Lactnetters,
  Does any of you have any experience with "reactive hypoglycemia"?  The mom
of a 4 mo has just been diagnosed with this condition.  As per counseling
with a nutritionist, she is to consume only about 150 gm of carbohydrates
each day, but probably eats 150-200 gm of carbos.  Her diet is now high in
protein, mostly from meat.  Her fluid intake was largely juices, and those
are now severely limited, so she drinks water.  She believes that her fluid
intake is unchanged, and that she is taking in fewer calories overall.  The
dietary changes began last Thurs/Fri (2/12-1/13).
  She works, pumps in the morning and afternoon with a PNS, and nurses at
lunch time.  Her concern is that since she began this nutrition program, her
milk supply seems to have dropped.  Previously she was pumping 8-9 oz daily
and now she can get only about 6 oz.  At 4 mo, her daughter weighs 18#, so
she has been getting plenty of milk.  The baby had adjusted her frequency of
nursing to when mom was home (after work and weekends), and doesn't seem
affected by the change in milk supply.
  The mom fears that her condition "caused" her supply to drop, but the main
difference is that now she knows about it.  This mom is not a big
meat-eater, and isn't particularly happy with this diet.  There is also a
history of diabetes in her family, so despite her dissatisfaction with the
information she has been given, she is trying to be compliant.  How
significant would the psychological effects of knowledge be in this
situation?  Would you expect nutritional change from carbohydrates to
protein to reduce milk volume, or is a decrease in caloric intake a more
likely reason for a drop?  I feel a little silly asking about something
which seems logically to be fairly straightforward, but I had never heard of
this condition.  Thoughts or experience, anyone?
TIA
Sara Reuning in Bristol, TN