Hypoglycemia after high protein meal?

[ArisL]

I have had troubles with reactive hypoglycemia for the last 9 years or so. I used to have a snack of pretzels in the afternoon and within an hour I was shaking and almost passed out. So I figured it out eventually that I needed to avoid high refined carb snacks. But I still seem to get hypoglycemic episodes sometimes and I can't always figure out why.

Today I had a high protein, low carb meal - paleo bread (9g protein, 6g carbs(1 sugar)) and hemp seed butter (9g protein, 4g carbs(1sugar)). Within an hour, hypoglycemic symptoms began. Is it because I didn't have enough sugar?

Possibly relevant (or not), I think I've been working on a duodenal ulcer (last endoscopy showed duodenal inflammation, hiatal hernia, GERD). My hypoglycemic symptoms coincided with acid/GI discomfort. I also have IBS. So sometimes I wonder if I have undiagnosed "dumping" going on, as well.

Any ideas?

[diabetes86]

You say you have Hypos symptoms,  what dose your BG say?  without testing  all we have to go on is "feelings"  while important not clinical to DX