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    Q:

    I just started a weight loss program, and I keep having a big drop in my blood sugar levels after breakfast. Any advice?

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    A:

    It sounds like you may be experiencing something called reactive hypoglycemia, or low blood sugar after eating a meal, which is most likely due to a change in diet.

    To manage this problem, I recommend consistent and frequent meals and snacks every 3–4 hours that are a mix of high fiber carbohydrates, fat, and protein.

    Eating high fiber carbohydrates is important because they provide the sugar the body needs, but they are also what causes the body to release insulin.

    Make sure to add some protein or fat to all of your meals and snacks.

    Protein and fat can help slow the digestion of carbohydrates, which helps manage the release of insulin and allows for the slow and steady digestion of carbs.

    Be sure to discuss any changes to your diet with your primary care physician.

    Peggy Pletcher, MS, RD, LD, CDCES

    Answers represent the opinions of our medical

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