Insulin resistance is known in ME, but not widely accepted. This causes hyperinsulinaemia, when you fix ATP production, the improvement in Insulin perormance creates a temporary risk of hypoglycaemia but only until the excess insulin is used up. For me it just meant the need to watch my BMs and eat ,more for a couple of days. You will need to watch yourself both with CoQ10 and with Ribose. The short answer though is that everything that makes you well, creates this risk, it's a part of the healing process you have to live with.