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Hi. I am Dr Abid.Welcome to Just Answer and thank you for the question.I'm reviewing your question now and will post back with your reply.
Reactive hypoglycemia , is not only because of Insulinoma , It's possible to have symptoms that are similar to reactive hypoglycemia without actually having low blood sugar. True reactive hypoglycemia symptoms that are caused by low blood sugar occurring after eating are uncommon. For the majority of people with postprandial symptoms, the actual cause of the symptoms is not clear but may relate to what food was eaten or variations in the timing of the food moving through the stomach and intestinal tract. It could be because of , Alimentary hypoglycemia , Hormonal hypoglycemia like in low thyroid hormone levels , H pylori induced gastritis , Congenital enzyme deficiencies , so , there are many causes .
You should ask your dr to rule all above mentioned fats about it .
Good luck .
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Hello. This is Dr. Love and I have some comments that may be helpful.
First, there are many possible cases of reactive hypoglycaemia. In addition to tumors that secrete insulin, there also can be tumors that secrete insulin-like growth factor (IGF). There are a variety of other endocrine disorders that can be manifested as reactive hypoglycaemia, primarily thyroid disease or adrenal insufficiency. It is also possible to develop an autoimmune process in which antibodies to insulin or the insulin receptor are formed.
However, regardless of the underlying cause, if you are seeking a physician that would be appropriate to evaluate and manage the condition, the usual specialist is an Endocrinologist. And like many rare diseases, it may be a better option to go see an Endocrinologist at a Teaching Hospital. The doctors at Teaching Hospitals have more experience in dealing with rare diseases.