### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have had a couple of blood glucose tolerance tests done as requested by my gp and results have been normal. despite these results I had experienced low blood sugar symptoms on a regular basis being tired after lunch feelings of extreme hunger shaking and sometimes heart palpations. only relief I can get is to eat eggs and usually I feel ok.  I have had this issue for years. have been to different dietitions naturapaths with not a lot of satisfaction. no doctor I have been to seem to understand. I eat a healthy diet and walk daily on my treadmill. I feel I eat healthy fresh fruit and veg lean protein grain bread. I try to eat every 2 hours till lunch otherwise the symptoms occur.but sometimes that does not make any difference.I am a 65 year old female.about 15 kgs overweight. with difficulty losing weight due to the fact that I have to eat to control the situation.

### output:

Hello. You are doing the right thing now. What you are experiencing is something called reactive hypoglycemia. It indicates that you are at risk for developing diabetes. What happens is there is a mismatch in the curve of increase in insulin after food to the amount of glucose in your food. As the insulin levels are relatively higher when compared to the actual glucose in the body you are experiencing hypoglycemic symptoms. You need to lose weight take frequent meals and exercise regularly. Your get and FBS will be normal as you are not diabetic yet. It's a problem with the pattern of insulin release. Normally its pulsatile but one at risk for diabetes looses this year's earlier causing such symptoms. Don't worry. You will do well with this management. One thing I want to tell you is if you continue to have these symptoms please be admitted for a prolonged fasting at a hospital and under care when you experience hypoglycemia blood will be taken for insulin levels c peptic cortisol. That will add more clarity. Take care.