Best Description of Hypoglycemia & Treatment

by admin on February 3, 2011

Anyone wanting to lose weight and is hypoglycemic must learn how to deal with it, and this can help you not only lose weight, but in a myriad of other ways as well!

Hypoglycemia is a derangement of glucose metabolism that causes depression, trouble concentrating, tinnitus, excessive sweating,chronic fatigue,anxiety, mood swings and other debilitating symptoms.

It has caused me problems most of my life. This website is the most useful one I’ve found which describes hypoglycemia in a simple straight forward way along with solutions! Many people who are insulin resistant are also hypoglycemic. Hypoglycemia can make you crave sugar and can make you hungry.


Hypoglycemia is a general term used to describe a mixed bag of symptoms that are due to a derangement of glucose metabolism. Under the strict medical definition, hypoglycemia mainly refers to a drop in fasting blood sugar below 50mg % (normal range 70-90mg%). This drop can be associated with differing symptoms depending on the rate at which the blood sugar falls.

The causes of functional or reactive hypoglycemia (not absolute or fasting hypoglycemia) can be divided into 3 categories:
High sugar / refined carbohydrate diet leading to hyperinsulinism
Hypoadrenalism-stress leading to adrenal exhaustion
Alimentary or gastric surgery leading to rapid stomach emptying or “dumping syndrome.”

A Glucose Tolerance Test (ideally lasting 5-6 hours) can confirm a diagnosis, but more alternative doctors are forgoing the inconvenience and shock to the system because symptoms alone are reliable enough. Central nervous system changes, adrenal hormone output and detoxification (what the body tries to do when it is not busy digesting food) also contribute to the overall symptom picture.

There are different interpretations given to different patterns seen on glucose tolerance testing. One such system describes three types of curves:

Type 1 (Neuroglycopenic)
This type results in a rapid rise in blood glucose within the first hour followed by a pronounced or precipitous drop in blood glucose in the second hour. Symptoms of this type of response are rapid mood swings, volatile personality, erratic behavior before and after eating. Possible cause of this response is gastric dumping, too large an insulin response (pancreatic problems) and glucose tolerance factor problems (liver problems).

Type 2 (Adrenergic Type)
After ingestion of glucose the blood sugar rises for the first three hours followed by a hypoglycemic rebound at 4 to 6 hours. Symptoms associated with this type of response are tiredness 2 hours after eating, allergic responses or food intolerances, and shakiness before meals. When blood sugar falls rapidly, the early symptoms are those brought on by a compensating secretion of adrenalin; these include sweating, weakness, hunger, racing pulse and an “inner trembling”. This response can be due to adrenal cortical insufficiency or thyroid deficiency.

Type 3 (The Flat Curve Response)
In this case the blood glucose does not deviate more than +/- 15% from fasting level through the whole test. Symptoms that may appear are fatigue, apathy or hypotonia (poor muscle tone). These symptoms are due to poor digestion and absorption of nutrients.

Patients with hypoglycemia of varying causes appear to show similar personality patterns, suggesting hypoglycemia can cause personality disorders. The term “hypoglycemia” may be better named ” carbohydrate intolerance syndrome” and treated accordingly.

Signs, symptoms & indicators of Hypoglycemia:

Symptoms – Allergy (High) intolerance of sugars

(High) tolerance of sugars

Symptoms – Cardiovascular
Heart racing/palpitations

Symptoms – Food – General
Strong appetite
Hunger is a symptom of hypoglycemia.

Symptoms – Food – Preferences
Afternoon sugar craving
Craving and/craving but not eating wheat

Symptoms – General
Fatigue that is/frequent fatigue relieved by eating
General dizziness
Fatigue that worsens during the day
Poor bodily coordination
Dizziness when standing up

No fatigue relieved by eating

Symptoms – Head – Eyes/Ocular
Seeing visual halos
Vision disturbances
Blurred vision and diplopia (double-vision) are possible symptoms.

Symptoms – Head – Mouth/Oral
Being an incoherent speaker

Symptoms – Metabolic
Moderate/adverse/mild reaction to delayed meals
Inner trembling
Difficulty losing weight
Afternoon headaches
Low stamina
Front-of-head/temple-based headaches
(Occasional) daytime sweating

No reaction to delayed meals

Symptoms – Mind – Emotional
Depression with anxiety
Impatient/hostile disposition
Uncontrolled rage is a possible symptom.

Emotional instability

Symptoms – Mind – General
Periods of confusion/disorientation
Short-term memory failure
Trouble concentrating

Symptoms – Muscular
Tightness across shoulders

Symptoms – Nervous
Numb/tingling/burning extremities

Symptoms – Reproductive – Female Cycle
Carbohydrate craving during cycle

Symptoms – Skin – General
Excess perspiration

Symptoms – Sleep
Unsound sleep

Conditions that suggest Hypoglycemia:

Addictions Addictions / Addictive Tendencies
A craving for cigarettes and/or drugs is a possible symptom of hypoglycemia.

Allergies Indoor

Sugar Craving

Low DHEA Level
Insulin levels may play a significant role in determining how much DHEA is metabolized. Studies have discovered that low levels of DHEA may be related to an excess of insulin. What this suggests is that anyone suffering from hypoglycemia or excess insulin may be prone to converting nutrients to fat due to depressed DHEA levels.

Endogenous depression – depression originating from within as opposed to being due to external factors – is a known symptom.

Poor Memory
Temporary forgetfulness is a known symptom of hypoglycemia.

Headaches, Migraine/Tension
Although hypoglycemia may precipitate headache in some diabetic and nondiabetic patients, it is not a universal mechanism responsible for headache in those individuals or in normal fasting subjects.


Restless Leg Syndrome (RLS) / Periodic Limb Moveme
Based on afternoon glucose tolerance testing, many patients with RLS – particularly if they also have spontaneous leg cramps – appear to have hyperinsulinism causing functional ‘ hypoglycemia’ during testing. In fact, some patients may have an attack of muscle cramps at the same time as their lowest level of plasma glucose. In an open trial, a group of 350 patients with this type of glucose tolerance curve were placed on a sugar-free, high protein diet along with frequent nibbling and at least one night feeding. The vast majority experienced a prompt remission or, at least, a striking reduction in symptoms. [J Med Assoc 60(5): pp.29-31, 1973]

Muscle Cramps / Twitching
As hypoglycemia progresses a variety of symptoms can occur including muscle twitching. Amongst 300 patients in one study (185 female, 115 male) found to have relative hypoglycemia (a drop of 20% or more below the fasting blood sugar level during a 6-hour glucose tolerance test), 23% had muscular twitching or cramps.

General Weakness

Nervous System
Early symptoms of hypoglycemia, such as hand tremors, are similar to those which occur as the result of experiencing a sudden and violent fear.

Organ Health
Diabetes Type II

Night Sweats
Nighttime hypoglycemia may be without symptoms or manifest itself as night sweats, unpleasant dreams or early morning headache.

Risk factors for Hypoglycemia:

Environment / Toxicity Heavy Metal Toxicity
Heavy metals such as mercury, cadmium, lead and thallium poison the glucose metabolizing catalysts, thus reducing the flow of energy throughout the body. It is interesting to note that the symptoms of heavy metal poisoning are similar to symptoms associated with hypoglycemia i.e. hyperactivity, mood swings, manic depressive behavior, poor concentration and impulsive and unpredictable behavior.

Mercury Toxicity / Amalgam Illness
Heavy metals such as mercury, cadmium, lead and thallium poison the glucose metabolizing catalysts, thus reducing the flow of energy throughout the body. It is interesting to note that the symptoms of heavy metal poisoning are similar to symptoms associated with hypoglycemia i.e. hyperactivity, mood swings, manic depressive behavior, poor concentration and impulsive and unpredictable behavior.

Patients suffering with Wilson’s Syndrome, a form of hypothyroidism, occasionally experience intense and previously unfamiliar cravings for sweets. The low body temperature patterns may affect the function of enzymes involved in glucose metabolism that could result in lower blood sugar levels which might contribute to sweet cravings.

Lab Values – Chemistries
(Slightly) elevated fasting glucose


Symptoms – Food – Intake
(High) refined sugar consumption

Symptoms – Head – Ears
History of tinnitus

Symptoms – Mind – General
Absence of short-term memory loss

Consequences of Vasectomy

Hypoglycemia can lead to:

Diet Sugar Craving

Numerous patients given psychiatric diagnoses have actually turned out to have hypoglycemia, including those classified with depression, bipolar disorder and schizophrenia.

Recommendations for Hypoglycemia:

Amino Acid / Protein Glutamine
Glutamine plays a vital part in the control of blood sugar. It helps prevent hypoglycemia , since it is easily converted to glucose when blood sugar is low.

Stevia (Stevia rebaudiana)
If you must use sweeteners, stevia is an excellent natural alternative to simple sugars and unhealthy chemical alternatives.

Chlorella / Algae Products

Sugars Avoidance / Reduction
Consuming foods that contain simple sugars makes the problem worse. Avoid sweets other than fresh fruits, if tolerated. In addition, consider avoiding products that only “taste” sweet (artificially sweetened – low calorie). Even though they may contain no sugar, sending signals to your brain that something “sweet” is being consumed may have negative consequences.

Processed Foods Avoidance
Refined carbohydrates are more readily absorbed than unrefined, and should be avoided in those with any glucose intolerance.

Smaller, More Frequent Meals
Frequent small meals are more effective in stabilizing blood sugar levels than large, less frequent ones. Remember to consume something before symptoms appear. Protein snacks that keep well should be stored in locations such that you always have quick access to food. You may find it helpful to store protein bars or nuts in your car, at work, in your pockets or (for women) in your purse.

High/Increased Protein Diet
A diet consisting of higher protein and fat with less refined carbohydrates is a standard recommendation for those with hypoglycemia. Hypoglycemics may find it helpful to start with 100gm of protein or more per day. With increased protein consumption, protein digesting enzymes may need to be supplemented. Hydrochloric acid, which is usually produced by the stomach for the breakdown of food (especially protein) may be needed also.

Grams of carbohydrate can be counted, limiting them to a maximum of 100gm per day. Some persons feel better on 60-100gm of carbohydrates, adjusting up or downward depending on size and degree of physical labor (More if larger and very active). Eating less than 60gm per day may aggravate a return to undesirable symptoms.

Caffeine/Coffee Avoidance
Avoid all soft drinks, coffee, tea, artificial colors and additives.

Alcohol Avoidance
Drinking alcohol can cause blood sugar to drop in some sensitive individuals. Hypoglycemia has been well documented in chronic alcoholics and binge drinkers.

High/Increased Fiber Diet
Soluble fiber delays gastric emptying, slows glucose absorption, and minimizes blood glucose swings.

Therapeutic Fasting
In severe cases, additional methods of support besides diet may be needed and perhaps the best of these is fasting. Fasting is a useful, inexpensive and universally available treatment for hypoglycemia. The fast allows the entire system to restore its cellular integrity.

Increased Fruit/Vegetable Consumption
Fruit contains several things that are of benefit, including a sugar (fructose) that does not cause wild glucose swings, trace minerals, and fiber which slows glucose absorption. However, some people find that fruits do make their glucose intolerance worse. Vegetables, especially low starch vegetables like tomatoes, green leafy vegetables, broccoli and carrots are low in carbohydrate and high in nutrients.

Grain-free / Low Starch Diet
As a dietary priciple, simply avoiding grains and foods made from grains should go a long way toward preventing low blood sugar events in those with reactive hypoglycemia

Aerobic Exercise
Moderate exercise improves glucose metabolism. Those few individuals who find that strenuous or prolonged exercise causes hypoglycemia should take food at the earliest opportunity.

Lab Tests/Rule-Outs
Test Glucose Tolerance
The six hour oral glucose tolerance test is normally used to determine the type and magnitude of the glucose intolerance.

Chromium status should be optimized for its benefit in carbohydrate disorders (both hypoglycemia and adult-onset diabetes). Studies have shown that chromium supplementation is helpful with hypoglycemia and can improve glucose tolerance test results and increase the number of insulin receptors on red blood cells.

A research team, which included scientists from Georgetown University in Washington, D.C., tested chromium’s effects in humans by adding chromium chloride to the diet of 17 men and women, eight of whom had mild glucose intolerance, a condition that precedes diabetes.

During the 14-week study, all participants ate a baseline, chromium-poor diet containing less than 20 micrograms of the metal per day. This is similar to the amount consumed by 25 percent of Americans, Anderson says, noting that the recommended daily allowance ranges from 50 to 200 micrograms.

After four weeks, the researchers divided the volunteers into two groups. One group continued to eat the low-chromium diet, supplemented with daily doses of 200 micrograms of chromium; the other group stayed on the diet but received only placebo pills. Five weeks later, the groups were switched.

In seven of the eight people with glucose intolerance, tests taken an hour after they drank a sugary liquid showed that blood sugar levels rose nearly 50 percent less during chromium supplemention than at the outset of the study or during the unsupplemented baseline diet. In the 11 glucose-tolerant patients, the varying consumption of chromium had no effect on blood glucose levels
, Anderson notes. This selective reduction, he says, indicates “chromium can reverse glucose intolerance.”

Glucose-intolerant participants also showed lower circulating levels of insulin and glucagon
— a pancreas-secreted compound that opposes insulin’s action — during chromium supplementation than at any other point in the study.

Vitamin Niacinamide

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