Pseudo-hypoglycemia

Hypoglycemia generally is defined as a blood glucose level of 3.9 mmol/L or lower. In patients without diabetes, hypoglycemia is a clinical syndrome with diverse causes in which low plasma glucose concentrations lead to symptoms and signs, which resolve when the plasma glucose concentration is raised.

Pseudo-hypoglycemia sometimes referred to as relative hypoglycemia, false hypoglycemia, false low. It is an event when a person experiences typical symptoms of hypoglycemia but with a measured plasma glucose concentration above 3.9 mmol/L. False hypoglycemia is having the symptoms of hypoglycemia when the blood glucose levels are in normal range or even above normal range. False hypoglycemia may occur in people with newly diagnosed diabetes whose blood glucose was significantly above normal, and is now lower

Many such patients are thought to have stress or anxiety as a predisposing factor. They may have enhanced catecholamine release following a meal, or they may be abnormally sensitive to normal postprandial calecholamine release.

This is common in patients with long-standing poor glycemic control when their plasma glucose concentration starts trending toward the normal range.
Pseudo-hypoglycemia