Have you talked to an endocrinologist about this?

Yes. Unfortunately only briefly based on my location. Generally...oddly. few seem to be engaged by the issue. They all push me to nutritionists...but nutritionists, v good ones....have not solved the problem.

I live quite remotely so unfortunately havent had access to people I may normally have access to in the UK.

Its been an issue for years.

If interested/helpful. Endoscopy revealed nothing. Drugs like domperidone ethromicin etc haven't helped.

Reactive hypo comfirmed while fasting and having a hospital test for OGTT. 2.8mmols at 1.5 hours.

Use a CGM and show reactive hypo regularly of eating simple carbs.

Amazingly had almost instant hypo to taking isomoltulose while cycling.

Hopefully ill lockdown an endocrinologist soon but if anyone has any experience in the area I'd love to hear from you.