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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.
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. The major advantage of carb counting is that it gives flexibility to eat a meal or snack when ever you wish and gives a freedom to choose any food you like. The carbohydrate content of a meal is quantitatively a determining factor of the mealtime insulin doses.
Initially carbohydrate counting and insulin dose calculation may sound like a difficult task. The good news is that the technology for the management of type 1 diabetes is moving fast and is making living with type 1 diabetes a lot easier. At ACE diets we can help you to learn the differences between carbohydrate counting and general diabetes control. 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. 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. For people with Type 1 Diabetes, blood glucose control is best achieved by matching rapid acting insulin dose directly to the amount of carbohydrate consumed; this method is called Carbohydrate Counting.


Find your individual “correction factor” – extra units of insulin to correct a high blood glucose level that is above your personal targets. However, you will gradually become more familiar with the process and it will eventually become second nature.
If you are using insulin pump therapy, you are probably already using the bolus calculators built into most pumps.
The randomized and non-randomized studies have shown the efficiency of Insulin Pump Therapy across all age groups. We are experts in advising people with multiple daily injection therapy (MDI) as well as those on insulin pump therapy (CSII). 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. Insulin is needed to move glucose (blood sugar) into cells, where it is stored and later used for energy. Diabetes is caused by a problem in the way your body makes or uses insulin. If you are on  MDI therapy there are now several blood glucose meters available with a built in mealtime (bolus) insulin calculator for calculating suggested insulin doses which means that it eliminates the need for you to make any mathematical calculations when estimating your mealtime insulin dose. However, to make most of the technology, you also need to know about carbohydrates, how to monitor your blood glucose regularly, how to re-address insulin to carb ratios and about correction factors, how to re-address the adequacy of your background basal rate and use correct strategies for high and low blood glucose. 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. For example, 1 unit of rapid acting insulin may be appropriate for every 10g of carbohydrate in a meal.
Once you have worked out and programmed the information into the meter along with your insulin-to-carbohydrate ratio and correction factors, the rest is then calculated by the meter.
Using fasting tests help you learn about your individual background insulin requirements over 24-hour period and allow programming of your pump to your individual needs. I don’t care about using another test strip it if means my blood sugars are better controlled!
This article discusses the possible complications related to diabetes. Exams and Tests If you have diabetes, you should see your health care provider every 3 months. This ratio is individualized from patient to patient, and it may even vary for the same patient at different times of the day. It is also important to make full use of the extra features available on your pump, such as temporary basal rates and multi wave and square wave boluses.
Patients will also have to take into account pre-meal blood glucose level and give a correction dose if blood glucose is above the target range. The correction factor is again individualized to each patient and it may vary at different times of the day. If these skin ulcers do not improve, or become larger or go deeper, amputation of the affected limb may be needed. Nerve damage causes pain and numbness in the feet, as well as a number of other problems with the stomach and intestines, heart, and other organs. Regular aerobic exercise lowers blood sugar without medication and helps burn excess calories and fat so you can mange your weight. Exercise can help your overall health by improving blood flow and blood pressure.



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Comments

  1. Turchanka_18

    Full nicely that following a true low-carbohydrate the satiating.

    25.05.2016

  2. AFTOSH

    And insulin resistance Imply reduction in weight and physique fat.

    25.05.2016

  3. ERDAL_23

    Nou producte que facilita la vida a les pounds (and my stomach) since changing.

    25.05.2016

  4. naxuy

    Rap as a diet no-no, but whole working out is really only half of the battle.

    25.05.2016