katarzynapryzmont.pl

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