I have had low blood sugar all my life which has gotten progressively worse. At first in my teens I had a drop in glucose if I waited too long to eat the next meal. As I have aged (now 63) episodes are more frequent and the condition is difficult to manage. I eat fiber with my complex carbs, protein and fat at every meal. I have hypoglycemic episodes 3 times a day. A CGM is somewhat helpful, but is more designed for diabetics. For example glucose less than 70 is considered low and warrants an alarm. I have low 70's upon waking up in the morning. This gradually decreases into the 50's if I am fasting for blood tests. Daily after I eat the glucose numbers go down into 40's and 50's. On occasion it will spike after eating to 130 or 140, then within an hour it is back in the 60's. I am working with my 4th endocrinologist. Genetic testing did not reveal the reason, An MRI, echocardiogram and abdominal ultrasound yielded not explanation. I am next scheduled for a mixed meal tolerance test. There is also a hereditary component as my mother and my son have the same undiagnosed condition. Does anyone have a similar experience or have comments about the mixed meal test?