Hypoglycemia

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:

Fig. 5.12: Nicotinamide in newly diagnosed type 1 diabetes. Meta-analysis of 10 randomized trials involving more than 200 newly diagnosed, nicotinamide-treated type 1 diabetic patients. One year after diagnosis baseline C-peptide (a measure of beta-cell function) was significantly higher in nicotinamide-treated pateints, compared with controls.

  • Adapted from Pozzilli P, et al. Diabetes Care. 1996;19:1357)
  • Chromium 1 mg/d
  • Chromium 200 mcg/d
  • Placebo
  • Chromium 1 mg/d
  • Chromium 200 mcg/d
  • Placebo

Fig. 5.12: Nicotinamide in newly diagnosed type 1 diabetes. Meta-analysis of 10 randomized trials involving more than 200 newly diagnosed, nicotinamide-treated type 1 diabetic patients. One year after diagnosis baseline C-peptide (a measure of beta-cell function) was significantly higher in nicotinamide-treated pateints, compared with controls.

(Adapted from Pozzilli P, et al. Diabetes Care. 1996;19:1357)

HgbAlc (%) Fasting glucose Fasting insulin Total cholesterol mmol/l pmol/dl mmol/l

Values after 4 months of supplementation

Placebo 'Chromium 200 ^g/d Chromium 1 mg/d

HgbAlc (%) Fasting glucose Fasting insulin Total cholesterol mmol/l pmol/dl mmol/l

Values after 4 months of supplementation

Weakness, fatigue Faintness, dizziness Impaired concentration Headache Tachycardia Intense hunger Anxiety or panic attacks17 Cold sweats, nausea

Insomnia (if a meal is eaten late in the evening) Mood swings, personality changes

Do Not Panic

Do Not Panic

This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.

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