Reversed hypoglycemia?

Answered on August 19, 2014
Created May 28, 2013 at 4:03 PM

When I eat a carb only meal I feel fine but when I incorporate some protein or fat or just protein I start getting dizzy/sleepy and feel slight disorientation.

I am currently low carb, around 50g a day. I only just incorporated some starches back into my diet 2 days ago and avoid fruit/sugar. My symptoms have improved slightly but it's still severe and extreme, I get extremely anxious/panic during these episodes. I have never been diagnosed with hypoglycemia or diabetes so there is no explanation, especially since I only started experiencing this after transitioning to Paleo.

I'm not overweight and I eat enough fat and calories. Why is this happening? My doctor insists I add grains back into my diet! Should I wait for my body to adjust to starches again? :(



on May 28, 2013
at 06:30 PM

Any one else???



on May 28, 2013
at 05:32 PM

For 6 weeks, I remember eating at 20g carbs briefly when I started initially and being in mild ketosis but experienced the worst hypoglycemic episode ever. Since increasing carbs gradually it improved SLIGHTLY. I am not going back to ketosis and its torture. What do you recommend I do now? Add starches and fruits? I have a feeling I'm going to increase carbs and add the starches/fruits yet still experience low blood sugar levels especially after eating. I'm also very reserved about increasing carbs and putting back on a few lbs...


on May 28, 2013
at 04:57 PM

Also, there's no reason whatsoever that you should specifically need *grains*. Fruits and starches should have the same effects in terms of providing glucose and regulating blood sugar.


on May 28, 2013
at 04:55 PM

If you're eating very low carb, and for whatever reason your body is not consistently in ketosis, then you're going to get hypoglycemic. This is a normal experience to have when your blood sugar is low and not something you'd necessarily have been diagnosed with before you started eating low-carb. How long have you been eating low-carb for? Have you had these problems the whole time you've been doing it?

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2 Answers



on June 27, 2013
at 09:45 PM

How is your D3 blood level? Magnesium intake? Both are needed for glucose control.

In the meantime, you can try eating your carbs with your last meal of the day.

I am glucose-intolerant and am doing very well with ketosis, now that I have a better understanding of what's needed. No torture here!

My latest blog post may be helpful. You can find the link to my site on my profile page.


on May 28, 2013
at 07:28 PM

I once had these symptoms and really thought I were near type 2 diabetes because it made all the sense, I was experiencing all the reported kind of stuff: hypoglycaemia, anxiety, disorientation, headaches, blurry vision some times, insane cravings for sweet stuff... etc.

At that point, I had been ovo-lacto-vegetarian for 5 years, ate lots of grains and also trained very hard for amateur endurance running events. I managed weight very well due to daily monitoring of overall calorie intake and the daily training schedule but deep inside I was pretty messed up. I were obese until 20 years old as I abused junk food a lot during my childhood so my take is that I was pretty metabolically screwed and back then I hadn't got to optimal yet even when my body composition was pretty decent by that time.

A typical breakfast for me back then could be some cereals with skimmed cow milk or soy milk (yep that was), oatmeal or bread toasts with some butter, first they were white bread but as I got more and more into nutrition I switched to the so-famous whole grains, experienced with others different from wheat and gluten free, did not help. I was also having some fruit smoothies at middle morning as a snack. Had pretty intense reactive effects just some minutes after, as well as pretty bad digestion, bloating and abdominal cramps, so I got rid of them gradually and started becoming more and more low carb even before knowing a thing about all the paleo movement. I came up with this solution all by myself and found a lot of relieve in it.

Downside was that I was very limited in food choices so I finally realized that I should be eating meat again and now that I've been into paleo for half a year I must admit I'm doing a lot better and I haven't gotten any more hypoglycaemia episodes nor anxiety or similar things.

I'm moderate to low carb now but my take is that you have to build your ability to handle less carbs and burn fat gradually during a long time, for me it took plenty! Try staring again at 100 to 150 gr a day and keep going lower and lower as you see that can manage to get through the day thriving and not feeling like crap.

One thing I personally noticed is that I handle carbs a lot better from lunch to dinner, never had many issues with them during later on the day, but at breakfast I did, not now but yes I did in the past. Maybe you can try to leave them for latter on the day and see if it helps you.

BTW, some complete bloodwork with HbA1C and fasting glucose/insulin levels would be nice to try to estimate how healthy your metabolism is.

Hope something can help!

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