I'm not quite sure at this point what has caused the hypoglycemia because I have all sorts of other health issues related to my endocrine system. I had my thyroid removed 4 years ago due to cancer and thyroiditis. I also have adrenal insufficiency, just recently confirmed with blood tests by new endo. I'm with a new endo because the last endo wouldn't listen to me about my symptoms and kept trying to force a diagnosis of diabetes on me. My HGB A1C is 5.3, my fasting blood sugar was 82 (highest in like two years) but my insulin level is high (19).

She also refused to test me for adrenal insufficiency because she didn't believe in "adrenal fatigue." I never mentioned adrenal fatigue to her. My PCP is Asian so I don't know if she made a weird racist assumption based on his name. I told her my PCP believed I had adrenal insufficiency after I had to be rushed to the ER when I went into shock during a stomach flu. The ER doc said he believed I had an adrenal crisis. I've also had constant light menstrual bleeding for 6 months.

I also have lupus, which I was formally diagnosed with a year ago. It bounced between several diagnoses before finally that was what my rheumatologist decided on. I have been on lots of steroids for that. I also have Fibromyalgia.

I hope more info comes to light. I'm feeling more comfortable with the new endo. She likes to give me high fives (???) and she's very easy to talk to.

The hypoglycemia was pretty easy to manage for my whole life. Don't forget to eat, and have a balanced meal. It's only when I was on MTX for autoimmune that I had trouble managing it because I had no appetite. I could make a plate of food and dump it in the trash because I wouldn't be able to eat it. Before you ask, the nausea during hypoglycemia was not from the MTX. I'd had episodes of hypoglycemia before then and nausea accompanied all of them.