Which of the following is true for reactive hypoglycemia?
  1. It is defined as a plasma glucose level less than 70 mg/dl.
  2. It is treated with a diet high in complex carbohydrates.
  3. It is diagnosed by measuring blood glucose levels one hour after eating.
  4. Peak insulin activity occurs 90-180 minutes after food is eaten.
Explanation
Answer: D - In reactive hypoglycemia peak insulin activity occurs 90-180 minutes after food is eaten, vs. the normal insulin response which occurs 30-60 minutes after eating. Reactive hypoglycemia is defined as a plasma glucose level than 50 mg/dl, is treated with a moderate carbohydrate (40 to 55%) diet, and is diagnosed by measuring blood glucose levels immediately after eating.
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