Hypoglycemia, The Symptoms and the Diabetes Connection - Hypoglycemia
is a medical term. It simply means low blood sugar. Cells fuel themselves with
glucose, the simplest form of sugar. The main purpose of digestion is to turn
everything we eat into this high power fuel so the cells can do their job.
So
what happens if the supply in your blood runs low because it's been too long
since you ate, or you went swimming or jogging and didn't prepare for the extra
exercise by eating something first? Hypoglycemia.
What
Should You Watch For?
The
symptoms are clear. You get tired and lose focus easily. You might feel shaky
and anxious. And you feel hungry or thirsty. If you ignore these symptoms you
will begin to sweat and get blurred vision.
What's
the worst that could happen if a diabetic ignores hypoglycemia and tries to
push past it? Seizures, coma and even death. But that is the extreme, and it
happens most often in people who have untreated type 1 diabetes. It can also
happen when a type 2 diabetic takes too much insulin.
The
possibility of hypoglycemia is the biggest reason diabetics wear special
jewelry, necklaces or bracelets to alert people around them of their condition.
The
Grouch Factor
But
most of the time hypoglycemia just makes you a grouch. You wake up in the
morning grouchy because it's been a long time since you ate. That's why it's
called breakfast; you've been fasting, which is something hypoglycemics do not
tolerate well.
Then
about an hour before lunch, or in the middle of the afternoon you have another
spell of the grouchies, or you get tired, sleepy, and can't concentrate.
The
worst part of hypoglycemia is how quickly it affects the brain. Your brain does
not store or make glucose, so it is sensitive and reacts to low blood sugar
faster than any other part of you.
What
Causes Hypoglycemia in People Who Don't Have Diabetes?
Nobody
knows for sure. It comes and goes, and it's often hard to convince your doctor
that you have it. Many doctors will only consider hypoglycemia with a blood
sugar consistently below 50. They use criteria from something called the
Whipple Triad.
But
many who suffer from the symptoms of hypoglycemia do not fit the doctors'
criteria. So they are left undiagnosed. From my own experience with a glucose
monitor, the effects of hypoglycemia can show up with a blood sugar closer to
70.
But
not many people who don't have diabetes happen to have glucose monitor lying
around when they get the shakes. That makes it difficult to prove hypoglycemia.
In
non-diabetics hypoglycemia seems to be caused by an overreaction of the
pancreas to eating sugar and carbs. If the beta cells release too much insulin
into the blood stream, the glucose gets transferred out, leaving the blood
sugar too low. That's when the symptoms appear. There is more going on but that
is the short version.
Does
It Mean You Are Borderline Diabetic?
The
symptoms of shaking, tiredness and irritability in a non-diabetic are the same
as those in diabetics. But that does not mean you are diabetic or even
borderline. Many people who have hypoglycemia never become diabetic. And some
people are not hypoglycemic at all.
You
might have symptoms that look like low blood sugar, but the cause is not
hypoglycemia. The list of possible conditions is very long. There are at least
50 possibilities and they include anemia. That's why it's crucial to go to your
doctor and get yourself checked out before you decide you have hypoglycemia.
Don't self-diagnose.
But
if your doctors can't find any reason for your symptoms, then you might try the
things others have used to help them with hypoglycemia. If those things help
you, you may have found the problem.
Some
of the Things You Can Do
The
good news is that there are lots of people who have hypoglycemia and found ways
to feel better. Here are a few of the do's and don'ts from the hypoglycemia
forums.
Do
eat smaller, more frequent meals. That keeps the pancreas from putting out too
much insulin at once, and it smooth’s the lows that make you grouchy.
Don't
eat carbohydrate snacks by themselves. Add some fiber, protein and/or fats
(like nuts) to slow down the digestion of the carbs.
Do
eat a healthy snack with carbs and protein before you exercise.
Don't
drink high sugar sodas. Hypoglycemics say they are the worst for causing highs
and then crashes. They are packed with sugar and many have caffeine, and some
hypoglycemics say caffeine make things worse.
Do
get your blood sugar checked to see if you are borderline diabetic.
One
friend of mine suffered with grouchies every morning. She learned to keep a
plate of cheese by her bed so in the morning before her feet hit the floor she
could grab a quick snack. It kept her on an even keel while she got her kids
ready for school. She never had diabetes, but she did have hypoglycemia.
Hypoglycemia
in Diabetics
Diabetics
on insulin watch for low blood sugar as much as for high blood sugar, because
we are artificially managing insulin levels. The diabetes symptoms you need to
watch for include sugar lows, and it's good to know the way your body reacts to
them as part of your journey with the disease.
If
you get weak and sweaty and begin to see spots before your eyes, your blood
sugar has probably dropped close to or below 50 and it's time to do something.
Orange juice, milk or a quick bowl of cereal brings blood sugar up quickly.
Hypoglycemia
is dangerous for a type 1 or type 2 diabetic. It can happen fast, and it is
always unexpected. If you get a stomach virus, if for some reason your insulin
level rises during the night, or if you exercised more than usual and did not
adjust your medication to account for it - there are many factors to consider
if you are taking insulin.
It
helps to have family around at a time like that. You're not always thinking
clearly and it's good to have someone else there to take you to the emergency
room if things don't normalize. Don't be shy about asking for help. And make
sure you wear a diabetic identification bracelet or necklace all the time.
If
you are hypoglycemic but not diabetic, there are hypoglycemia groups ready to
welcome you and sympathize with the problems you are facing. Sometimes my
hypoglycemic friends felt left out in the cold because they were not taken
seriously by the medical community.
But
there are people who have been helped and want to pay it forward. They will
share the things that have helped them, and they'll support and encourage you
when nothing seems to be working. Find a hypoglycemia forum online and join it.
Reach out.
Martha
Zimmer invites you to visit her website and learn more about type 2 diabetes,
its complications and how you can deal with them, as well as great tips for
eating healthy that will make living with diabetes less painful.
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