Hypoglycemia No More

Guide To Beating Hypoglycemia

Here's Just A Tiny Glimpse Of The Topics Covered: The 3 main types of hypoglycemia and which type you're most likely suffering from. How snacking on chocolate bars can actually make you Fat and worsen your condition! (If you thought those delicious dark brown bars were great energy- boosters.think again!) The No. 1 question most folks have when it comes to hypoglycemia and hyperglycemia. Why you should insist on a 6-hour Gtt and not a 5-hour one. ( Why it might not be a good idea to consult a doctor to confirm your hypoglycemia. Aside from taking a Gtt, what other methods can you use to determine whether or not you're suffering from this condition? Well, refer Chapter 4, Pgs. 23-26 to take a revealing 67-question test especially designed to find out if you've got the symptoms. An inspiring motivational exercise that will help you effectively banish all of your negative thoughts that prevent you from having peace of mind. 2 good reasons why you should keep a food journal. 3 powerful nutrients that limit the effect of glucose on your blood sugar level. This is vital to a hypoglycemic as it helps slow down the absorption of sugar in the food. The secret impulse that literally forces you to say 'yes' to a candy bar or chocolate whenever you feel the hunger pangs gnawing at you. 2 ingredients that are lethal to a hypoglycemic. 'Hidden sugars' you must know to avoid buying products that can easily worsen your condition. 8 essential rules of food planning that are crucial to your speedy recovery from hypoglycemia. Leave out one of them and it could hurt your chances of recovering. How to create a healthy food plan that's suitable for both vegetarian and non- vegetarian hypoglycemics. Most food plans only focus on non-vegetarians, but this one works great for everybody! Read more here...

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Eating to Overcome Hypoglycemia And Diabetes

Sunfood Triangle

Eating animal foods typically weakens the system to the point where hypoglycemia and diabetes manifest, but (aside from the obviously dangerous white sugar and high fructose corn syrup) cooked hybridized plant starch is the real culprit. Hypoglycemia and diabetes are caused by eating cooked hybrid starchy foods, the worst of which includes white or wheat breads, beer, cooked corn of all types, stewed carrots, refined (beet) sugar, baked potatoes, white rice, French fries, cookies, potato chips, etc. All these food types contain hybrid sugars the liver does not fully recognize and cannot regulate. These sugars send the glycemic index of the blood shooting sky-high causing either too much or too little insulin to be secreted by the pancreas (reference the Glycemic Index Chart in Lesson 11 The Secret Revealed). Hypoglycemia is a condition where too much insulin is secreted into the blood by the pancreas to control blood sugar. Too much insulin in the blood causes blood sugar to drop too...

Diet Hypoglycemia

A diet plan to reduce reactive hypoglycemia should include The glycemic index measures a food's potential to rapidly elevate blood glucose. If vulnerable to reactive hypoglycemia, foods with a high glycemic index may stimulate insulin oversecretion and trigger low blood sugar. These foods should therefore be avoided in favor of foods with a low to moderate glycemic index.


Oversecretion of insulin in response to meals produces a disorder termed reactive hypo-glycemia. In reactive hypoglycemia meals rich in simple sugars and refined carbohydrates stimulate a large insulin response the insulin then pushes down blood glucose to below normal levels.16 Symptoms most often occur mid-morning and mid-to-late-after noon, usually 2-4 hours after eating a carbohydrate-rich meal. Because the brain depends on a steady supply of glucose, hypoglycemia impairs mentation, alertness, and concentration. Reactive hypoglycemia may cause fatigue and irritability. Reactive hypoglycemia can produce the following symptoms

Special Nutrition Concerns

Hypoglycemia low blood sugar level Gestational diabetes is associated with high prepregnancy BMI and excess pregnancy weight gain. Infants of gestational-diabetic mothers are usually born large for gestational age (macrosomia) and are at higher risk for cesarean delivery and hypoglycemia postpartum.

Glycogen Storage Diseases

Glycogen storage diseases include more than 10 genetic differences involving either enzymes or transporters. They are characterized as storing glycogen in abnormal quantity, location, or structure. Five types of glycogen storage disease have been described ( 53) type I (glucose-6-phosphatase deficiency), type II (acid a-glucoside deficiency), type III (amylo-1,6-glycosidase deficiency), type IV (branching enzyme deficiency), and type V (muscle phosphorylase deficiency), which was later expanded to at least seven types (type Vi, liver phosphorylase or phosphorylase B kinase deficiency type VII, muscle fructokinase deficiency). For details, consult the review by Hers (54). In types I, III, and VI, the liver cannot convert glycogen into glucose, causing hepatomegaly (enlarged liver), hypoglycemia, hypoinsulinism, hyperglucagonemia, hyperlipidemia, and growth retardation. In types V and VII (but also in type II and a subgroup of type VI), the muscle is affected and cannot provide...

Eat the Right Food at the Right Time

If your body cannot handle any breakfast before early-morning exercise, eat your breakfast before going to bed the night before. The bowl of cereal, bagel with peanut butter, or packets of oatmeal will help boost liver glycogen stores and prevent low blood sugar the next morning. Meals Eat a high-carbohydrate dinner, and drink extra water the day before. On the morning of the event, eat a familiar breakfast by 7 00 to allow three hours for the food to digest. This meal will prevent the fatigue that results from low blood sugar. Popular choices include oatmeal, a bagel, and yogurt.

Breaking down fat is hard to do

In order to lose weight, you have to reduce your calories sufficiently to move beyond the flat part of the curve where your body compensates by adjusting metabolism into the downslope at the left where you're actually losing weight. This follows from understanding the simple world of a fat cell. There's no central control in your body that tells cells what to do metabolically. You can think all the right thoughts for as long as you want, but the only thing that's going to cause your fat cells to start tapping their reserves is lowering blood sugar, the ultimate product of the food you eat, below a given level. As the fat cells, one by one, detect low blood sugar, they cease banking excess calories or sitting on the sidelines and begin breaking down fat and releasing energy into the bloodstream. This is what's happening as you move from the flat part of the curve onto the downslope the fat cells are beginning to make up the shortage of food and, as they do, your weight begins to fall.

Why Does Glycemic Index Vary Among Foods

To understand why different carbohydrate-containing foods have a different glycemic index, we can start with the type of monosaccharide derived from a food. This is important because fructose and galactose do not raise blood glucose to the same extent that glucose does. For instance, the digestible carbohydrate in breads and potatoes is starch, which is made up of glucose. Meanwhile, milk and milk products contain lactose which is made up of glucose and galactose. Based on the difference in glucose content between starch and milk products, it is predictable that milk would have a lower glycemic index than bread.

What Is Glycemic Index

Since different foods will produce different glucose tolerance curve patterns, scientists developed the glycemic index. Simply put, glycemic index is a measure of the power of carbohydrate-containing foods to raise blood glucose levels after being eaten or drunk. In addition to people managing their blood glucose levels, glycemic index has become popular for many people trying to lose weight which will be discussed this in more

Coronary Vascular Disease

Postmenopausal women with diabetes have a twofold to fivefold increased risk of death from coronary-artery disease (72). Also, women who undergo simple hysterectomies and those who undergo bilateral oophorectomies have an increased risk of coronary-artery disease (72). In one study, women with diabetes who are prescribed hormonal-replacement therapy have been shown to be 40 percent less likely to suffer acute heart disease than women with diabetes who have never been prescribed hormonal-replacement therapy (72). Other studies, however, have shown no cardiovascular benefit from hormonal-replacement therapy (72). Women with insulin-treated diabetes were found to be more likely to develop coronary-artery disease than women treated with oral hypoglycemic medication or diet alone (72).

Pancreatic Signals

Pancreatic polypeptide (PP) is secreted by specialized endocrine cells located within the pancreatic islets of Langerhans. Plasma levels of PP increase after meals in proportion to meal size, as well as during insulin-induced hypoglycemia. The increased plasma PP level during insulin-induced hypoglycemia is a marker of cholinergic or parasympathetic activation and may have little bearing on the

Congenital hepatic pancreatic and biliary abnormalities

Abnormalities of the hepaticopancreaticobiliary system are all extremely rare. They are included here as knowledge of their existence is important, as they form part of the differential diagnosis for infants with jaundice, malabsorption and hypo-glycemia. Congenital lesions involving the pancreas are rare, the most common being annular pancreas (see the section on the duodenum p. 00). Other anatomical anomalies are seen including pancreatic ductal anomalies, pancreatic cysts and very rarely pancreatic agenesis. There are a group of infants who present in the neonatal period with hypoglycemia who are found to have inappropriately high levels of circulating insulin. The condition hyperinsu-linemic hypoglycemia (previously commonly referred to as 'nesidioblastosis') is characterized by inappropriate endogenous insulin secretion in the presence of low blood glucose. It may result from an insulin-secreting tumor in the pancreas (a so-called 'insulinoma') but more commonly no tumor is...

Nacetyl Lcysteine NAC

The branched-chained amino acids can be purchased as a combination of leucine, valine, and isoleucine or you can use L-leucine alone. L-leucine can cause hypoglycemia at any age. Should you develop the symptoms of hypoglycemia, such as nervousness, trembling, and anxiety, stop taking it. Take only during the course of treatment. Also, do not give l-leucine to infants and small children because of the danger of hypoglycemia. Otherwise, the dose should be

Post Operative Anastomotic Leak

Every patient with a diagnosis of diabetes should have frequent monitoring of blood glucose, and a sliding scale for subcutaneous insulin injections should be provided. Many diabetic patients decrease the need for insulin after bariatric surgery. In diabetic patients previously managed with oral medications, such as sulfonylureas or thiazolidinediones, there is an increased risk of hypoglycemia after bariatric surgery. The biguanides (metformin) is the safest drug in the postoperative period since it is not associated with dramatic fluctuations in blood glucose. The decreased requirement for insulin and modification of oral medications after bariatric surgery is due to several reasons. The average caloric intake ranges between 400-800 Kcal day for the first month and is associated with rapid weight loss, and decreased insulin needs. Weight loss can be significant in the first month postoperatively, ranging from 20-40 lbs, resulting in decreased need for insulin. It has also been...

William A Patient Of Dr Alan Spreen

I had been seeing a psychiatrist for depression and was on medication--and still am. I noticed that while the medicine took care of certain symptoms, it seemed to have no effect on an enormous number of them. I used to be a body-builder back in the early 1980s, so I had some experience with nutrition. I went to see Dr. Spreen because I noticed that my hypoglycemia was acting up I noticed a direct correlation between what I ate and how I felt. When I went to see him, I was complaining of really severe panic disorders, irritability, and difficulty in concentrating. I went from having an excellent memory to no memory at all. Also I had such fatigue it felt like I was walking in Jell-O all the time. I'd sleep 12 hours a day and get up with no energy at all after sleeping. I'd be tired the whole day. This experience showed me that even though a doctor may be treating you for depression, he might be missing the things that might lead up to the depression or that might go hand in hand with...

Fuel utilization in exercise and pregnancy

Measurements by indirect calorimetry reveal preferential use of carbohydrates during exercise in pregnancy 53 . The respiratory exchange ratio (RER) reflects the ratio between CO2 output and oxygen uptake (VO2). The RER provides information on the proportion of substrate derived from various macronutrients. For carbohydrate to be completely oxidized to CO2 and H2O, one volume of CO2 is produced for each volume of O2 consumed. An RER of 1 indicates carbohydrates are being utilized, while an RER of 0.85 indicates mixed substrate. Assessment of fuel utilization during pregnancy is important because of the possible effect of exercise-induced maternal hypoglycemia 53 . Such events are unlikely to occur during 45 min of moderate exercise, but could occur after 60 min of continuous moderate to strenuous exercise (Fig. 3.2). The tendency for higher respiratory exchange ratios during pregnancy and during exercise in pregnancy suggests a preferential utilization of carbohydrates. Soultanakis et...

Complications Associated with Preexisting Diabetes

Second- and third-trimester fetal complications include macrosomia, neonatal hypoglycemia, neonatal hypocalcemia, hyperbilirubinemia, polycythemia, respiratory distress syndrome, preterm delivery, and stillbirth. With the exception of stillbirth, other complications are more closely associated with infant morbidity than mortality. Neonatal hypoglycemia is a fetal serum glycemic level 65 at delivery, could lead to perinatal asphyxia. The risk of these conditions decreases if the mother maintains optimal glycemic control throughout pregnancy.

Treatment for Diabetes

Exercise and blood glucose monitoring are also critical components of a diabetic patient's self-management. Exercise improves blood glucose control, increases sensitivity to insulin, reduces cardiovascular risk factors, contributes to weight loss, and improves well-being. Exercise further contributes to a reduction in the risk factors for diabetes-related complications. Daily self-monitoring of blood glucose levels allows diabetic patients to evaluate and make adjustments in diet, exercise, and medications. Self-monitoring also assists in preventing hypoglycemic episodes. hypoglycemic related to low level of blood sugar factors, diabetes requires lifestyle changes and medication adherence in order to control blood glucose levels. Due to the damage caused by hyperglycemia, diabetic patients also experience a number of complications related to the disease. With good self-management practices, however, individuals with diabetes can live a long and productive life. see also Carbohydrates...

Fuel Before Morning Workouts

Skipping breakfast is a common practice among people who exercise early in the morning. If you roll out of bed and eat nothing before you jump into the swimming pool, participate in a stationary cycling class, or go for a run, you may be running on fumes. You will probably perform better if you eat something before you exercise. During the night, you can deplete your liver glycogen, the source of carbohydrate that maintains normal blood sugar levels. When you start a workout with low blood sugar, you fatigue earlier than you would have if you had eaten something.

Nutritional requirements for the active pregnant woman

The Dietary Reference Intakes (DRIs) for macronutrient and micronutrient intakes have not been defined for the active pregnant woman compared with those who are sedentary. Protein requirements in pregnancy have been estimated at 1.1 g kg day (71 g day for someone 163 cm tall, weighing 65 kg.), while in active people there is a slightly higher estimated requirement of 1.2 to 1.4 g kg body weight per day 43 . The 2005 Dietary Guidelines for Americans recommend 20-35 of calories from fat, with most coming from polyunsaturated and monounsaturated fatty acids, while limiting intake of saturated fats to less than 10 of calories and keeping trans fatty acids as low as possible. Fat intake should not be restricted to less than 15 of energy requirements because fat is important not only as a source of calories, but also to aid in the absorption of fat-soluble vitamins and provides essential fatty acids 44 . Carbohydrate intake of 40-55 of energy requirements is needed to replace the muscle...

Cynthia A Patient Of Dr Stoll

Ever since I began modeling in New York about 15 years ago, I've had tremendous difficulty with depression and also with hypoglycemia, which was then a very fashionable disease. I was constantly on a diet and constantly in doctors' offices for yeast infections and digestive and stomach problems. I visited a lot of doctors who would tell me it was all in my head and send me to psychiatrists. I spent the better part of 20 years going from doctor to doctor for various things, having my husband tell me that I was a hypochondriac and feeling like one, and also working things out in therapy trying everything that I could until I went to Dr. Stoll.

Micronutrients Diabetes

Can enhance insulin sensitivity and reduce needs for oral hypoglycemics and or insulin.5-7 Reduces platelet aggregation and risk of thrombosis As a component of GTF, helps control blood glucose and decrease need for insulin or hypoglycemic drugs.1-3 Can be taken together with 5-10 g brewer's yeast

Nutrition Before Exercise Glycogen Loading

Muscle glycogen depletion and low blood glucose levels have been shown to be major factors in the development of fatigue during endurance exercise. Therefore, it is important to ensure optimal glycogen storage prior to exercise and optimal delivery of carbohydrate (CHO) during exercise.

Therapeutic Aspects Of Gip And

The potent insulinotropic actions of GIP and GLP 1 and their strict glucose dependency, thereby avoiding hypoglycemia, make these hormones potentially important agents in the treatment of type 2 diabetes. GLP 1's other antihyperglycemic actions (inhibition of glucagon secretion, gastric emptying, food intake, etc.) additionally make it particularly suited to an antidiabetic role. However, there are two major difficulties associated with using these hormones as therapeutic agents, 1) their extremely rapid degradation in circulation (particularly GLP 1), and 2) the diminished responsiveness of diabetic individuals to the insulinotropic action of GIP. This latter difficulty has resulted in most work on the therapeutic potential of the incretins in type 2 diabetes, focusing on the possible use of GLP 1 or its analogues.

Monitoring and evaluation

At each prenatal visit, eating disorders screening may be conducted (see Table 9.4) along with measurement and documentation of parameters or outcomes related to nutrition interventions and diagnoses. Body weight and rate of weight gain should be tracked and evaluated. Adjustments in energy intake should be based on appropriateness of weight changes. Eating behaviors and dietary intake should be examined at each prenatal visit to assess the adequacy of dietary composition and patterns of intake. Changes in purging and nonpurging behaviors should be noted and addressed. Fingersticks to check hematocrit and glucose may be useful in the monitoring of iron status and hypoglycemia or hyperglycemia. In women with established eating disorders, urinalysis may detect starvation or dehydration as noted by urinary ketones, elevated specific gravity, and alkaline urine. Vital signs will show any change in general health status. Glucose tolerance testing should be conducted in the 24th to 28th...

Diagnosis of Carbohydrate Intolerance

Oral Tolerance Tests and the Glycemic Index. Nutritionists use a form of oral tolerance test to assess the so-called glycemic potential of different foods. A carbohydrate load is ingested and the level of blood sugar is measured over a period of time. The increments in blood glucose are then compared with equivalent increments from different foods by normalizing these values to a baseline obtained with glucose, usually by using the area under the 2-h glucose curve after feeding a 50-g carbohydrate portion, and expressing it as a percentage of the mean obtained after 50 g of glucose. This normalized figure, designated the glycemic index of the food (61), enjoyed considerable popularity in the dietetic management of diabetes and hypoglycemia. However, there is a large scatter in glycemic index for each group of foodstuffs, attributed to many factors such as its form when eaten, the way it is processed, how it is chewed, how it is emptied from the stomach, and the physiologic and...

Advice on Alcohol

What constitutes a drink Either a 12-ounce beer, a 5- to 6-ounce glass of wine or 11 ounces of a distilled spirit like gin or rum. It's very important that alcohol be consumed with food in order to reduce the risk of hypoglycemia, or low blood sugar. And when calculating your daily food plan, don't forget to count the alcohol as part of the day's calories.

Previous page 121

Although the subjects studied were often normal non-diabetic individuals, the findings are likely to apply to individuals with diabetes. Hence, chocolate products should not be blamed for high blood sugar levels, nor should they be recommended for the treatment of clinical hypoglycemia (low blood sugar) in insulin-dependent diabetes. Chocolate products are usually very energy-dense foods and should therefore play a small but nonetheless pleasurable and guilt-free role (e.g. one daily 'indulgence') in the diet of people with type 2 diabetes. Active individuals with type 1 diabetes can afford to include more generous amounts of chocolate as long as blood glucose and lipid control remain within desirable levels.

Simple Carbohydrates

Simple carbohydrates, or simple sugars, are composed of monosaccharide or disaccharide units. Common monosaccharides (carbohydrates composed of single sugar units) include glucose, fructose, and galactose. Glucose is the most common type of sugar and the primary form of sugar that is stored in the body for energy. It sometimes is referred to as blood sugar or dextrose and is of particular importance to individuals who have diabetes or hypoglycemia. Fructose, the primary sugar found in fruits, also is found in honey and high-fructose corn syrup (in soft drinks) and is a major source of sugar in the diet of Americans. Galactose is less likely than glucose or fructose to be found in nature. Instead, it often combines with glucose to form the dis-accharide lactose, often referred to as milk sugar. Both fructose and galactose are metabolized to glucose for use by the body. hypoglycemia low blood sugar level

Glycemic Index

The objectives of diet management in diabetic patients are to reduce hyperglycemia, prevent hypoglycemic episodes, and reduce the risk of complications. For people with diabetes, the glycemic index is a useful tool in planning meals to achieve and maintain glycemic control. Foods with a low glycemic index release sugar gradually into the bloodstream, producing minimal fluctuations in blood glucose. High GI foods, however, are absorbed quickly into the bloodstream causing an escalation in blood glucose levels and increasing the possibility of hyperglycemia. The body compensates for the rise in blood sugar levels with an accompanying increase in insulin, which within a few hours can cause hypoglycemia. As a result, awareness of the glycemic indices of food assists in preventing large variances in blood glucose levels. hypoglycemic related to low level of blood sugar

Dr Hyla Cass

A 30-year-old woman came to see me recently, two months after she had broken up with her boyfriend. She was depressed. She'd gained weight. She was exhausted. She had trouble keeping up with her work. She had been in psychotherapy but it wasn't helping. I asked her what she was eating and it turned out that there were a number of dietary patterns that were contributing to her emotional state. After I took a careful history of her dietary habits, I discovered that she wasn't so much overeating as having coffee and sweets at times of the day when she was starting to feel tired. She not only gained weight, but the coffee and sweets induced a hypoglycemic cycle, so her blood sugar levels were irregular--which was already making her feel anxious. It was as though at a certain time of the day she was going into a withdrawal phase and the caffeine and sugar would help bring her back up. So the first part of her problem was this hypoglycemic cycle. The other thing she was suffering from was...

If You Have Diabetes

The goal for diabetes management is this controlling your blood sugar levels so they stay as near to normal as possible. Like a teeter-totter, blood sugar levels go up (hyperglycemia) and down (hypoglycemia) that's part of dealing with diabetes. Those swings can be dangerous when diet, physical activity, and medication such as insulin aren't balanced properly. sugar drops, and your body can't use blood glucose to produce enough energy. To control the ups and the downs, carefully manage what you eat, how much, and when no matter what type of diabetes you have. Eating raises your blood sugar level physical activity and medication lower it. For example, in case of low blood sugar, consume a small amount of a quick-acting carbohydrate, such as V2 cup juice, followed by a small amount of protein food, perhaps a cheese cube on a cracker.


Insulin requirements usually decrease after delivery and it is not uncommon for the woman to forego insulin for the first 1-2 days after delivery. Insulin adjustments are necessary to prevent hypoglycemia. There are no contraindications to lactation for the woman with diabetes, and women should be encouraged to breastfeed. The meal plan is adjusted to include additional snacks to avoid hypoglycemia, which may be more frequent during lactation. Women with type 2 diabetes and choosing to breastfeed are advised to continue insulin therapy for the duration of lactation 35, 50 . Oral antidiabetic agents may resume once breastfeeding is terminated or if the woman chooses to formula feed her infant.

Growth Hormone

Growth hormone is secreted by the anterior pituitary. Its secretion is enhanced by hypoglycemia. It has direct and indirect effects on decreasing glucose uptake in specific tissues such as muscle. Part of this effect may be due to the liberation of fatty acids from adipose tissue, which then inhibit glucose metabolism. If growth hormone is chronically administered, it causes persistent hyperglycemia, which stimulates the insulin secretion. The b cells, however, finally become exhausted, and diabetes ensues.


At doses of 400-800 mg day in healthy persons, vitamin E is nontoxic. Daily doses of 1600-3200 mg have been used for prolonged periods without significant side effects.4 People taking anticoagulant drugs should be cautious with high doses, however. Vitamin E may enhance the effects of anticoagulants and decrease levels of vitamin K-dependent clotting factors. People with diabetes should be cautious when starting high doses of vitamin E because the vitamin may enhance the action of insulin and, rarely, produce hypoglycemia.

Diet Anxiety

In people susceptible to reactive hypoglycemia (see pp. 185), consumption of refined carbohydrates or sugar may trigger increased anxiety and, in rare cases, panic attacks.1 In individuals prone to nervousness and anxiety, consumption of caffeine can worsen their symptoms.2

Diet Memory

Rosclerosis of the cerebral arteries that gradually reduce flow of nutrients and oxygen.9 Foods high in antioxidant nutrients (see pp.115) may reduce free-radical damage to brain cells and reduce risk of atheroscle-rosis.10 In older people decreased digestive function leads to poor absorption of certain nutrients from the diet. Even marginal deficiencies of several of the B vitamins - particularly thiamin, niacin, folate, and vitamin B12 -can impair mental function.911 Reactive hypoglycemia (see pp. 185), triggered by high intakes of refined carbohydrate and sugar, can also interfere with brain function. Brain levels of acetylcholine, a neurotransmitter that is vital to memory, can be maintained by regular consumption of choline-rich foods, such as eggs, nuts, and cauliflower. Over time, regular consumption of a nutritious, well-balanced diet - low in saturated fat, alcohol, and salt, and rich in choline, antioxidant nutrients, minerals, and B vitamins - can help maintain optimum...

Alpha Lipoic Acid

In general, in adults the doses needed to remove mercury from the brain are very high, 600-800 mg a day. Intravenous doses have been attempted, but it is very difficult to dissolve alpha-lipoic acid in water. Significant hypoglycemia can be a problem with large intravenous doses and can occur with R-lipoic acid taken on an empty stomach. I usually suggest taking three to four small doses daily, rather than a single large dose. Suggested dose based on weight in kilograms is 10 mg kg day.

Diet Alcohol

Further lowers nutrient absorption from foods. The liver is particularly vulnerable to alcohol - more than three drinks a day causes inflammation and accumulation of fat in the liver. This impairs liver function, reducing the ability to detoxify chemicals and drugs. Because the liver is important for blood sugar control, alcohol-induced liver damage can produce hypoglycemia, leading to fatigue, irritability, and concentration difficulties. Alcohol increases urinary losses of many minerals, including zinc, calcium, and magne-sium.5 Because of these effects, a diet rich in fresh fruits and vegetables, whole grains, lean meats, and low-fat milk products should be carefully chosen.


Glucagon is secreted by the a cells of the islets of Langerhans in the pancreas. A major stimulus for its secretion is hypoglycemia (low blood glucose levels). Glucagon acts on the hepatic cells of the liver to cause glycogenolysis, the breakdown of glycogen, by activating the enzyme phosphorylase. It also enhances gluconeogenesis (formation of glucose) from amino acids and lactate. Thus, the major actions of glucagon oppose those of insulin. The a and b cells in the islets have a close functional relationship with one another there is intraislet regulation of glucagon by insulin and of insulin by glucagon ( 3.7). Because of this, it is claimed that it is difficult to separate the direct effects of changes in plasma glucose levels on glucagon secretion from the a cells from control of glucagon secretion by insulin. When plasma glucose levels increase about twofold, glucagon secretion is inhibited by concurrent changes in b cell activity rather than by the direct effects of glucose or...

Diet Stress

Many people make the mistake of relying on large amounts of sugar and coffee during times of stress. Although they may supply short bursts of energy, too much caffeine and refined carbohydrate ultimately worsens chronic fatigue and produces headaches, irritability, and concentration difficulties. Because control of blood glucose is more difficult during times of stress, it is important to minimize intake of refined carbohydrates, which may trigger periods of reactive hypoglycemia (see pp. 185).


A common insulin regimen is rapid-acting or short-acting insulin before breakfast and dinner, or before each meal and intermediate-acting before breakfast and at bedtime. Intermediate-acting insulin is not usually injected before dinner because of possible nocturnal hypoglycemia.


Exercise lowers blood glucose levels and increases the amount of insulin in the bloodstream, along with improving the body's use of insulin. A balance must exist between the sugar used for energy, the sugar available from food, and the insulin used in lowering blood sugar. Consequently, changes may have to be made to insulin, or food intake, or both, prior to and after exercise. see also Diabetes Mellitus Glycemic Index Hyperglycemia Hypoglycemia.

Previous page

Mapping the glycemic response of common foods presents a different picture than classical nutrition theory would suggest. Starchy foods such as certain common breads and many cereals emerge as eliciting a high glycemic response, whereas chocolate elicits only a moderate glycemic response (13). This has prompted Brand-Miller to advise against treating hypoglycemia in type 1 diabetic patients with chocolate. This suggests that chocolate has a place, albeit limited to occasional use, in the diet of people with diabetes.

Dr Robert Atkins

What are the mechanisms of diet-related disorder There are three major ones. The first--and the most important one--is blood-sugar instability. The old name was hypoglycemia, but that really doesn't describe it. It's the condition in which the blood sugar is capable of rapid escalations and rapid falls, so much so that the body is putting out other hormones--particularly adrenaline--to help regulate the blood sugar. Adrenaline is called forth when the blood sugar is on a free fall, which it usually does if something made it go up very fast, like a candy bar or a sugar- and caffeine-laden cola drink. You can make your blood sugar go up very fast and if you have this problem, which, I would say, at least half the population has to some extent, then adrenaline is released and you get a panic attack. That is really the basis of most anxiety states. Panic attacks can turn into an absolute phobia. You get a panic attack two or three times, and then become phobic in relation to whatever it...

For Depression

To break a bout of depression, eat one or more melons in the morning for breakfast daily for 56 weeks. Eat them on an empty stomach and avoid other foods until 12 noon. Melons are rich in the B complex vitamins and these bolster the nerves. Spells of depression are often associated with moments of low blood sugar. Eat fruits throughout the day to keep the blood sugar up. Avoid complex carbohydrates (baked potatoes, French fried, breads, cakes, cookies, rice) and alcohol which can cause erratic blood sugar fluctuations.

Body Fat and the GI

As mentioned, the study found the insulin levels of the high GI meal were much higher than the other meals. When insulin rushes in to lower blood sugar after a high GI meal, the effect can be low blood sugar shortly after, thus the body senses the low blood sugar sending out the hunger signal.

Sugar Fixes

Without doubt, breakfast and lunch are the best energy boosters. But if for whatever reason you have skipped breakfast or lunch and are hungry and craving sweets before your afternoon workout, eat the sweets within 10 minutes of exercise if you are concerned about experiencing a sugar low. This plan will minimize the risk of a possible hypoglycemic reaction because the insulin will not have greatly increased in that short period.

Dr Lenden Smith

The first thing I do is ask people what they're eating. If I find that they're eating a lot of dairy products, and that as a child they had their tonsils taken out, and that they had a lot of strep throat and ear infections, then I know they're allergic to milk and they're looking for calcium. Sure enough, the blood tests will show this. That's the first thing they have to stop. Whatever they love is probably causing the trouble because food sensitivities can cause low blood sugar. As we know--those of us who have worked with nutrition at all--low blood sugar, not just eating sugar, can do that, but also eating foods to which a person is sensitive, will make the blood sugar fall and that can lead to depression. So lack of magnesium and falling blood sugar, for whatever reason, are the two most significant things responsible for a susceptibility to depression.

Dr William Goldwag

At the same time, they have to be made to realize that their nutrition plays an integral role in feeling well. They have to supply their bodies with proper nutrients and eliminate the excesses or chronic addictions to alcohol, drugs, or food (including sweets and sugar). Inevitably, I find that if someone gets away from an addiction to sugar, they function much better. The old term hypoglycemia is very appropriate for their condition, particularly for people with chronic depression, chronic fatigue syndrome, and chronic immune system dysfunction. These people find that when they modify their diets and get off sugars, their mental functioning improves considerably.

Dr Ray Wunderlich

Not every case is going to be a miracle cure. But some cases of chronic depression, irritability, and premenstrual syndrome are related to adrenal dysfunction, with low levels of the mother hormone of the adrenal gland. This is particularly so in people with low-blood-sugar symptoms. People who are tired when they get up in the morning, who have reactions to sugar, who have to eat frequent meals, who have family histories of low blood sugar or diabetes or alcoholism frequently have low adrenal function. Vitamins and herbs that help support the adrenal function and the precursors of the adrenal function are vitamin C, pantothenic acid, B-complex, licorice, and Siberian ginseng.


From this chart we can clearly understand which foods cause sugar problems. Cooked grains and cooked hybrid vegetables (beets, carrots, corn, potatoes) cause a greater sugar rush into the blood stream than fruit Sugar imbalances (diabetes, hypoglycemia) are best addressed by removing refined sugars, cooked grains, and cooked or raw hybrid foods from the diet. On The Sunfood Diet, those with hypoglycemia or diabetes can choose low-sugar fruits initially, then move to high-sugar fruits eventually. However, it is extremely important to mention that those with a sugar metabolism problem still need some sugar and that sugar should come from natural fruits (with seeds).

Stress gastropathy

Cherry Red Spots Duodenum

Although the overall prevalence is unknown, most critically ill infants and children are prone to develop stress-related gastropathy. In infants, stress gastropathy is usually related to traumatic delivery, respiratory or cardiac failure, sepsis, hypoglycemia or dehydration, while in older children it is related to severe life-threatening illness (e.g. respiratory or cardiac failure), intracranial lesion, trauma, burns, coagulopathy, or vasculitis.23 Endoscopic features include isolated gastroduodenal erosions, usually in the fundus and proximal body, and, in severe cases, mucosal ulcerations occurring at multiple sites within the stomach and duodenum (Figure 7.1). The majority of patients develop erosions and ulcers within minutes to hours after the initial insult, and the most common presenting symptoms are hematemesis and melena rather than abdominal

Dr Leander Ellis

Hypoglycemia is a phenomenon that can be triggered by allergy, infection, exhaustion, or huge amounts of sugar that encourage the growth of yeast in the intestinal tract, which then, in turn, gives rise to some allergic effects and a variety of other subtle effects. I see hypoglycemia as a symptom of a larger problem, rather than as a disease. Most of the time there are other important causes to account for the roller-coastering of the blood-sugar levels. The most common one is probably candida, yeast. The next most likely cause is food allergy. Often, a person is not only gorging on sugar, but is allergic to sugar, is not only gorging on chocolate, but is allergic to chocolate. So you get a curious combination of candida, yeast mold, fungus allergy, and allergy to foods. You usually have to control these several elements, as well as to get adequate nutritional support, in order to quiet these symptoms down. Candida is a major factor in hypoglycemia, depression, and chronic fatigue...

Dont Skip Breakfast

Of all the nutrition mistakes you might make, skipping breakfast is the biggest. Raiya, an early-morning exerciser at her local YMCA, learned this the hard way She collapsed from low blood sugar after one of her morning workouts. She managed to struggle through the hour-long stationary cycling class but felt very light-headed and dizzy, and she ended up in a heap on the floor, surrounded by the other frightened exercisers. She had blacked out because she had no fuel to feed her brain.

Dr Warren Levin

Hypoglycemia is a basic problem that is frequently stress-induced. When people take a large dose of sugar into the body (and one cola drink contains more sugar than the entire bloodstream), the level of sugar in the body goes way up. Now, the body's entire commitment is to maintain balance or equilibrium the technical word is homeostasis. The body produces a basic hormone called insulin that is supposed to take the sugar from the blood and deliver it into the cells, and when the sugar goes up very rapidly the body reacts excessively, resulting in too much sugar being driven out of the blood, and that produces low blood sugar, or hypoglycemia. The body then has to correct the balance again, and it can be an emergency. If the blood sugar goes too high, it is not an emergency the body can tolerate it. But the brain requires a certain level of blood sugar to function, so when the blood sugar starts plummeting--and it can sometimes drop at a frightening rate--the body calls forth its...


You already know that your muscles and brain require glucose for energy. What you may not be aware of is that although the muscles can store glucose and burn fat, the brain does neither. This means that for the brain to function optimally, you must consume food close enough to strenuous events to supply sugar into the blood so the brain has fuel. Athletes with low blood sugar tend to perform poorly because the poorly


Reduces cholesterol levels, lowers blood pressure, decreases body fat, and increases sensitivity to insulin. Exercise further contributes to blood glucose control and reduces the risk factors for diabetes-related complications. With meal planning, exercise has the ability to control type 2 diabetes without medications. see also Diabetes Mellitus Exchange System Hypoglycemia Insulin.

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Likely responses in people with diabetes. Most studies report that ingestion of a chocolate bar causes a substantially lower rise in plasma glucose and insulin than equivalent amounts of other carbohydrates (2022). Shively et al. (9) conducted one of the most comprehensive studies in normal subjects of glucose and insulin responses to various snack foods, including chocolate, potato chips, granola bars and peanut butter cups. They found that plasma glucose responses to the snacks, on both an isocaloric or equivalent carbohydrate basis, were uniformly lower than that after a glucose load. In contrast, insulin responses to the snacks exhibited more variability, the milk chocolate bar giving higher responses than those predicted by the level of glycemia. In fact, the insulin response to the chocolate bar was as high as that seen after the glucose load. There was no evidence, however, of rebound hypoglycemia.


Damage to the liver can lead to problems with blood sugar levels. When alcohol is present in the body, the liver works to metabolize it. Because the liver is busy metabolizing alcohol, it is often not able to adequately maintain blood sugar levels, which may result in hypoglycemia (low levels of blood sugar). Hypoglycemia is most likely to occur in individuals who have not maintained an adequate diet. When it occurs, the brain is not able to receive the energy it needs to function, and symptoms such as hunger, weakness, headache, tremor, and even coma (in severe cases) may occur.


The role of carnitine in metabolism is very critical it is a key component of the enzymes responsible for transporting long-chain FAs across the mitochondrial matrix where they can be used to produce energy. Carnitine is endogenously produced from the essential amino acids lysine and methionine in amounts that are sufficient to maintain homeostasis, when an individual's dietary intake includes a low to moderate amount of meat products. If there is a deficiency of carnitine, it is typically a result of impaired synthesis, increased degradation, inefficient transport, or abnormal renal handling. This can result in glucose dependency and perhaps even hypoglycemia. Skeletal musculature is weakened and may atrophy in addition to decreased myo-globin concentrations. Finally, cardiac muscle, which utilizes primarily FAs for fuel, may experience failure and frequent arrhythmias.

Sick Day Rules

Hypoglycemia is a concern if the woman is ill and consuming inadequate calories. All pregnant women with preexisting diabetes should be aware of hypoglycemia symptoms, which range from sweating, blurred vision, nervousness, anxiety, headache, weakness, or in severe cases, seizures or unconsciousness. The treatment for hypoglycemia depends on the severity of the symptoms. Mild-to-moderate symptoms are treated with 15 g of carbohydrate if the blood glucose level is

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