Patient :35 yr old female. Since I was a child I had to eat regular meals because I would get a migraine if I skipped or ate later than usual. For at least the past 6 months I must eat in between my three main meals. The must eat at least every 2-3 hours. I know the 2 hour time frame is approaching because I will get hungry quickly feeling very weak and shaky, and I need to sit down. This feeling is usually relieved by eating a snack or grabbing a soda/juice. It feels as if I might pass out if I dont get food quick. About 2 months ago I had routine lab work and my doctor said everything was good including cholesterol. My fasting glucose was 84 and I did not feel the shaky feeling the morning of the test (I went to the lab about an hour or so after I woke up). I have not mentioned this to my doctor because I assumed I would get a glucose reading in my lab work. I was surprised that it came out ok.
Should I call my endocrinologist? I'm under an endocrinologist care to monitor two thyroid nodules but as of now my thyroid function is fine. I was unsure if this is hypoglycemia. Since my glucose blood work was good I'm questioning if this feeling I get is "normal" and maybe I should just eat more snacks or if I should bring it to my doctors attention since its something that could get worse. The pharmacy recently had free glucose screenings, I wanted to do a fasting test but at the last minute i had to get food b/c I was feeling so shaky, I could barely stand up. I ate an Auntie Anne's soft pretzel and an iced tea (only food I could get very quickly). The test was about a half hour later and the nurse said my reading was 140. Please let me know if I should just implement more snacks in my diet or if I should have the doctor check it out further. I feel silly mentioning it when my lab work was ok, but I'm becoming nervous with these symptoms becoming progressively worse. Thank You!
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