Hello, If someone is showing signs of reactive hypoglycemia (fatigue after meals, peaks and crashes of energy, borderline-high glucose but normal A1C), and they are NOT eating a high-carb diet, what other factors would we look into to regulate blood sugar? What questions should we ask regarding lifestyle or other symptoms to identify a cause? Rich mentioned once a possible connection to the stress response, so if it's more related to the nervous system would we look toward adaptogens, anxiolytics, etc? Thank you!

Stress increases production of adrenaline and cortisol both of which stimulate blood sugar release from stored glycogen. Are they overweight ? pancreatic enzyme insufficiency (rare) can play a role, also nutrient deficiencies - magnesium, zinc, chromium can play a role, as can a low soluble fiber diet, the diet may not be high carbs, but what carbs do they eat ? Carrots ? Beet Juice ? Grapes, Raisins, other dried fruit, fruit juices, alcohol ? some people are very sensitive to even healthy carbs/sugars. Eat healthy fats with carbs, small more frequent meals, eat slow release foods prickly pear fruit.flax seed, psyllium seed, chia seed, okra, and other “slimaceous" foods.