The reason I first took a glucose tolerance test is that I was helping with a community nutrition class and . A few weeks after this, I had a radio interview to prerecord with an acupuncturist who was from mainland China. I happened to have one of the glucometers from the diabetes educator still in the back of my car, and it was over an hour after the luncheon, so I figured I would just do a quick test of my blood sugars, out of curiosity.
Anyhow, I really did luck out, and probably through this series of serendipities, got alerted that my pancreas was in trouble before it was totally burned out. Shelley, I’m curious what alerted you that you should take a glucose test in the first place.
The reason I selected an hour after eating for postprandial measurements is that I had a Glucose Tolerance Test in 2008 and my blood glucose peaked 70 minutes after eating.
All measurements were made with a pair of Accucheck Aviva glucometers and a Bayer Contour USB glucometer.
What does the science say? Jenny Ruhl has guidance on this at her excellent web site Blood Sugar 101.
My personal take on blood glucose targets and the selection of food to eat: my #1 goal is to never have to be on insulin.
As a practical matter, I look at the results of the food tests in this web site and will, in the future, eat only those that have a minimal effect on my blood glucose.
The New Atkins for a New You recommends that those trying to lose weight limit net carbs (total carbs minus fiber) to 20g during induction, then gradually add carbs in 5g increments as long as weight loss is not halted or other problems do not arise.
Got a Request?I’m a very busy guy with the site, but if you have a special request for an item that should be tested, let me know.
Series NavigationOctober 2005 Glucose Tolerance TestMy 2010 Glucose Tolerance Test – Have I Goofed? Alcoholics Anonymous cofounder Bill Wilson was very interested in the link between alcoholism and hypoglycemia. Unfortunately, despite the work of Tintera and many others, few physicians today have a good understanding of hypoglycemia. The reason I'm so sure many alcoholics are hypoglycemic is that during the past ten years I have found that the overwhelming majority at HRC suffer from this disorder. To understand how these symptoms develop, you have to know something about glucose metabolism. If you are hypoglycemic and alcoholic, your over sensitized pancreas tries to control your excessive intake of both alcohol sugars and refined sugars. Eventually, the physical stress produced by low blood sugar prompts an outpouring of the adrenal hormone epinephrine, which signals the liver to release emergency sugar (glycogen) to prevent further insulin shock. Over time, the frequent outpouring of epinephrine (adrenaline) to prevent insulin shock takes a toll on your adrenal glands, your buffer against stress.
In an attempt to explain these hypoglycemic symptoms as a psychological phenomenon, mental-health professionals have developed an elaborate concept called the dry-drunk syndrome.
A Hazelden Foundation publication on the subject characterizes typical dry-drunk alcoholic as grandiose, judgmental, impulsive, childish, easily distracted, and disorganized. These highfalutin psychological explanations ignore the fact that the symptoms are caused by a physical condition -hypoglycemia- which causes severe metabolic changes that alter moods, thought, and behavior. Typically, most of these symptoms occur in newly abstinent alcoholics who try to overcome their emotional and physical discomfort by smoking cigarettes excessively and drinking enormous amounts of coffee laced with sugar. Both caffeine and nicotine cured with corn, beet, and cane sugars can prompt the outpouring of adrenaline that temporarily raise blood sugar, as do candies, baked goods, and other foods containing refined sugars. Maintaining constant and adequate glucose levels is one of our most important biochemical needs.
You cannot recover from hypoglycemia overnight, but in a few short weeks you can feel much better. Since high doses can affect the liver, do not take niacin if your lab tests reveal any abnormalities of liver function. Chromium levels were extremely low in ninety-one of the one hundred alcoholics participating in our HRC study.
Incidentally, you may be interested to know that chromium can protect you against stroke and heart attack. You may have learned about glutamine, vitamin C, magnesium, and pantothenic acid in the exploration of this website, but you may be interested to know how they help control hypoglycemia and stave off cravings for sugar. In the brain, glutamine is converted to glutamic acid, the only alternate source of glucose available to the brain. Alcohol destroys the pantothenic acid needed for normal production of all the adrenal hormones, including cortisone.
As you know, caffeine and nicotine aggravate hypoglycemia by setting in motion that now-familiar scenario in which the adrenals release adrenaline in response to low blood sugar, prompting the liver to release glycogen.
There is no question that caffeine can wire you and bring on restlessness, depression, irritability, anxiety, insomnia, shakiness, and bone-tired fatigue.
If you are drinking five or more cups of coffee a day, you may develop severe headaches, listlessness, and nervousness if you stop cold turkey. You will soon be rewarded for all these sacrifices with more energy, more restful sleep, and, most important, reduced cravings for sugar and alcohol.
In the middle of our initial interview, John stood up and announced that he had to smoke a cigarette. Now, let's take a look at the diet you will be using to bring hypoglycemic symptoms under control. Substitute soy milk or fresh goat's milk or Rice Dream (Imagine Foods, Palo Alto, California) for cow's milk. If you can't find millet bread or brown rice bread at your super-market, try a food cooperative. Cut your salt intake by using lite salt, which is half potassium (needed for cellular energy) and half sodium.
Steam your vegetables (if you cook them in water, you will lose much of their vitamin and mineral content). Keep a lot of assorted nuts, sunflower seeds, apples, oranges, carrot sticks, celery, and other raw vegetables on hand for snacking. Many alcoholics prove to be so reactive to simple sugars that the preceding diet is not suited to them. Over the last few years Health Recovery Center has discovered another effective approach that addresses carbohydrate sensitivity thereby reducing the overproduction of insulin. I am reporting the results of my 5 Hour Glucose Tolerance Test here, along with a few notes from last week. If you’re unsure if you are a reactive hypoglycemic, read my article about how to get a reactive hypoglycemia diagnosis. I suffered for a LONG time before a naturopath diagnosed me with a systemic yeast infection.


Please use newer version of your browser or visit Internet Explorer 6 countdown page for more information. This is because of changes over the day in how insulin resistant by body is and in the amount of insulin I produce, lingering effects of previous meals, glucometer inaccuracies, and other factors. It usually takes me about five minutes to eat, though I drank 75g of dextrose, the stimulus for my GTT, in under a minute.
Both measurements for each test (one before and one after eating) were made with the same meter.
I am very skeptical of these targets, which do not appear to fully consider the consequences of blood glucose levels this high or how lower targets can be reached with a very low carb diet. I am strongly motivated to avoid the need to inject myself with a drug that has to be carefully calibrated for the food I eat and the time I eat it.
The table below shows colors associated with various average blood glucose increases measured an hour after eating. Richard Bernstein recommends that diabetics eat no more than 6 grams at breakfast, 12g at lunch and 12g at dinner for a total of no more than 30g per day. Eric Westman has had clinical success with diabetes patients at Duke University with a diet of just 20g net carbs per day. He collected research papers demonstrating the extent of abnormal glucose fluctuations among alcoholics and sent three different reports on the subject to AA physicians.
Williams has found that a vast majority of his sober alcoholic patients are hypoglycemic; many have told him that their hypoglycemia had been diagnosed even before they started drinking. After years of research, Tintera concluded that even recovered alcoholics who have been sober for many years continue to suffer the effects of hypoglycemia. Some may refuse your request for testing as unnecessary or even dismiss hypoglycemia as a fad disease. In our study of one hundred randomly selected clients, 88 percent proved to be hypoglycemic. Our bodies immediately convert foods high in refined sugar; white flour, or starch to blood sugar, or glucose (the terms are interchangeable). This so-called postprandial fed-state hypoglycemia is very common among alcoholics and produces tremendous cravings for coffee and sweets. When exhausted by continuing demands for adrenaline, they no longer have the strength to respond properly.
Our alcoholic patients furthermore state that these binges lifted them from depression to a temporary period of well-being. All the personality characteristics common to patients with hypoadrenocorticism (weakened adrenals) can be attributed to this hypoglycemia. Take a look at the list below, compiled by Mark Worden from his 1980 article in the Journal of Orthomolecular Medicine. Their pockets are stuffed with candy bars and they habitually reach for colas for a quick lift.
Continued blood-sugar fluctuations to below amounts needed by the brain for stable functioning are a more logical explanation of dry-drunk symptoms than any psychological concept can be. You can banish symptoms and correct the underlying metabolic errors just as our HRC clients do by following a healthy new diet and taking some more nutrition supplements. They will provide you with a steady supply of protein, fats, and slowly available (complex) carbohydrates to prevent the drop in blood sugar that normally occurs about two hours after a meal. But you can combat them with-you guessed it-many of the nutrients you are already taking, plus two new ones. This gastric distress disappears twenty-four to forty-eight hours after discontinuing niacin.
If so, substitute niacinamide, another form of Vitamin B3; it will have no effect on insulin requirements. Refined sugars force a 20 percent increase in the excretion of chromium into the blood, depleting the stores needed to control abnormal glucose fluctuations. In countries where chromium intake and tissue levels are high, the incidence of heart attack and stroke is low. It provides a ready source of brain fuel for hypoglycemics and helps stave off sugar cravings and hypoglycemic symptoms that develop when blood-sugar levels drop too low. Under these circumstances, the adrenal glands lose their ability to protect you from stress. Blood sugar then rises, and the pancreas begins to pump out insulin, overshooting the mark and causing another drop in blood sugar.
With the help of Nicorette gum and the very same nutrient program I am recommending to you, he went off to the north woods of Minnesota for a weekend and came back a nonsmoker. Some HRC clients are afraid that goat's milk will taste terrible, but most find that it tastes just like cow's milk (but, I admit, it depends on the goat). The process of high-heat roasting cause undesirable changes in the natural oils the nuts contain. Every package that proclaims low fat or no fat has increased the carbohydrates to replace the missing fats. This information may not be reproduced without permission from Villard Books, a division of Random House Inc. My endocrinologist told me that I had classic reactive hypoglycemia, for which there’s no pill and no cure. It’s mildly amusing to reread my notes, considering the blood glucose levels that went along with them! But he was willing to test if I wanted to, for a specific missing enzyme or other genetic abnormality. I have also read elsewhere that Hypoglycemia is fully reversible through diet and supplements.
Her fasting blood sugar didnt go lower than 50.” How come did your endo diagnose you with hypoglycemia?
There were a couple of other supplements my naturopath recommended but as the years have gone on I am afraid I forgot what they are. He recommends subtracting half of the fiber from the total carb count to estimate effective carbs.
Others will test you but misinterpret the results because of the wide variance in diagnostic approaches practiced during the last two decades. When too much sugar builds up in the bloodstream, the pancreas pumps out extra insulin to counteract the overload.
A study published in 1976 in the Annals of the New York Academy of Sciences reported that affected alcoholics are prone to "headache, weakness, tachycardia, hunger, excessive sweating, loss of concentration and anxiety. This condition called hypoadrenocorticism, interferes with or destroys the ability of the adrenals to protect you from stress. Very soon, however, they discovered that emotional depression could be alleviated more effectively with alcohol.


They are aggravated in the addictive drinker and persist even in the (recovered) alcoholic. It compares commonly reported dry-drunk symptoms to those known to be caused by hypoglycemia.
Their diets often consist of junk foods high in refined sugars and low in quality protein found in vegetables, grains, and fruits.
A surge of insulin quickly pushes glucose levels back below normal causing the unpleasant symptoms and the need for a sugar fix begin all over again. You'll have to give up both caffeine and cigarettes, but the sacrifice will pay enormous dividends in renewed energy and vibrant good health.
Your old friends glutamine, vitamin C, magnesium, and pantothenic acid help keep sugar cravings under control. Russell Smith treated 507 hard-core alcoholics with six grams of niacin a day for six months. It will help stabilize blood sugar by raising levels that are too low or lowering levels that are too high. Alcohol eroded the metal, causing him to ingest chromium particles, which were then stored in his tissues.) Chromium picolinate will speed improvement in glucose availability and reverse your hypoglycemic symptoms. What's more, tests of patients with severe heart disease have shown that they have virtually no chromium available in the aorta, the heart's major artery.
Adrenal supplies of vitamin C can become severely depleted as a result of hypoglycemia and associated sugar cravings.
But both will have to go in the near future to be successful in your battle with hypoglycemia.
He was subject to sudden panic attacks, spells of heart-pounding and overpowering fearfulness that his physician had been treating with the drug Inderal, a blood-pressure medication that has a calming effect. I suggested that by detoxing his brain and body systems, his cravings for alcohol would disappear. In the body, this altered oil can promote formation of free radicals, dangerously unstable molecules capable of damaging healthy tissue and promoting the development of cancer.
I learned nothing new, but at least I have no worries or concerns about other disorders (my insulin levels and thyroid levels were normal). Do you know whether reactive hypoglycemia can come on suddenly or is that just Hypoglycemia? At some point, I may get a continuous blood glucose meter to measure my total glucose response, but this is definitely a limitation of my current tests.
Also, some of these food products are rarely eaten with no other, the way I tested them; sandwich bread might be eaten with peanut butter and sugar-free pickles, rather than carb-free cheese,  and a salad. For these reasons, you may need to search out a physician who fully appreciates the impact of hypoglycemia on alcoholism and can diagnose the condition accurately. Figure 2, gives a breakdown of the types of hypoglycemic curves seen among these one hundred clients.
Gyland himself experienced many of these symptoms; at one point, he became so incapacitated that he had to stop practicing medicine.
When it does, you may develop headaches and become irritable, anxious, fearful, tired, dizzy, confused, uncoordinated, forgetful, and unable to concentrate.
But this respite from depression and craving was of short duration so that continued drinking seemed the only answer. There is good medical evidence that chromium deficiency contributes to the buildup of plaque, the fatty deposits that clog coronary arteries and precipitate heart attacks.
After we convinced Brent to give up the forty cups of coffee he had been drinking daily, his panic attacks, as well as his insomnia and tremors, disappeared. I do a lot of tests of each product and compute the average and standard deviation of the results. Carron, fifty outpatient alcoholics and fifty halfway-house alcoholics were compared with a control group of one hundred nurses and teenagers. It also stimulates the adrenal glands to trigger the release of stored glycogen to temporarily raise blood sugar levels.
Add two 500-mg doses of niacin, one at breakfast, one at supper; you are already getting enough chromium in your multi-vitamin formula.
They remained sober and their memories improved, as did their learning abilities, problem-solving skills, coping abilities, sleep, appetites, interpersonal relationships, and job performance. Every one of our follow-up studies at HRC shows that the 20 to 25 percent of HRC clients who relapsed were those who could not (or would not) stop smoking cigarettes. After you rid your system of these toxic substances, your body will be much more cooperative when you stop smoking. My next step would be do perform ambulatory testing, to see if symptoms coincide with low blood sugar levels.
Finally, by eliminating sugar and caffeine and making other dietary changes, he stabilized his blood sugar and achieved a sense of well-being. Of the one hundred alcoholics, ninety-six proved to be hypoglycemic; only fourteen of the nonalcoholic controls were hypoglycemic. You may not want them when you're drinking, but most alcoholics begin to crave sweets as soon as they go on the wagon. For the time being, just be aware of how many cigarettes you smoke every day and try to cut down a little.
And natural fats, not the partially dehydrogenated man-made fats, are essential to our emotional stability. Finally, he pieced together the correct diagnosis of hypoglycemia, which he then verified by a six-hour glucose tolerance test. You will be eating three hearty meals each day, plus healthy and filling midmorning, mid afternoon, and after diner snacks. The gray matter of our brains is composed mainly of essential fatty acids (EFAs) made from fats.
We need these EFAs to prevent depression, to create a sense of well-being, to control hormonal distribution, and to regulate cholesterol metabolism.
Both are absorbed directly into the bloodstream, and both can cause memory blackouts and intense cravings. But with the nutritional support you'll get while you're on the diet, it won't be as bad as you think.



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Comments

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