Hyperinsulinemia/Hypoglycemia issues
I have struggled with difficulty to lose “fluff” weight despite caloric restriction, high protein diets, increasing step count, and regular full body strength training. Despite this fluff, I am still considered thin, but just not lean. I have muscle but also this impossible layer of skinny fat.
I also suffer from hypoglycemic episodes where I just become very lethargic, hangry, and sometimes even shaky after just a few hours of not eating. I know you’re thinking this would be a crash after a high carb meal. Nope — very balanced meal of ground beef, black beans, rice, and Greek yogurt. I also don’t starve myself in a deficit. I am usually very strategic with my calories and macros. I feel like I’m in a constant state of trying to diet to achieve nothing and just feel like crap all the time.
I did a CGM for a couple weeks and noticed extreme spikes. I would eat a few raisins and get a big spike, but it would drop down quickly. At night, I’d get glucose drops into the below 40 range where the CGM couldn’t even detect it. It would also drop into the 40s during the day between meal times.
I know the first instinct is to think I must not be doing one of these protocols right, but I am very proactive about tracking all of these things. I’ve tried weighing literally all of my food and I track all my steps and work outs. I also optimize my sleep, have a solid supplement stack, and maintain a pretty clean diet. I also don’t drink aside from occasions.
I am just learning about hyperinsulinemia and think I could potentially have a case of lean PCOS. Anyone have any idea what could be going on or what I could do to fix it? Or things I should get tested?