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DEAR DR. ROACH: Please explain the difference between hypoglycemia and diabetes. A few years ago, I had major surgery. After surgery, I felt lightheaded and weak; when I relayed this to a nurse, she came in with a large glass of orange juice, saying my sugar was down. I explained to the nurse that as a hypoglycemic I could not have orange juice, that she was to give me protein to bring down my insulin level and not try to bring up my sugar level. I suggested she talk to my doctor.