What are risk factors for reactive hypoglycemia?

Updated: Sep 12, 2019
  • Author: Osama Hamdy, MD, PhD; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

Reactive hypoglycemia seldom causes glucose levels to drop low enough to induce severe neuroglycopenic symptoms; therefore, a history of true loss of consciousness is highly suggestive of an etiology other than reactive hypoglycemia.

Reactive hypoglycemia has been suggested to be more common in overweight and obese people who are insulin-resistant, and it may be a frequent precursor to type 2 diabetes. Therefore, patients who have a family history of type 2 diabetes or insulin-resistance syndrome (ie, hypertension, hyperlipidemia, obesity) may be at higher risk for developing hypoglycemia.


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