Ask Dr. E: I’m prediabetic and not on medication…why do my blood sugars drop after eating certain foods?

glucose meter with a low blood sugar reading of 56 mg/dL next to a plate of pasta

If you aren’t on diabetes medications and your blood sugar suddenly spikes and then crashes after eating something sweet or high in carbs, you may have reactive hypoglycemia. Here’s what’s going on (and what to do about it).

[read_more text="read more" title="read more" url="https://tcoyd.org/2026/04/reactive-hypoglycemia/" align="left"]
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Alcohol and Diabetes: How to Protect Yourself from Drunk You!

Two men standing at a home bar smile and toast each other—one sipping from a beer bottle and the other holding a short glass with a mixed drink. The counter in front of them displays several alcoholic beverages.

Many of us have made some questionable decisions after a couple of cocktails (or seven). While alcohol can loosen you up and lower your inhibitions, it can also throw your diabetes into a tailspin. We’ll share which drinks are easiest on your blood sugar, how you can guard against overnight lows, and easy tips to help you sip smarter and still have a great night out.

[read_more text="read more" title="read more" url="https://tcoyd.org/2026/02/alcohol-and-diabetes/" align="left"]
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Dr. E’s Case Study: Emergency Glucagon to the Rescue! Dr. E & Dr. P Share Their Hypoglycemia Scares

Two endocrinologists with type 1 diabetes show low blood sugars on their diabetes devices

Two important things you need to know if you’re on insulin or sulfonylureas – always have emergency glucagon with you, and don’t be afraid to use it! Drs. E and P share their real-life stories of unexpected, severe lows that hit hard when they were traveling.

[read_more text="read more" title="read more" url="https://tcoyd.org/2025/04/emergency-glucagon-hypoglycemia-treatment/" align="left"]
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Dr. E’s Case Study: 4 Tips to Avoid Hypoglycemia During Exercise with Type 1 Diabetes

Man experiences hypoglycemia while working out with type 1 diabetes

Dr. E gets personal in this month’s case study, sharing a recent experience he had of exercise-induced hypoglycemia with his hybrid closed-loop system. He offers four tips to avoid a blood sugar rollercoaster while working out with type 1 diabetes.

[read_more text="read more" title="read more" url="https://tcoyd.org/2025/03/type-1-diabetes-exercise-tips/" align="left"]
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Dr. E’s Case Study: The Case of the Fearful Boluser

Woman with type 1 diabetes looking at blood sugar on phone afraid of hypoglycemia

Dr. E’s patient Jasmine has such a fear of hypoglycemia that she won’t bolus for her meals. Dr. E. came up with a strategy to utilize her hybrid closed-loop system to help her address her hypoglycemia fears.

[read_more text="read more" title="read more" url="https://tcoyd.org/2024/12/addressing-hypoglycemia-fears-about-bolusing-for-meals/" align="left"]
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