I still get low blood sugar crashes that can dip into the 50's and below. (I start getting mild symptoms in the mid 60's and as it gets lower, I become unable to focus or walk straight and I start slurring words. I might even start to black out.) But I produce insulin and never have had high blood sugar. So I am not diabetic. Google reactive hypoglycemia. It might give you a better idea. I do have low lows confirmed by a glucometer. So this is different from feeling funny when you are hungry. In fact, I don't usually feel hungry or a desire for food when I have low blood sugar. I can keep my weight within the normal range and still manage these lows. Usually that means I have to spread my calories out throughout the day in order to prevent myself from having a crash. Sometimes I might have to eat an extra something small one day because my blood sugar level went quite low. But I can compensate for that during the week.  In other words, muh condition isn't a valid excuse for someone being the size of an average hippo. Because lifestyle changes can help someone manage hypoglycemia. (Like having whole grain toast instead of starbeetus for breakfast.) Hypoglycemia can also be effectively managed during weight loss. You just spread your lower   59b1  calorie diet through the day and eat the things that keep your blood sugar levels more stable.