Hi All, I appear to have this as a result of my hyperinsulinemia, dx via GTT + insulin. Taking a glucose tablet with DEX 4 is helping tremendously. It works much better than eating a snack or drinking OJ. I'm using CVS brand dye free DEX4. I don't have diabetes so researching this is taking a long time. So far, I haven't seen any medication that might work other than glucagon injections. Dietary changes never helped me with this. I was 98% paleo / low oxalate from 2008 - until Jan 2013. I always needed to eat or drink something sweet to overcome this. I tried to reduce my carbs in the hopes my body would adjust but my brain never did. I had to stop the low carb diet due to feeling faint. I'm prone to petite mals / staring episodes. http://durietz.se/diabetes/hypomethod.php Page 225 in this book .. here he says this condition is harder to dx if the patient also has hypoperfusion. I have hypoperfusion from OI/OH/POTS. http://books.google.com/books?id=Gjc704GR5YEC&pg=PA225&a...mp;f=false http://www.health.am/db/more/hypoglycemia-pathophysiology/ http://www.ncbi.nlm.nih.gov/pubmed/17895322 There appears to be a link to damaged villi but I'm still putting this together. This is where I saw the possible link. http://courses.washington.edu/conj/bess/incretins/incretins.html tc ... x ps. I'm on the run right now so if these links don't work please just copy and paste.