Knowledge Builders

why do i get hypoglycemia after eating

by Savion Trantow Published 3 years ago Updated 2 years ago
image

Causes of Reactive Hypoglycemia
It's likely the result of your body making too much insulin after a large, carb-heavy meal. Scientists aren't sure why, but sometimes your body continues to release extra insulin even after you've digested your meal. This added insulin makes your blood glucose level drop below normal.
Dec 8, 2021

Full Answer

Which foods you should avoid if you have hypoglycemia?

What foods to avoid if you have hypoglycemia?

  • Whole wheat or pumpernickel bread. Share on Pinterest Pumpernickel has a low GI score and fewer carbs than other breads.
  • Most fruits.
  • Sweet potatoes and yams.
  • Oatmeal and oat bran.
  • Most nuts.
  • Legumes.
  • Garlic.
  • Cold-water fish.

What is a normal blood sugar level immediately after eating?

Normal blood sugar levels chart for most adults ranges from 80 to 99 mg of sugar per deciliter before a meal and 80 to 140 mg per deciliter after meals. For a diabetic or non-diabetic person, their fasting blood sugar is checked in a time frame where they have been fasting for at least 8 hours without the intake of any food substance except water.

Why is my blood sugar low after eating?

How do I prevent my blood sugar from dropping after eating?

  • Go low-carb. Carbohydrates (carbs) are what cause blood sugar to rise.
  • Eat fewer refined carbs.
  • Reduce your sugar intake.
  • Keep a healthy weight.
  • Exercise more.
  • Eat more fiber.
  • Drink more water.
  • Introduce some vinegar into your diet.

What are acceptable blood glucose levels after eating?

What Is the Normal Blood Sugar Level for Teens?

  • Fasting: 70-150 mg/dL
  • Preprandial (before meals): 90-130 mg/dL
  • Postprandial (one to two hours after eating): Less than 140 mg/dL
  • Bedtime: 90-150 mg/dL

image

How do you prevent hypoglycemia after eating?

Eating a balanced diet, including lean and nonmeat sources of protein, and high-fiber foods, including whole grains, fruits and vegetables. Avoiding sugary foods and processed simple carbohydrates, such as white bread or white pasta, especially on an empty stomach. Eating food when drinking alcohol, if you drink.

What causes hypoglycemia if not diabetic?

Possible causes without diabetes drinking alcohol. taking certain medications, including some antibiotics and medications for malaria or pneumonia. kidney problems. problems with your adrenal or pituitary gland.

How long after eating should hypoglycemia go away?

It occurs when blood sugar levels are below 70 milligrams/deciliter. This often occurs approximately 2–4 hours after a meal. Symptoms subside quickly after eating or drinking carbohydrates.

What does it mean when you get shaky after eating?

Reactive hypoglycemia is a drop in blood glucose (sugar) that occurs after eating. Symptoms usually develop within four hours of consuming food and may include shakiness, dizziness, nausea, rapid heartbeat, and sweating. Severe cases can lead to fainting or seizures.

What conditions can mimic hypoglycemia?

Amenorrhea.Atherosclerosis.Bone Cancer.Brain Cancer.Cataracts.Diabetes Mellitus.Food Poisoning.Glaucoma.More items...

Can I be hypoglycemic without being diabetic?

Non-diabetic hypoglycemia, a rare condition, is low blood glucose in people who do not have diabetes. Clinicians usually want to confirm non-diabetic hypoglycemia by verifying classic symptoms along with a low sugar level AND that these symptoms recover after eating sugar.

What autoimmune disease causes hypoglycemia?

Summary. Insulin autoimmune syndrome is a rare condition that causes low blood sugar (hypoglycemia). This occurs because the body begins to make a specific kind of protein called antibodies to attack insulin. Insulin is a naturally occurring hormone that is responsible for keeping blood sugar at a normal level.

What foods to avoid if you have hypoglycemia?

Foods that are not suitable for people with hypoglycemia to eat because they can cause your blood sugar levels to fluctuate significantly include:White bread, white rice, and pasta.Trans fats.Sugar-sweetened drinks.Fruit-flavored yogurt.Sweetened breakfast cereals.Honey, agave nectar, and maple syrup.Dried fruit.More items...•

How can I fix my hypoglycemia fast?

If you have hypoglycemia symptoms, do the following: Eat or drink 15 to 20 grams of fast-acting carbohydrates. These are sugary foods or drinks without protein or fat that are easily converted to sugar in the body. Try glucose tablets or gel, fruit juice, regular (not diet) soda, honey, or sugary candy.

What kind of tumors cause reactive hypoglycemia?

Insulinomas are tumors in your pancreas. They make extra insulin, more than your body can use. Insulinomas can cause hypoglycemia, or low blood sugar.

What are the warning signs of prediabetes?

SymptomsIncreased thirst.Frequent urination.Increased hunger.Fatigue.Blurred vision.Numbness or tingling in the feet or hands.Frequent infections.Slow-healing sores.More items...•

What should Hypoglycemics eat?

Best foods for low blood sugarCandy. When hypoglycemia occurs, patients should follow the 15-15 rule. ... Fresh or dried fruit. Fruits that provide the appropriate amount of carbohydrates include half a banana, 15 grapes, two tablespoons of raisins or a small apple or orange.Fruit juice. ... Fat-free milk. ... Honey.

What are the 3 most common symptoms of undiagnosed diabetes?

Here are more details about the signs and symptoms of diabetes:Excessive thirst and increased urination. Excessive thirst and increased urination are common diabetes signs and symptoms. ... Weight loss. ... Blurred vision. ... Slow-healing sores or frequent infections. ... Red, swollen, tender gums.

What tests are done to diagnose hypoglycemia?

A glucagon test is most often used to help diagnose the following conditions: Hypoglycemia, a condition in which your glucose levels are lower than normal. Severe hypoglycemia can be deadly if it's not treated. The condition often affects people with diabetes.

What is pseudo hypoglycemia?

Background: Pseudohypoglycemia is a condition where the measured glucose level is falsely lower than the actual level. It can be due to impaired circulation or in vitro glycolysis.

What is the main cause of hypoglycemia?

Common causes of diabetic hypoglycemia include: Taking too much insulin or diabetes medication. Not eating enough. Postponing or skipping a meal or snack.

Is non-diabetic hypoglycemia curable?

Non-diabetic hypoglycemia can be cured. The first step is being appropriately diagnosed. “Hypoglycemia in diabetics and non-diabetics can be diagnosed by checking your fasting sugar level in your blood, which can typically be done as a point of care test at any provider's office or urgent care walk-in center,” Dr.

Can stress cause hypoglycemia in non diabetics?

You may not realize it, but becoming severely stressed can trigger adrenal fatigue, which can lead to hypoglycemia. This is because several adrenal hormones including cortisol, epinephrine, and norepinephrine play critical roles in the regulation of your body's blood sugar levels.

How do you manage hypoglycemia without diabetes?

Non-diabetic hypoglycemia diet eating small meals regularly, rather than three large meals. eating every 3 hours. eating a variety of foods, including protein, healthful fats, and fiber. avoiding sugary foods.

What causes non-diabetic hyperglycemia?

Nondiabetic hyperglycemia usually occurs after the body has undergone some type of trauma or stressful event. It usually resolves when the root of the injury or stressful event improves, but this is not always the case.

What are the causes of reactive postprandial hypoglycemia?

Even so, certain dietary and lifestyle changes are known to help prevent it: 2 . Limit foods that have a high glycemic index, such as sugary ones and processed simple carbs like white bread and pasta —especially on an empty stomach.

What happens if you have low blood sugar after eating?

If you experience the symptoms of low blood sugar levels after you eat, see your doctor. Some symptoms can be similar to those of other conditions, such as heart disease, so you'll want to be certain a potentially serious medical problem isn't responsible for your post-meal dips in glucose. Once it's clear you're experiencing reactive hypoglycemia, even if your doctor can't find a specific reason it should be a relief to know that there are simple measures you can take to handle, and prevent, episodes from occurring.

What is reactive hypoglycemia?

Updated on September 11, 2020. Reactive hypoglycemia, also called postprandial hypoglycemia, is a drop in blood glucose (blood sugar) levels. This typically happens within four hours after eating and is not related to diabetes . Usually, a definitive cause of reactive hypoglycemia cannot be determined, although there are a handful ...

How long does it take for blood sugar to return to normal?

The symptoms of reactive hypoglycemia can be mitigated by taking certain steps to return blood glucose levels to normal: First, follow the "15-15 Rule," which involves eating 15 grams of fast-acting carbohydrates and checking your blood sugar after 15 minutes.

What is the term for inherited metabolic disorders?

Certain inherited metabolic disorders—specifically known as endogenous hyperinsulinism linked to non-insulinoma pancreatogenic hypoglycemia syndrome (NIPHS) or very rarely, inherited fructose intolerance 6 . Enzyme deficiencies that interfere with the body's ability to break down food.

How to stop blood sugar from dropping?

Once your symptoms have resolved, eat a small snack or meal to prevent your blood sugar from spiking and dropping again. Some good options are: 8 . Glucose tablets (see instructions) Gel tube (see instructions) 4 ounces (1/2 cup) of juice or regular soda (not diet) 1 tablespoon of sugar, honey, or corn syrup.

How long can you go without eating?

Don't go longer than three hours without eating. If you drink alcohol, always eat while you imbibe. Don't use sugary soft drinks as mixers. Eat a balanced and varied diet that includes protein, whole-grain carbs, vegetables, fruits, dairy foods, and lots of fiber.

Why does hypoglycemia happen?

Hypoglycemia occurs when your blood sugar (glucose) level falls too low. There are several reasons why this can happen; the most common is a side effect of drugs used to treat diabetes.

Why do children have hypoglycemia?

Children can have hypoglycemia if they have too little growth hormone.

What causes insulin to be too much?

Insulin overproduction. A rare tumor of the pancreas (insulinoma) can cause you to produce too much insulin, resulting in hypoglycemia. Other tumors also can result in too much production of insulin-like substances. Enlargement of cells of the pancreas that produce insulin can result in excessive insulin release, causing hypoglycemia.

What happens when you have diabetes?

When this happens, the risk of severe, life-threatening hypoglycemia increases. If you have diabetes, recurring episodes of hypoglycemia and hypoglycemia unawareness, your doctor might modify your treatment, raise your blood sugar level goals and recommend blood glucose awareness training.

What is the name of the condition where blood sugar is lower than normal?

Hypoglycemia is a condition in which your blood sugar (glucose) level is lower than normal. Glucose is your body's main energy source.

What are the symptoms of low blood sugar?

If blood sugar levels become too low, signs and symptoms can include: As hypoglycemia worsens, signs and symptoms can include: Confusion, abnormal behavior or both, such as the inability to complete routine tasks.

What is the recommended blood sugar level for hypoglycemia?

For many people, a fasting blood sugar of 70 milligrams per deciliter (mg/dL), or 3.9 millimoles per liter (mmol/L), or below should serve as an alert for hypoglycemia. But your numbers might be different.

Why does hyperglycemia occur after eating carbs?

Scientists believe reactive hypoglycemia to be the result of too much insulin being produced and released by the pancreas following a large carbohydrate-based meal. This excess insulin production and secretion continues after the glucose derived from the meal has been digested, causing the amount of glucose in the bloodstream to fall ...

Why does my blood sugar drop after eating?

In fact, it is rare for such symptoms to be caused by falling blood sugar levels after eating, with the actual cause for many people often relating to what food was eaten or variations in the timing of the food moving through the stomach and intestinal tract.

What is reactive hypoglycemia?

Reactive Hypoglycemia – Hypos After Eating. Reactive hypoglycemia is the general term for having a hypo after eating, which is when blood glucose levels become dangerously low following a meal. Also known as postprandial hypoglycemia, drops in blood sugar are usually recurrent and occur within four hours after eating.

What causes a pancreatic tumour to increase?

One possible explanation is that in rare cases, a benign (non-cancerous) tumour in the pancreas may cause an overproduction of insulin, or too much glucose may be used up by the tumour itself .

How long does it take for blood sugar to drop after eating?

Also known as postprandial hypoglycemia, drops in blood sugar are usually recurrent and occur within four hours after eating. Reactive hypoglycemia can occur in both people with and without diabetes, and is thought to be more common in overweight individuals or those who have had gastric bypass surgery.

Why do you need to test your blood sugar more often?

If you have frequent hypos you may need to test your blood sugar more often, to help get better control as well as to catch hypos earlier. Try to record which events lead to hypos so you can spot trends and prevent them in future.

Can you increase your window of glucose control?

If you are suffering from impaired hypo unawareness, you may be advised to increase your window of blood glucose control for a period of time to get your numbers higher and prevent hypos from occurring so often .

What to eat when you have hypoglycemia?

When you first feel symptoms of hypoglycemia, eat a protein-based food such as cheese or a piece of meat along with a small amount of carbohydrate, such as a piece of fruit. Do not eat a piece of candy, as is often recommended for diabetics with hypoglycemia, Larson warns.

What causes blood sugar to rise?

The sudden influx of glucose causes the release of large amounts of insulin, which removes too much glucose and causes blood glucose to drop. Eating foods with a low glycemic index helps avoid dropping blood sugar levels after eating. Glycemic load, which considers the amount of carbohydrates in a food along with its glycemic index, determines a food's effect on your blood sugar.

Why does insulin cause blood sugar to drop?

People with insulin resistance have higher than normal amounts of circulating insulin because their cells have become resistant to the effects of insulin; it takes a larger amount of insulin to get the cells to respond and remove glucose from the bloodstream .

Why is it important to eat foods with low glycemic index?

Eating foods with a low glycemic index helps avoid dropping blood sugar levels after eating. Glycemic load, which considers the amount of carbohydrates in a food along with its glycemic index, determines a food's effect on your blood sugar. Advertisement.

How long does it take for blood sugar to drop after eating?

But for some people, eating makes them feel worse, due to a drop in blood sugar that occurs within one to three hours after they eat certain types of meals, according to Frank Jackson, M.D. of Jackson/Siegelbaum Gastroenterology.

Why is glucose important for energy?

Glucose is essential for energy; your body breaks down the foods you eat into glucose, which must be absorbed into the cells. When glucose enters the bloodstream, your body releases insulin to facilitate its absorption into the cells. In some people, too much insulin is released in response to glucose. The insulin removes too much glucose from the bloodstream, and blood sugar levels drop. People with insulin resistance have higher than normal amounts of circulating insulin because their cells have become resistant to the effects of insulin; it takes a larger amount of insulin to get the cells to respond and remove glucose from the bloodstream.

Why is my blood sugar low after eating?

If sugar comes from the food you eat, why would blood sugar be low after eating? It may be due to a phenomenon called reactive hypoglycemia. This refers to low levels of blood glucose that “react” to high levels. According to Mayo Clinic, it can occur within 4 hours of eating a meal.

Why is low blood sugar more likely after eating high starches?

Low blood sugar is also more likely after eating meals that are high in starches and sugars because these are types of carbohydrates that raise blood sugar levels quickly. The effect is greater if the meal is low in protein, fat, and fiber, since those nutrients slow digestion and prevent blood sugar from swinging so wildly.

Who Gets Low Blood Sugar?

Low blood sugar can happen in people with prediabetes or diabetes, according to Mayo Clinic. If you are on insulin, it can happen if you take more insulin than you need, skip a meal, or eat fewer carbohydrates than usual without adjusting insulin. If you are not on insulin, or have diabetes but do not know it, low blood sugar can also happen if you skip a meal. It can also happen if you exercise more than usual.

How to prevent blood sugar swings after exercising?

Instead of exercising on an empty stomach, have a small snack an hour or two before you start, or a larger snack or small meal three hours before. Have a snack or your next scheduled meal as soon as possible after exercising. These changes can help prevent blood sugar swings. Instead of…. Try….

Why do we need to maintain glucose levels?

You need to maintain a certain level of glucose, or sugar, in your blood to use for energy. The Harvard School of Public Health explains that the body gets glucose from the foods you eat, especially those high in carbohydrates (sugars and starches). When you have not eaten for a while, your liver can release some glucose to maintain blood glucose levels and energy.

How to reduce blood sugar spikes?

Small changes to your diet and physical activity habits can help prevent blood sugar spikes and decreases. Take smaller portions of high-carb foods, such as bread, pasta, potatoes, desserts, soft drinks and other sugar-sweetened beverages, and rice.

Can blood sugar go up or down?

Then…the crash. “The higher they fly, the harder they fall,” is spot-on for blood sugar. If it went up, up, up, it will go down, down down, possibly below normal levels and into ...

Why does my blood glucose drop after eating?

The answer isn’t always clear. It’s likely the result of your body making too much insulin after a large, carb-heavy meal. Scientists aren’t sure why, but sometimes your body continues to release extra insulin even after you’ve digested your meal. This added insulin makes your blood glucose level drop below normal.

What to do if you have hypoglycemia?

They’ll ask about your symptoms, medical history, and if other people in your family have had diabetes. The doctor may check your blood sugar while you’re having symptoms and compare it to a reading taken after the symptoms go away.

Why is my blood glucose level below normal?

This added insulin makes your blood glucose level drop below normal. Reactive hypoglycemia can also result from tumors, alcohol, surgeries -- like gastric bypass or ulcer treatment -- and possibly some metabolic diseases. It’s more common if you’re overweight.

How long does it take for a person to show symptoms of reactive hypoglycemia?

The symptoms of reactive hypoglycemia generally start within 4 hours after a meal. They can include:

What happens if your blood sugar is too low?

If the sugar -- or glucose -- levels in your blood are too low, you can sometimes get a condition called hypoglycemia. Hypoglycemia mainly affects people with diabetes, but there are two types that can happen to anyone:

How to check blood sugar if you have diabetes?

If you have diabetes, check your blood sugar levels. For people with diabetes, a reading below 70 mg/dL means you’re hypoglycemic. Eat 15 grams of carbohydrates, then check your blood sugar after 15 minutes. If it’s still below 70 mg/dL, have another serving. Repeat until your blood sugar is at least 70 mg/dL.

Can you treat reactive hypoglycemia?

Most people don’t need medical treatment to manage reactive hypoglycemia. Instead, there are changes you can make at home. Often changing your diet can help your symptoms.

What does it mean when your blood sugar drops below 70?

Blood sugar levels change often during the day. When they drop below 70 mg/dL, this is called having low blood sugar. At this level, you need to take action to bring it back up. Low blood sugar is especially common in people with type 1 diabetes.

What to do if you have low blood sugar overnight?

If you think you’re at risk for low blood sugar overnight, have a snack before bed. You may wake up when you have low blood sugar, but you shouldn’t rely on that. A continuous glucose monitor (CGM) can alert you with an alarm if your blood sugar gets low while you’re sleeping.

How do you know if you have low blood sugar?

It’s important to know your signs. Common symptoms may include: Fast heartbeat. Shaking. Sweating. Nervousness or anxiety. Irritability or confusion.

Why is it important to know how to identify low blood sugar?

Knowing how to identify low blood sugar is important because it can be dangerous if left untreated. Read more about what causes low blood sugar and common symptoms.

How long can you have diabetes?

This increases your risk of having severe lows and can be dangerous. This is more likely to happen if you: Have had diabetes for more than 5-10 years. Frequently have low blood sugar. Take certain medicines, such as beta blockers for high blood pressure.

Can low blood sugar cause seizures?

Having seizures. Severe low blood sugar is below 54 mg/dL. Blood sugar this low may make you faint (pass out). Often, you’ll need someone to help you treat severe low blood sugar. People with diabetes may experience low blood sugar as often as once or twice a week, even when managing their blood sugar closely.

Can you have low blood sugar while sleeping?

While low blood sugar can happen at any time during the day, some people may experience low blood sugar while they sleep. Reasons this may happen include:

What is reactive hypoglycemia?

Reactive hypoglycemia is one of the two types of non-diabetes-related hypoglycemia. The other type is fasting hypoglycemia.

What is the blood glucose reading for hypoglycemia?

Your doctor will prick your finger and use a blood glucose meter to get a reading. True hypoglycemia is measured at about 70 mg/dL or lower, according to the American Diabetes Association.

What does it mean when you have too much insulin?

When you have hypoglycemia, you have too much insulin circulating in the blood. You may start feeling the effects of a sugar crash when your glucose reading reaches 70 mg/dL or lower. This is the threshold for hypoglycemia, according to the American Diabetes Association.

How long does it take for a sugar crash to occur?

Reactive hypoglycemia, or postprandial hypoglycemia, occurs within four hours of eating a meal. This differs from fasting hypoglycemia, or a sugar crash that happens as a result of fasting. The exact cause of reactive hypoglycemia isn’t known. Most experts think it’s related to the foods you eat and the time it takes for these foods to digest.

What hormone is used to deliver glucose to the muscles and cells in the body?

In order to deliver glucose to the muscles and cells in your body, as well as maintain proper levels of glucose in the bloodstream, your body relies on a hormone called insulin. This hormone is made by the pancreas. Insulin issues are the hallmarks of diabetes.

Why is glucose important for the brain?

Glucose is important because it’s your body’s main source of fuel. Your brain also depends on glucose as its primary fuel source, which explains the weakness and irritability that often occur during sugar crashes.

Why do you need additional testing for insulin?

Additional testing may be needed if your doctor suspects prediabetes, diabetes, or other conditions that might be raising your insulin production.

How do you know if you have hypoglycemia?

If you or a loved one is suffering from some mysterious ailments, you may want to learn if hypoglycemia and/or a sugar problem are to blame. .. So, here are 24 symptoms, which could signify that you have hypoglycemia: Cravings for sweets. Mental confusion.

How many ailments can you have with hypoglycemia?

You may be astonished to learn that if you have hypoglycemia (also called low blood sugar), you could have as many as 125 ailments! (To understand more about this condition and how it’s often misdiagnosed, read the excerpt from my book).

Why is hypoglycemia called the Great Imitator?

In fact, hypoglycemia has been called the “Great Imitator” because its strange, startling symptoms can mimic an astonishing array of diseases and conditions.

What to eat before gym class?

you need to see a doctor, but til then try a banana or some other fruit and nuts as a snack before Gym class.

Can you cut back on sugar?

Bear in mind, though, that in most cases, if you kick sugar (or at least drastically cut back on your consumption of sweets and refined carbs), you may be able to cut out (or curtail) these ailments.

image

1.Reactive hypoglycemia: What causes it? - Mayo Clinic

Url:https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/reactive-hypoglycemia/faq-20057778

6 hours ago  · Reactive hypoglycemia occurs exclusively after eating food. By contrast, hypoglycemia in people with diabetes is often caused by postponing or skipping meals. …

2.Hypoglycemia - Symptoms and causes - Mayo Clinic

Url:https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685

7 hours ago  · Reactive hypoglycemia is the general term for having a hypo after eating, which is when blood glucose levels become dangerously low following a meal. Also known as …

3.Hypos After Eating - Reactive Hypoglycemia - Diabetes

Url:https://www.diabetes.co.uk/reactive-hypoglycemia.html

4 hours ago Generally speaking, carbohydrate foods high in refined sugars or simple sugars have a high glycemic index. The sudden influx of glucose causes the release of large amounts of insulin, …

4.Why Does My Blood Glucose Drop After Eating? | livestrong

Url:https://www.livestrong.com/article/364550-why-does-my-blood-glucose-drop-after-eating/

20 hours ago  · Rebound Hypoglycemia After Eating. If sugar comes from the food you eat, why would blood sugar be low after eating? It may be due to a phenomenon called reactive …

5.Why Is My Blood Sugar Low After Eating? - Lark Health

Url:https://www.lark.com/blog/why-is-my-blood-sugar-low-after-eating

19 hours ago Scientists aren’t sure why, but sometimes your body continues to release extra insulin even after you’ve digested your meal. This added insulin makes your blood glucose level drop below normal.

6.Reactive Hypoglycemia, What Is It? Symptoms, Causes, …

Url:https://www.webmd.com/a-to-z-guides/reactive-hypoglycemia

8 hours ago  · There are many reasons why you may have low blood sugar, including: Taking too much insulin. Not eating enough carbs for how much insulin you take. Timing of when you take …

7.Low Blood Sugar (Hypoglycemia) | Diabetes | CDC

Url:https://www.cdc.gov/diabetes/basics/low-blood-sugar.html

10 hours ago  · The exact cause of reactive hypoglycemia isn’t known. Most experts think it’s related to the foods you eat and the time it takes for these foods to digest. If you have frequent …

8.Sugar Crash: Symptoms and Treatments for Reactive …

Url:https://www.healthline.com/health/sugar-crash

18 hours ago I feel ill all the time. but After I eat, within a short time, I get shaky, profuse sweating, which is so unbearable and embarrassing. I feel sick to stomach (hungry-type feeling, kinda like I need to …

9.25 Signs To Tell If You're Hypoglycemic - Freedieting

Url:https://www.freedieting.com/signs-hypoglycemia

1 hours ago

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9