Brief Answer:
Low blood glucoses

Detailed Answer:
Sorry to note your problem with low blood sugars.

I would like to know the following :

1 Names of your other medications

2 The lowest blood glucose you have recorded

3 Recent weight changes, if any

4 Results of recent blood tests such as

Complete blood count
Liver function tests
Kidney function tests
Electrolytes
Calcium
TSH

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Brief Answer:
Follow up

Detailed Answer:
I see.

This merits prompt evaluation. Please check your glucoses frequently. There are several causes of 'spontaneous hypoglycemia' in a seemingly well individual like you. If you truly have low blood glucoses below 3.6 then a thorough systematic assessment is required to look for potential causes such as:

1 Insulinoma : a rare , typically benign tumor that produces excessive insulin

2 NIPHS: Non Insulinoma Pancreatic Hypoglycemia Syndrome
This is similar to Insulinoma except that in this instance there is no tumor to be found

3 Reactive hypoglycemia: a condition that occurs typically after meals

4 Autoimmune hypoglycemia
Insulin or insulin receptor autoantibodies make one prone to low sugars

5 Mesenchymal tumors
Produce a chemical called IGF2 which acts like insulin and causes low sugars

6 Hormone deficiencies
like that of cortisol and thyroid, can also cause low glucoses

7 Organ failure
Such as liver and kidney failure

I do not want you to panic. Just seek consultation with an endocrinologist at the soonest

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