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I have strong memories of hypoglycemia anxiety from my early days of living with Type 1 diabetes. I counsel people with Type 1 diabetes, and one of the most stressful parts of diabetes for many people is the experience of being hypoglycemic.
Hypoglycemia anxiety can diminish their quality of life, and often results in an ongoing elevated blood glucose level that causes other health issues.
Anxiety becomes problematic when we overestimate the dangers that surround us, and underestimate our ability to cope.  We can reduce anxiety by developing a more realistic perception of the dangers we face, and of our ability to cope with them. I have had many patients describe feeling “low” when their blood glucose readings are actually in the normal range.  Many believe this is because they are on their way to a low and will just keep dropping. For those with high levels of anxiety, it can be helpful to develop a hierarchy (list) of fears. The nursing student starts to look at factual evidence to challenge her belief she will go low and die.
If you are struggling with anxiety, or someone you care about who has diabetes is struggling with anxiety, maybe you can try some of the techniques described here.
If your hypoglycaemia anxiety is so high that these ideas seem out of reach for you, then please consider accessing professional support. Michelle Sorensen is a member of the Ontario College of Psychologists and has a private practice in Clinical Psychology in Ottawa. Having had T1D for 64 years and literally thousands of lows i was not anxious about having them. The Diabetes Media Foundation is a 501(c)(3) tax-exempt nonprofit media organization devoted to informing, educating, and generating community around living a healthy life with diabetes. Learn to easily read a normal blood sugar levels chart, A good grasp and understanding of normal blood sugar levels chart is necessary whether you have diabetes or not.
Diabetes blood sugar levels chart: what is a normal blood, Keep in mind that the blood glucose level before a meal for a non diabetic person and a person with prediabetes may be very similar.
Blood glucose levels chart and a normal blood sugar range, A blood glucose levels chart is a handy thing to have access to for deciphering those glucose numbers on a blood test. Normal blood sugar levels chart – buzzle, You must have noticed that the normal blood glucose levels for men and women are slightly different. What is normal blood sugar level – healthiack, The blood sugar concentration or blood glucose level is the amount of glucose (sugar) present in the blood of a human or an animal.
Normal blood sugar levels chart mmol – medhelp, Common questions and answers about normal blood sugar levels chart mmol.
Diabetes is a group of metabolic diseases in which a person has a too high blood sugar, the body does not produce enough insulin or cells do not respond to insulin. People with diabetes do not have enough insulin, are not able to use insulin properly and as a result the blood sugar increases while the cells starve of energy. There is a high number of other types of diabetes which are less common and where naming is not standardized. Diabetes is treatable and to some extend diabetes type 2 is curable, especially in early stages. In this state also called pre-diabetes the blood glucose levels are higher but not yet high enough to confirm diabetes. Diabetes type 2 is the most common type of diabetes, over 90 % of people with diabetes have type 2 diabetes.
Over time the high blood sugar levels in a diabetes patient damages nerves and blood vessels. Undiagnosed diabetes can have major medical implications up to the amputation of a leg or a stroke. Taking medications is not a substitute for eating right, exercising, and maintaining a healthy weight.
Limiting carbohydrates will help keep your blood sugar levels in check but it’s also important to be sure that your total calorie intake is appropriate.
One study reports that today there are an estimated close to 10 million cases of diabetes in Russia today. According to the Russian Diabetes Federation by 2025 as many as 10 million people will be diagnosed with diabetes which means practically a doubling of the diabetes rate. The cost of diabetes are direct costs for the treatment as well as all the indirect cost such as the reduced ability to work etc. It is estimated that the healthy cost of an individual with diabetes are three times higher than without diabetes. According to one estimate the cost of diabetes in Russia are between 3,6 billion and 6,6 billion international dollars per year.
There is also a state program in Russia to fight diabetes between 2007 to 2011 of 6 billion rubles. There are a high number of statistics which document that weight loss and the right diet, healthy nutrition and physical activity can reduce the risk of diabetes type 2. Up to 80% of the diabetes type 2 occurrence can be avoided in Russia though healthy nutrition, the right diet and the right food and also an increase amount of physical activity.
When you change to the right diet though key is to work with an experienced dietitian who can also adjust your daily nutrition right and support you in monitoring your blood sugar. If you luckily do not yet have diabetes but due to family history, or obesity you are in a high risk group you should immediately act to reduce your likely hood to become diabetic. When your are diagnosed as diabetic your endocrinologist will prescribe you the relevant medicine and advise you to lose weight though a regime of healthy nutrition.
In the experienced shared by our clients endocrinologist do not have the necessary time and provide rather general advice like not to eat bread, potatoes or pasta. Most frequently given advice on nutrition rather generally, for example, are advised not to eat bread, potatoes, pasta. In special classes about diabetes you will be taught about important grains are for you but you will most likely not be taught which grains to select, how much grain to eat and how to cook grains.
For all the questions around your new diet endocrinologist usually do not have enough time or enough in detail experience to tailor it to your individual needs. Only a healthy lifestyle including the right nutrition helps you to live a decent life with diabetes, medicine alone does not help. Taking the time and to work with a dietitian will allow you to reduce severe complications that might arise such as vascular lesions, hypertension, gangrene, ulcers, reduced vision and amputations. Only an experienced dietitian has the time and the know how to analysis on a weekly basis your dietary habits. Working with the doctors at the Personal Dietology Center Palitra Pitania you can reduce your diabetes risk by a big percentage (big is larger then 50% so some studies show) if you are in one of the at risk groups.


If you are in a risk group for diabetes you should be concerned and undertake the right steps to protect your health. One studies showed a reduction of 58% of the risk to incur diabetes in a group of patients with a body mass index of 34. Even only a 5 to 10 kgs reduction of weight are reported to have a very positive impact on the blood sugar levels.
And do try to reduce your weight alone without the supervision of an experience doctors and dietitian.
At the Personal Dietology Center work experience doctors who additionally are trained as dietitians.
Our doctors can read the blood test you have already done or can advise you where to do a qualified blood test for your blood sugar levels. Blood sugar imbalance (low blood sugar or high blood sugar) is a condition in which your body does not handle glucose effectively.
This is a HUGE topic, and well beyond the scope of an article, but we will hit the highlights in a nutshell. Throughout the day blood glucose levels may fluctuate outside of the bodies desired blood glucose range. There are many symptoms associated with low blood sugar but the following ones are most common. You can also experience what we call a ‘low blood sugar crash’ which may result in a combination of all the low blood sugar symptoms.
When you consume concentrated sugars or refined grains there is a rapid rise in your blood sugar levels.   Insulin is then released from your pancreas and begins to open channels on cell membranes allowing glucose to travel from the blood into body cells.
In some individuals, too much insulin is released in response to a carbohydrate or sugar rich meal. When insulin is high, lots of cell glucose channels become opened which results in the blood glucose level dropping too low. This can also contribute to the cycle of subsequent sugar cravings throughout the day as the body cries out for an immediate source of sugar to bring blood sugar levels up again quickly. Many people intuitively know that they have a blood sugar problem but wonder if they should get a medical diagnosis.  They ask us if they should get a blood test. Blood tests are great for letting you know if you have HIGH blood sugar but we haven’t found them to be an accurate indicator of low blood sugar problems, your symptoms will give you a much more accurate picture. If you answer ‘yes’ to several of the following questions or say ‘yes’ to just one of the questions marked with a double asterisk (**) then you can safely assume that you have a low blood sugar problem known as hypoglycemia. Very Important Note: Did you know that ALL type 2 diabetes (onset diabetes) is preceded by untreated low blood sugar problems?  In other words, if you have a Low Blood Sugar issue and you don’t fix it, you are a prime candidate for type 2 diabetes. There can come a time when your cells have let in too much insulin and start now resist letting any more enter.  This is called insulin resistance. If insulin resistance (precursor to type 2 diabetes) is not corrected, eventually the pancreas will become exhausted and no longer be able to produce adequate amounts of insulin. This is how low blood sugar issues that are not nutritionally remedied will lead to diabetes.
The good news is you can reverse low blood sugar and type 2 diabetes.  Here are the first steps in that process. Chromium: is a naturally occurring trace mineral that enhances insulin’s effect in the body, improving the uptake of glucose, causing better blood circulation and maintenance of blood sugar level. Most food today is very low in chromium, especially refined flour and refined sugars and sweets of all kinds, including even fruits.
Add one chromium picolinate (from our online store) twice a day for additional blood sugar balancing. L-glutamine is an amino acid that your body can use as emergency fuel.  For example, if you have a blood sugar crash, from either eating sugar and then crashing or from going too long without food, reach for l-glutamine instead of sugar.
It is has also been proven effective for reducing any type of cravings for carbs or sweets including alcohol.
Coaching on these and other health issues are provided through my Inner Circle coaching program or Consultation Packages. The information made available in this article is provided for educational or reference purposes only. Patients in my practice with very high blood glucose levels have learned to look at the evidence and develop more balanced thoughts about the likelihood of a dangerous low.
This allowed her to keep her BG levels in a normal range for longer periods of time, without giving in to the impulse to snack and boost them higher to get rid of the hypoglycemia anxiety she felt. This can be helpful when patients are becoming accustomed to a healthier range of blood glucose levels after having lived with higher readings due to the fear of hypoglycemia. For example, take some deep breaths every time you sit down to eat a meal or to catch up on email.
I have met patients who have underlying worries about the long-term effects of their high blood sugar, but it just never seems like the right time to change their way of coping.
Start with the most intense sources of anxiety at the top of the list and the least feared situations, events or people at the bottom.  Work your way up the list gradually, gathering evidence about your ability to confront yours fears until you are able to tackle the most intense ones on the list.
Of course, all of these techniques need to be used in conjunction with support from family and health care professionals. It is a good idea to speak to your diabetes educator or endocrinologist for support and possibly referral information. My simple advice would always be avoid panic, keep packets of sugar with you always, take medicine and meals regularly, regular exercise and visit a doc monthly or quarterly. I experienced this anxiety when first diagnosed (at 32 of T1D) partly because I had seen my mother (also T1D) have low blood sugars at a young age, when I didn’t really understand what was happening. I could have used that a few years ago ?? I really appreciate the frankness of the article, thank you! Now that i am older i get very anxious after them for an hour or so but understanding what is happening to your body helps. In a normal situation the body breaks down food after a meal to glucose and then transports it by the blood though the body.
It seems that genetics and an environmental trigger have to come together to result in a patient developing diabetes type 1. Looking at the diabetes situation in the US allows to forecast the situation in Russia in the future if no active steps are taken by the relevant bodies and the society.
Obesity rates are rising all over the world but especially strong in countries which so far had lower rates.
With the increase in the obesity rates over time the diabetes rates will increase rapidly in Russia.


The healthy diabetic nutrition should be discussed with a nutrition specialist and doctor understanding nutrition and diabetes.
It is key if you want to avoid diabetes to eat the right food, eat at right times and also correctly prepared food. But usually the will not tell you which types of bread and pasta you can still eat with diabetes.
But usually did not specify what kind of bread can still be included in the diet or any pasta will not adversely affect the body.
Living with diabetes is only possible with a lifestyle change and not just by taking medicine. Only an experienced dietitian can explain you what to eat, how to eat it, when to eat it and how to cook right. Early weight loss in our programs is always very fast and in the first two to three weeks up to 2 kgs per week is not unusual. Swinging from being very high after a meal, stimulant or stress, to being very low, say if you skipped a meal.
But if too much sugar or refined carbohydrates are consumed the blood sugar goes to high, causing high insulin and resulting in yet another crash. It then becomes impossible to achieve perfect blood sugar balance and insulin dependent diabetes ensues. Your best protein sources are from humanely raised (grass fed or pasture raised without hormones or antibiotics) animal products ie eggs, full fat dairy (not milk), wild (not farmed) fish, beef, bison, lamb, poultry, etc.
Today she is able to reach out to even more women through her regular article contributions to HANS (Health Action Magazine) and her book “Get off the PMS and Perimenopausal Roller Coaster, Learn 9 Natural Fast Track Solutions to Balanced Hormones”. All content posted on this site is commentary or opinion and is protected under Free Speech. If they note that accurate carbohydrate counting and insulin dosing keeps them in safe range, coupled with testing BG regularly and carrying sources of sugar for lows, then they become more willing to gradually reduce their blood glucose levels. You can use imagery to imagine feared events beforehand, and prepare yourself to confront them by using cognitive restructuring or relaxation methods.
Unfortunately, I cannot tell her that I know for sure she is wrong.  But I can suggest we explore her underlying assumptions and figure out if this belief is very realistic.
It is important to develop confidence in her ability to cope with hypoglycemia… yes, it is best to prevent lows when possible, but she can treat the lows quickly and recover from them. If you choose to see a psychologist or social worker, I recommend someone who practices CBT, which is an evidence-based clinical approach. That pervaded into my own experience and my coping mechanism in my school life was to keep my sugars a bit higher than they should have been. Enjoyed the article but T1D is different for each person, take the time to understand what is happening to your body, it do s help with anxiaty.
In a US group of pre-diabetes patients 11% of the group developed full diabetes per year (such a total of 33%) for the following three years.
Medical complications which can arise are kidney disease, blindness, nerve problems or amputations.
At the Personal Dietology Center Palitra Pitania we ask our clients to do a blood test, especially if they are in a high risk group for diabetes.
Even if you are currently using insulin or anti-diabetic medications to manage your Type 2 diabetes, you may be able to reduce or even eliminate your need for drugs by losing weight, exercising, and sticking to your diet plan. Fruit contains valuable nutrients and fiber and has a milder effect on blood sugar than other types of sweets. An experience nutritionist can also provide relevant insight how to adopt the diet be healthy. All these questions around food are a core competency of a dietitian or nutritionist and not of an endocrinologist.
In the United States as stated earlier over 23% of the over 60 year old population has diabetes. This because you can not know all the metabolism effects of food on your blood sugar level.
We had several clients here in high risk groups, and one already with diabetes, who lost after one meeting 5 kgs!
This can be done in conversation with a therapist or by writing down negative thoughts and challenging the thoughts using thought records (see Mind over Mood by Christine Padesky and Dennis Greenberger for a patient’s guide to cognitive behavioral therapy). I work on gathering evidence to develop new, more balanced beliefs with patients who are overcome with anxiety about hypoglycemia. I have seen patients reduce their levels of anxiety and greatly improve their quality of life.  It is absolutely worth the effort.
I don’t care about using another test strip it if means my blood sugars are better controlled!
Insulin also helps move glucose (blood sugar) into cells, where it can be stored and used for energy. A type 1 diabetes diet is designed to provide maximum nutrition, while limiting sugar, carbohydrates, and sodium. Without proper diet, exercise, and insulin therapy, a person with type 1 diabetes could suffer adverse health effects. Health complications associated with this type of diabetes include: vision problems high blood pressure, which increases risk for heart attack, stroke, and poor circulation kidney damage nerve damage skin sores and infections, which can cause pain and may lead to tissue death Following proper dietary guidelines can help mitigate the difficulties of type 1 diabetes, keep your health free from complications, and make your life better overall. A nutritionist or dietitian can help you come up with meal plans, and create a diet that works for you in the long term.
Having a well-stocked kitchen or carrying healthy snacks with you can cut down on unnecessary sugar, carbohydrates, sodium, and fat that can spike blood sugar.
To maintain blood sugar levels, dont skip meals, and try to eat around the same time each day. Fruits Fruits are natural sources of sugar and should be counted as carbohydrates if youre using a diet plan. These include: most green leafy vegetables asparagus beets carrots celery cucumber onions peppers sprouts tomatoes Always choose fresh or frozen vegetables without added salt or sauces. Carbohydrates can come in the form of beans, starchy vegetables, fruit juices, pasta, or bread. Fruits, vegetables, nuts, and other foods travel easily and are great to have on hand when you need them.



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