Thanks for your response. For clarification, I do not yet know if I'm truly hypoglycemic. I have episodes of intense trembling, nausea, light headedness, heart palpitations, etc... that are immediately relieved by the ingestion of sugar. I have not tested my blood sugar--didn't know if that was an option without a diabetic diagnosis, but my rheumatologist sometimes measures my blood glucose level as a matter of course. Out of four measurements, one was low--55, one was slightly high--112, and two were within the normal limits. I don't know if these are truly meaningful numbers, as they were only single, random measurements. I have not had a glucose tolerance test done. I'm more concerned about the symptoms than the lab measures; the symptoms are scary and make me feel awful.