@dave11 i def have this. Does it continue to degrade if unaddressed?
i takensome of thst stuff ill prog tryband add it. Def got hypo.
Hypoglycemia can get worse with time if it is not addressed. Eventually if left untreated the result can be type 2 diabetes. Not recognizing the problem, I left it untreated for many years, and am still in the hypoglycemia stage.
At long last, I found that 2 teaspoons of sugar as needed will relieve my chest tightness and shortness of breath, and also reduce fatigue. However, on a long term basis, sugar is bad for hypoglycemia. The treatment plan I am following is based on a diet emphasizing frequent small meals and snacks, mixing protein, fat and carbs together into each meal or snack, and to the extent possible cutting out simple sugars, soda, candy and cake.
Adding to a meal soluble fiber (like potato starch) or olive oil slows the digestive process, and helps to produce a more even flow of glucose, and avoid reactive hypoglycemia.
For MCAS, including the same symptoms, I also use the H1 blocker Benadryl (which crosses the blood brain barrier) on an occasional basis as needed. While it gives me quick relief, I prefer not to use this first generation H1 blocker on a regular basis as tolerance can occur, and there is a concern about developing dementia.
Surprisingly, hypoglycemia can cause a reduction in the production of serotonin, resulting in CFS, according to what I have read. Of course, viruses and a lot of other things can also cause CFS.