Brief Answer: Reactive hypoglycemia Detailed Answer: I am sorry to note your condition. Yes there is a medication that is known to be helpful in reactive hypoglycemia. It is called Acarbose. However, first I strongly suggest you confirm the diagnosis and in particular make sure it is not spontaneous fasting hypoglycemia. The cause for this is completely different, and so is the treatment. One cannot afford to miss this diagnosis. In general, reactive hypoglycemia does tend to occur in those who are overweight/obese, insulin resistant, pre diabetic or have early type 2 diabetes. A form of this can also occur after bariatric (weight loss surgery). Acarbose is best taken in a systematic manner based upon response and tolerability. It requires considerable finesse to manage this condition, and hence it is best to consult an endocrinologist in person. Eating small frequent low carbohydrate meals also helps. Avoiding refined sugars is important. Eating slowly absorbed starchy food like fibre prevents the large excursions in blood glucose levels that eventually bottom out producing symptoms.

---

Brief Answer: Follow up Detailed Answer: The medications are reasonably safe and have a favorable risk-benefit ratio which has to be weighed individually by your doctor and you in a personal discussion. However, they cannot completely stop the excess insulin production. they only work by preventing the sharp rise in blood glucose levels that is primarily responsible for the exuberant insulin response.

---