If I eat anything I will have the same effects. Of course when it is higher carb I will feel worse. But even if its protein and fats heavy, I still get the same effect. Even when my sugar is 100 after I eat, I feel bad, then it eventually crashes to below 70 before I eat something else. I am thinking about taking acarbose, but I want my reactive hypoglycemia to go away without the medication. I didn't know if other POTS patients were dealing with this and if so how did they treat it when dietary modifications weren't enough