Sudden hypoglycaemia onset? Any endos around to help?

[Mini2025]

I had a parathyroid gland removed three months ago, due to hyperparathroidism. I’m 50, female, found out I had severe osteoporosis.

Calcium levels restored to normal but since the operation I’ve not felt right. I’ve got weaker and weaker, terrible broken sleep.

Now suddenly developed hypoglycaemia badly during the morning and in the night, just three months later. I have to keep eating through the day to stop the blood sugar going down. I stuck on a CGM and the line keeps going down.

Why is this happening?

It’s true my sleep has been terrible and I’ve been given sleeping tablets and anti anxiety meds. I’m too scared to take the sleeping tablets due to the hypos in the night as I don’t want to sleep through them.

They go down to 3.6, sometimes to 3.4. Then I wake up and blood sugar shoots up to maybe 5.

Whst could be the cause of this? I had steroids after the op just one dose but would this have caused adrenal insufficiency.

I feel very weak, can’t leave the house, trembly, feel dreadful. It gets a bit better by the end of the day.

Are you doing a fingerpick test when your CGM tells you you’re low? I sometimes get compression lows when I sleep on the sensor (type 2 diabetic) but the fingerpick test is more accurate and is always higher. Tbh I have turned off the alarm because in the last 9 months it’s only been a real low once, and I woke up without the alarm for that. I think my sleep is more valuable than checking false alerts.

I check that my glucose is at 7.5 or 8 before bed because I know that being horizontal drops it. Digestive biscuits work well for me for this.

These are my latest charts from today and yesterday. I can’t get the line to go up and stay up. f I stop eating the line just plunges downwards. I have to keep eating every 2 to 3 hours so the line is like a zigzag. I also feel constantly nauseous and raised heart rate. Like thumping heart. Not massive but enough to feel it.

I used to spike up to 7 or 8 easily and would have smooth curves.

now the line is spikey.

That is a very weird graph, I see what you mean. The most important thing is that you feel terrible. Did the post surgical information tell you who to contact in case of issues? If not then I think it would be a good idea to start with your GP.

Have you tested with a glucometer to make sure its accurate?

You need to go back to your GP. It could be completely unrelated to the parathyroid issue but there are rare conditions that can cause both.