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Q: Severe Hypoglycemia
asked by: Enderh on November 9th, 2009
New User
I am a male, 31 years old, and of German descent. Eight months ago I moved from the US to Japan and started working out again by lifting weights and running. I have been an athlete all my life (collegiate tennis, weightlifting, surfing) and although I was approximately 185lbs at 5`11”, I was by no means out of shape. With a very clean diet I began losing weight and quickly getting back in strong athletic shape (pressing 225lbs, fast paced runs, etc). Then the trouble began…
After weightlifting for 15 minutes I noticed that I felt very strange, like anemic and unstable. Over several weeks the feelings persisted but I kept working out thinking I was just a little out of shape and it would pass over time. Sometimes after coming home I would feel so anemic and imbalanced it would lead to full body convulsions/shivers. My hands and feet would be cold and sweaty and I would also feel hot with a slight fever. Possibly important, were the recurring muscles twitches often in the same areas, around my right eye and left chest muscle. The episodes usually persisted for about 45 minutes to 2 hours. Finally, one day after lifting, I passed out in the gym and was rushed to the emergency room. Explaining circumstances as well as I could I was held there for several days and run through the following tests which all turned up clear: Brain MRI, brain CAT Scan, spinal tap, detailed blood tests, heart monitored for 2 day stay. The doctors could not diagnose my condition. At this point we knew I had all the symptoms of hypoglycemia but did not know if it was related to some underlying condition. With the strength of the episodes I thought I may be pre-diabetic or diabetic but the doctors said the bloods tests were clear. After a few weeks of being released, I was once again rushed to the emergency room by ambulance. I had the strongest of my full body convulsions, sky high blood pressure and all the other hypoglycemic symptoms. Eventually my body calmed down and the doctors still had no diagnosis. Since the average diet is so good here in Japan, not many people have hypoglycemia or diabetes. Fortunately, I found the Mariya Clinic which is the leading authority on hypoglycemia in Japan. Once again I went through detailed blood, urine and stool tests and a 9 hour hypoglycemic fasting blood test. The doctor referred to my hypoglycemia as `severe`. (graph attached) She also diagnosed me as having `hemolytic anemia`. I was prescribed a lot of vitamins to take three times a day. Heavy with the B-complexes, C, A, Calcium/Magnesium, Kalium and EPA. I also take soy protein shakes 3 times a day. The core of my diet is brown rice (never white), soba noodles, miso soup, soy products and lots of vegetables. Meats are eaten sparingly, sometimes fish or pork, rarely beef and no chicken. All forms of sugars are completely avoided. I have followed the supplement and nutrition regimen diligently.
Over about eight months now my weight has decreased -25 lbs to 160 lbs. Granted, quite a bit of the loss was from my efforts to get back in top shape with an extremely clean diet. It seems that I have stabilized at 160 lbs for the past month, thankfully so as I don`t have much more fat to lose. Often I continue to feel so weak that I can`t even walk to the store anymore without symptoms. I rarely leave home now as my body just can`t take it. This is quite the change for someone who has been a hardcore athlete all their life. For the past two months the convulsions/shivering have stopped but the episodes are still very strong and the severe weakness persists. My sleep patterns also continue to suffer. I wake up most mornings and have to lie in bed for at least 30 minutes gathering the strength to get up. The doctor says my body is producing too much nor-adrenaline and I am sensitive to it which causes many of these problems. I have completely eliminated sugar from the diet for over four months. The past experiments with trying to `lift` blood sugar with fruits or other healthy sources have been unsuccessful often leading to the convulsions, cold sweats, crashes and more trouble the following days. I literally cannot even eat an apple anymore…
I hope that someone familiar with this condition can help. I have run out of ideas or options here in Japan and am doing everything I can to treat `hypoglycemia`. With how powerful my symptoms and episodes have been it forces me to question if there is something else going on. I hope this is enough information but if not I am more than happy to answer questions. Thank you so much for any help or ideas.
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angelcat
replied on November 9th, 2009
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I am both hypoglycemic and anemic, and I can tell you that a minimal amount of sugar will send me off the deep end. Before I was diagnosed, I was having panic attacks, shakiness, cold hands and feet, migraines, and dizzy spells. My only advice is to keep avoiding sugar and stock up on proteins. My sister and father are hypoglycemic as well and feel awful when eating even small amounts of sugar.
I find it interesting that your weight has been fluctuating recently. Hypoglycemia hit me when I was the skinniest I've ever been. Even after my weight stabilized and I was eating properly again, it took me a few months to feel better. I was having such horrible shaky issues that I, too, couldn't leave my house or socialize with friends or do anything I was used to doing.
My only advice is to stay regimented on your diet. It took me about four months to feel better. It took my dad about two years to entirely feel better, but after six months he was at least regulated.
Cashews really help me feel better than many other foods I've tried for a quick fix. Keep lots of nuts and seeds and proteins on hand. Avoid caffeine and sugar entirely and white flour. Pizza will turn me into a crazy mess, so be careful! (Not that you have to worry about pizza in Japan too much, but stick to brown rice instead of white.) If you smoke, stop. Be sure you're getting chromium in your vitamins as well -- it helps to stabilize hypoglycemics.
It sounds like you've really pushed your body to its limits recently. Try to practice meditation and don't give up with eating and drinking lots of water. Best of luck and health to you. I'll pray for your restoration!
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akrockley
replied on November 9th, 2009
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Hypoglycemia survival
I am hypoglycemic. I cannot tolerate sugar and the majority of grains (can only tolerate oats, no rice of any type, wheat, etc). When I first developed hypoglycemia I had just given birth to my daughter. I gained 21 pounds during pregnancy and lost 55, and I didn't need to lose it. I went down to 85 lbs at 5'4", way too thin. My body was eating my fat to try and stabilize the blood sugars (you store glucose as glycogen in your fat, muscle, and liver.)

I too recommend sticking to your diet; however, I think there may be more going on. Hypoglycemia can be a result of allergies, thyroid disease, adrenal fatigue, or other underlying condition. See if you can be tested for some of these.

For diet, stay away from the root vegetables and eat lots of greens. You may need a more good fat in your diet. Fat helps to buffer the absorption of carbohydrates and a Japanese diet is very low in fat.

I was never housebound, but it took me years to get to full stabilization, but it is possible. My life revolved around hypoglycemia for so long that I decided to become a health counselor and counsel people with hypoglycemia.

Good luck! There is hope.
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