Joined: 25 Apr 2008 Posts: 183 Location: Wales, UK
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Diagnosed hypoglycemia Posted: 04-25-08 16:24pm
I'll try to keep this short as I can so if
anyone wants more information please ask.
I have recently (in the last couple of
months) finally been diagnosed with a
carbohydrate sensitivity, reactive
hypoglycemia.
I suffer low blood sugar (2.4mmol/l and
under) about 2-3 hours after consuming
carbohydrate, especially the single and
double sugars found in fruit and table
sugar. Lucozade has the most clear effect
where my blood sugars will hit 13mmol/l
after 1 hour, then 2.4mmol/l after 2
hours. Symptoms include general low blood
sugar symptoms and I am prone to passing
out, situation depending. The first time I
passed out from low blood sugar was at 11
years old, so I've had the condition from
that age at least. When fasting my blood
sugar remains stable at 4mmol/l.
Since following a lower carbohydrate diet,
leaving out sugar and eating fibre with
each meal as advised by my specialist -
the low blood sugars have improved
greatly. I even manage to eat some fruit
and not suffer now.
But that's only half the battle.
I have another set of symptoms which may
or may not be related to the hypoglycemia.
Here's the symptoms:
Severe fatigue, brain fog, confusion,
irritability, depression, memory problems,
tearfulness, inability to think, anti
social, etc...
These symptoms occur in phases which have
been worsening and getting longer over the
last 5 years. Usually a phase would last a
few days and a diet low in carbohydrate
(or better, a fast) would help lift the
symptoms, but this is isn't the case
anymore. Despite my blood sugars improving
on a low carbohydrate diet, this second
set of symptoms are persisting and I'm
unable to shift them.
Bread, pasta, rice, etc, seem to bring on
these symptoms or at least worsen them,
whereas fruit and veggies I seem to get
away with. I was under the impression that
sugar is sugar as far as your body is
concerned, but maybe there's something
else in these specific types of
carbohydrates that's aggravating(?).
After eating these foods (bread, rice etc)
I instantly feel very fatigued and have to
lay down. What goes down the loo is more
often than not a light orange colour.
I also have a constant niggly headache in
the eye area which has been constant for
the last 4 years at least. It's a lot
worse recently and is really starting to
get to me, pain pills rarely clear it.
Other things that may be relevant - I wake
up every night, sometimes more than once,
to go to the loo. This is very annoying
since it interrupts my sleep. I also have
frequent nightmares and move and talk
during my sleep, to my husbands despair.
I've also been suffering seemingly random
bouts of nausea and dizziness more
recently.
I'm still in touch with my surgery and am
waiting for news on a referral for my
headaches. But the set of symptoms
including fatigue and brain dog, aren't
being dealt with. I've had a full blood
screening as well as a gluten intolerance
test, and there's nothing of any concern.
I've considered depression and have tried
anti depressants which didn't help any.
I've also considered an adrenal fatigue
due to the excess insulin I was producing
so regular, which I still suspect may be
the case, but I'm not a doctor and I
haven't mentioned it to mine as I don't
want him to think I'm self diagnosing from
the internet
My mother has type 2 diabetes, and my
father has a low blood sugar problem which
he takes prescribed sugar supplements for,
my father has also been diagnosed with ME.
The ME diagnosis was after many years of
seeing many specialists, doctors still
don't know what exactly is happening to
him but ME is the closest they can
diagnose at the moment. My symptoms are
much less severe but worryingly similar to
his, fatigue, brain fog, confusion, etc.
If anyone has a similar problem or has any
idea what could be going on, it would be
appreciated
|
Stan
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Joined: 01 Jan 2006 Posts: 1666 Location: ,
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Posted: 04-25-08 19:09pm
Here are some things:
1. I'd like to see a nice list of what
you're currently eating on a regular basis
including drinks.
2. You NEED to stick on your diet.
Unfortunately, change will NOT come fast,
it can take months to see the results
you'd like, but if you keep eating bread
or bad foods now and then you're only
going to set yourself back and get worse
in the process.
3. Nightmares are common and are in fact
linked to food, so don't listen to what
you've heard if you have. Going to the
bathroom perhaps once a night isn't
unusual, it's only when you go like more
than three times that it should be
considered an issue.
4. What is ME?
5. Expect to get scared you have cancer
and get a lot more tests done, only to
discover that you have nothing. This is
probably all being caused by your sugar
imbalance. I've gone through stuff ten
times worse than what you mention and
thought I had every disease under the sun,
not to downplay your symptoms, because
trust me, I KNOW they suck, but don't go
diagnosing yourself and getting obsessed
with internet symptom lists (trust me, it
becomes a daily habit if you don't watch
yourself) until you're sure a good diet
over a period of AT LEAST four months
doesn't have any noticeable effect.
6. Sugar is NOT sugar. Fructose, for
example, not straight but in fruits, does
not stimulate insulin the same way that
bread and pasta does, so YES, there is a
connection. I still can't eat these
things but I can eat plenty of fruit.
You're going to need to increase that a
bit, sticking with bitter fruits
(cranberries, blueberries, etc.) at first
is a good idea. Apples are good too.
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VictoriaGB
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Joined: 25 Apr 2008 Posts: 183 Location: Wales, UK
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Posted: 04-25-08 19:38pm
You like apples don't you?
1) Before my diet consisted of bread. And
not much else.
Now - I'm eating a lot of chicken, spicy
mince, cooked chicken packs from Tesco for
convenience when in work, cheese, milk,
eggs, I've chanced the odd sandwich within
carb limits. Also in my list from the last
few weeks on fitday is peanuts,
mayonnaise, peanut butter, yogurt,
onion/sweetcorn/peppers/carrots/mushrooms/
broccoli, strawberries, sausage, tuna,
bananas, apples, ice cream, marmite, baked
beans. I'll add a lot of garlic powder,
pepper, lemon to cooking.
Drinks include water, coffee (decaf no
sugar), and alcohol(!).
Looking at that list there's a bit of room
for improvement.
2) I was doing ok until I hit ketosis,
then I started crying constantly (driving
my husband nuts), being extremely
irritable and suffering all the symptoms
that the diet is intended to help with.
I'll stick with it in future
3) That's good to know. I've always been a
somewhat active sleeper so I'm not worried
about that. Nightmares are annoying though
when I have the mental brain fog, when I
wake up I can't tell the difference
between my dream and reality for a good
few hours. And I sleepwalk, especially
when I'm down on carbs.
4) Myalgic Encephalopathy. It's related to
chronic fatigue syndrome and shows many of
the same symptoms. Not a lot is known
about it to date.
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VictoriaGB
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Joined: 25 Apr 2008 Posts: 183 Location: Wales, UK
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Posted: 04-26-08 04:34am
Stan Stepanic
wrote:
5. Expect to get scared you have cancer
and get a lot more tests done, only to
discover that you have nothing. This is
probably all being caused by your sugar
imbalance. I've gone through stuff ten
times worse than what you mention and
thought I had every disease under the sun,
not to downplay your symptoms, because
trust me, I KNOW they suck, but don't go
diagnosing yourself and getting obsessed
with internet symptom lists (trust me, it
becomes a daily habit if you don't watch
yourself) until you're sure a good diet
over a period of AT LEAST four months
doesn't have any noticeable effect.
6. Sugar is NOT sugar. Fructose, for
example, not straight but in fruits, does
not stimulate insulin the same way that
bread and pasta does, so YES, there is a
connection. I still can't eat these
things but I can eat plenty of fruit.
You're going to need to increase that a
bit, sticking with bitter fruits
(cranberries, blueberries, etc.) at first
is a good idea. Apples are good
too.
Sorry, missed these two completely!
5) So the longer 'phases' of symptoms
including brain fog, confusion. fatigue,
could be due to the hypoglycemia? (or lack
of a good hypo diet). The phrase "I can't
brain today" is ever true
I'm hoping it is the hypoglycemia and not
something more serious, and I'm hoping
that cutting out flour will be what I was
missing.
(A couple of years ago I was dating
someone who was gluten intolerant. I
adopted his diet for the summer and saw a
massive improvement, I had more energy
than I'd had in a long time and was
actually getting on with things. I assumed
what made the difference was the lack of
carbs, but maybe it was the lack of flour
or something more specific )
I know the danger of looking up symptoms
online, especially ones like fatigue where
a large number of conditions can apply.
Before I was diagnosed I spent days and
days going through what must have been
every page that would come up on Google!
6) Fruit is dodgy for me. A year ago,
pineapple would have caused a low blood
sugar and a painful belly. Now, as long as
it's not on an empty stomach, I can eat
all the berries and apples I want (to my
knowledge!).
But yes fructose is better than the
complex starches in potatoes and pasta -
they give me instant fatigue which I still
don't understand. Complex carbs I've
always thought were 'good' as they take
longer to break down, but they're a bigger
problem for me in that they appear to
cause the brain fog and fatigue rather
than low blood sugar (which the simpler
sugars cause).
|
Stan
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Joined: 01 Jan 2006 Posts: 1666 Location: ,
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Posted: 04-30-08 20:07pm
Yes, brain fog and all of that is directly
related to sugar problems. It's quite
simple, the brain really can only function
on glucose and it has no ability to store
it in itself, so it's very sensitive to
any changes in the level in the blood
because this is the only way it can get
it. If it's low, it starts to shut down,
just like a car low on gas. Mental
symptoms tend to be predominant because
the rest of the body has other ways of
continuing like fat and such, but the
brain does not.
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VictoriaGB
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Joined: 25 Apr 2008 Posts: 183 Location: Wales, UK
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Posted: 05-01-08 01:06am
Indeed, glucose is the only fuel the brain
can use. Whereas the body can use fat for
fuel. Also bare in mind excess protein is
converted to glucose.
What's worrying me, and making me wonder
if these are hypoglycemia symptoms, is the
prolonged periods that I suffer brain fog.
It can go on for days without relief but I
find it difficult to believe that no
glucose has found it's way to my brain in
that time, my blood sugars may have been
perfectly stable but still the brain fog
doesn't lift. Maybe it takes a few days
for normal brain function to resume, but
I'm not sure of the biology behind these
'long term' symptoms so I'm a bit lost for
an explanation there.
When I was on too low carb, only 30g a
day, I could easily explain brain fog
away. Like you said the brain needs
glucose, and I wasn't supplying enough for
basic function. But surely the first
injection of glucose you have would go
straight to the brain, and lift the
symptoms? Despite a low blood sugar in 2
hours time and brain fog returning, I
would have thought there's be a temporary
relief at least. Unless of course it takes
time for normal brain function to resume.
I mentioned adrenal fatigue. The reason I
got into that subject was because of the
role of adrenalin in preventing a hypo. If
blood sugar is dropping low and fast,
glycogen stores are utilized as we know,
hence the little rise after the low. But
adrenalin also plays a role in stabalising
blood sugar. So if blood sugars are
swinging out of control on a daily basis,
your body is going to get very tired,
including your adrenal glands. Prolonged
fatigue and brain fog are symptoms of
adrenal fatigue.
I may be a long way off with that, but one
day I'll confirm it either way
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VictoriaGB
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Joined: 25 Apr 2008 Posts: 183 Location: Wales, UK
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Posted: 05-01-08 01:10am
A better question:
Do you, as a hypoglycemic, suffer
prolonged brain fog, fatigue, depression
symptoms, etc? (or used to, if you're good
now)
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Stan
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Posted: 05-01-08 10:50am
Yes, I did. As far as I could assume, it
was because I was having blood sugar
problems over an extended period of time,
which the brain was just not used to, thus
the symptoms. It has a balance just like
anything else. Imagine dumping a bunch of
gasoline into a lake. Just because you
put clear water in it to filter it out
doesn't mean the effects of it (plants,
fish, etc.) will magically appear the next
day, takes time.
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VictoriaGB
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Joined: 25 Apr 2008 Posts: 183 Location: Wales, UK