What does it feel like to have a low blood sugar?That's a question I've heard countless times over the years, in my three decades of living with type 1.
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The Diabetes Social Media (DSMA) Blog Carnival topic for the month of February asks us to explore the concept of "advocacy."In our diabetes community, the word gets tossed around a lot. We've reached the end of another month, and for September the monthly Diabetes Social Media Advocacy (DSMA) Blog Carnival asks what we people with diabetes would like our doctors and medical professionals to know about social media. Who remembers that classic Seinfeld episode in which Elaine is sitting in her doctor's office waiting, and she peeks into the medical file left nearby and sees the word "Difficult" written in the notes about her? The best way I can describe is:You know that feeling at the end of the day after working a full day plus a few hours of overtime?
I think it's so important that you've shared your first symptom and it's not one often mentioned as a low symptom - because it highlights the fact of how different diabetes can be for each one of us!
Ok so I'm not a diabetic and haven't been tested, but I suffer from these weird symptoms like in the article above. As the fastest growing consumer health information site a€” with 65 million monthly visitors a€” Healthlinea€™s mission is to be your most trusted ally in your pursuit of health and well-being. The telltale sign of reactive hypoglycemia, without using a glucose meter, is tremendous hunger and shakiness within an hour or two of eating a meal. The basics of reactive hypoglycemia, which are experienced most commonly by people who have lost a lot of weight and have entered into a functional state of starvation (whether going from 400 to 250 pounds on a low-carb or calorie-restricted diet, or going from 120 to 80 pounds via eating disorders seems to be somewhat inconsequential). Traditionally, it is well known that eating a diet with a pretty high ratio of dietary protein to carbohydrate helps to medicate this problem. Might I also mention that these reduced obese subjects, when eating the 2,171 calories required to maintain their new weight, ALL experienced ravenous and gnawing hunger which persisted until every ounce of weight they had lost was regained. Anyway, the point is that whether fat or thin, the starvation reaction of the body is the starvation reaction of the body a€“ whether you weigh 220 or 60 pounds. And lastly, protein requires more energy to digest, which is one reason nearly all diet authors advocate big protein intakes.
I am wondering if the amount of protein consumed is important, as eating protein causes a rise in glucagon which as a function raises blood sugar. I've been reading some of your past posts and really looking through what you have to say (via e-book, guest posts) and find it fascinating.
The more I think about this approach, the more I think that this makes sense with what we've been doing for awhile. I think you're on track, and the Kitavans are just one of many human cultures that ate a ratio like that. And I'd say my diet has been low-fat (10%) and moderate protein (15%), not moderate fat and low protein. Although a lower carb diet can be rebalancing for a long-term vegetarian, I think your only major problem as a vegetarian stemmed from undereating and eating no animal protein whatsoever. I also think your chances of fat gain are much less if you can keep your ratio of carbohydrate to fat pretty high.
Working out builds strength, muscle hardness, and alters hormones to drive more protein into muscle and less into fat.
I've been skipping breakfast (just coffee with some cream) and eating lunch during the week because my workday is very busy before noon. As far as leanness, I think just about anybody, once they've achieved a high body temperature, will be able to eat large, mixed, whole food, high everything meals to appetite and maintain energy balance without willpower. I would suggest a very slow transition rather than jumping right into HED — just because I remember the craziness and bad thoughts and terrible digestion I had when I ate a lot.
Maybe I just answered my own question, but can anyone pinpoint why he would be hypoglycemic, given such little information about him?
I do agree with Matt that somebody has a healthy metabolism should be able to eat large mixed meals.
5 to 1 ratio in a healed body of carb to protein…that one is something to work toward. I agree that once you reach a proper metabolic set point, you can eat just about any macronutrient ratio without gaining weight(fat). Eating high carb low fat 90% of the time with the occasional high fat mixed meal is much more satisfying and seems to match with how most cultures ate for the most part.
Aaron,Volume and Intensity are relative words it is hard to use numbers as it is very individual. Volume is generally understood as the amount of time muscle is under tension and also the frequency of the training. Intensity is about not so much the amount of weight(% of 1RM) that you use but actually taking training to a point of failure aka making your training more difficult.
His basic traning methods are referred to as Metabolic Enhancement Training, Innervation Training, and various Hybrid training approaches for bodybuilders. One example he gives is the world record holder for situps, and how he does not have developed abs. His other ideas are totally different though, designed to activate whole muscle groups with high velocity and improve metabolism.
Pharmacists can teach patients how to identify the symptoms of a hypoglycemic episode and provide methods for self-treatment.
Pharmacists are likely to encounter patients seeking recommendations for OTC products for the prevention, management, and treatment of hypoglycemia. Mild to moderate episodes of hypoglycemia are typically managed by ingestion of glucose.1 At the onset of symptoms, patients should immediately check their blood glucose levels. Patient education on the use of the glucagon kit is critical to ensure the proper preparation and administration of the glucagon injection during an emergency. During counseling, patients should be reminded about the importance of recognizing and immediately treating any hypoglycemia symptoms, especially because severe hypoglycemia may result in unconsciousness, coma, and seizures. Persons using assistive technology might not be able to fully access information in this file. Three days after the initial visit, Andrea feels better with fewer stools per day, but Marcus has had worsening vomiting and diarrhea.


The decision to change from oral to intravenous antibiotics may be based on Marcus' increased vomiting and on his clinical decline. Salmonella infection, perhaps by decreasing the usual protection offered by normal bowel flora, and thus decreasing the infectious dose necessary to cause illness. Glycemic index list foods, foods blood sugar, A printable glycemic index list of foods for weight management can guide your food choices and menu planning. Hot The glycemic index - mendosa Reviews and Bonus Limited Time, The glycemic index ranks foods on how they affect our blood glucose levels. Discount American diabetes association: glycemic index and diabetes Purchase Online - Glycemic index and diabetes. Discount Glycemic index and glycemic load - mendosa Purchase Online - This is the definitive table for both the glycemic index and the glycemic load. How To Glycemic index list foods, foods blood sugar Best Offers , A printable glycemic index list of foods for weight management can guide your food choices and menu planning.
But I also get the oven warmth that wakes me in the middle of the night that Jessica talks about. Both of which will support, guide, and inspire you toward the best possible health outcomes for you and your family.
A glucose meter provides more hard evidence of the condition, and typically shows a high fasting blood sugar level that plummets after ingesting food.
Atkins, Keith Berkowitz, describes how, in those who have lost a lot of weight, he keeps repeatedly seeing the strange phenomenon known as reactive hypoglycemia in his patients. The high ratio helps to trigger glucagon release, which triggers the release of stored carbohydrate a€“ keeping blood sugar levels more stable.
And the result is often the same when it comes to reactive hypoglycemia, which very commonly affects the hypometabolic, and is a huge barrier for the anorexic and reduced obese alike when it comes to reintroducing carbohydrates into their diet. Thata€™s a good question, because the standard high-protein, low-carbohydrate diet given to hypoglycemics since forever to control and medicate the condition, also happens to lower metabolism according to Dr.
It causes a greater heat production (thermogenesis from food digestion) than any other type of food a€“ grounds for saying it a€?raises your metabolism!a€? Well yes, it a€?burns more caloriesa€? and causes a postprandial rise in body heat, but when this causes your bodya€™s resting energy expenditure to decline, then ita€™s actually counterproductive, not productive. If I can eat white rice, yams, and white potatoes as my starch, veggies as desired, throw in some fruit for fun, some animal meat and a little butter to top it off, that is definitely sustainable. I remember reading a very interesting part in the book Born to Run where he describes how once we started eating starch, that we were able to divert energy to brain development and away from digestive efforts. We need your experience with reintroducing carbs to provide some good insight on how it can be done, because once you do, I think you'll be able to pursue whatever body composition goals you have in mind.
I would rather see you incorporate fish and continue eating high in carbohydrates than swing to low-carb or anything close to it. But ultimately I think eating is where most increases in muscle growth will come from, like the MNP guy suggests. I am pretty sure now that I think about it, it was probably from hypoglycemia maybe spurred by the minimum 6-pack of pepsi I drank every day. Are you enhancing your metabolism to be able to tolerate it without gaining fat, or are you confined to bread without the butter forever (should you choose to remain lean)? Anything containing fructose or alcohol are the only things that have ever given me classic hypoglycemic reactions (wake up at 4am, sweating, with hunger pangs for example). What helped me was a rigidly controlled, totally balanced maintenance diet that helped me eat normally and regularly without, at first, gaining weight.
He does, however, do a lot of strength training, is very lean and muscular, and mostly eats protein (probably too much) and carbs (prob not enough), and is very fond of beer and wine. I notice that my first meal needs to contain the most protein, and then usually I can make it to the next meal without any major blood sugar problems. You can increase intensity by shortening rest between sets, changing tempo of the weight being lifted, increasing volume, etc.
Like biceps… Doing regular curls is a great way to work your back and shoulder muscles and take strain off of the bicep. Recognizing the signs and symptoms and identifying factors that can contribute to hypoglycemia is an important component of diabetic care. If the patient is still unresponsive after administration, the caregiver should be instructed to call 911 for further treatment.1 Patients with glucagon kits should discuss the proper use of the kit with their primary health care provider or diabetes educator.
Family members and other caregivers should be instructed on the use of glucagon and be informed of the protocol for handling a severe hypoglycemic episode.1 Primary health care providers should always be informed of any severe cases of hypoglycemia.
A commercial oral rehydration solution (ORS) may be used, particularly for Marcus, to provide glucose and salts. Because of the progressive systemic nature of his illness, you also obtain blood cultures at this time. However, during hospitalization, he should be encouraged to resume drinking ORS as early as possible. The choice of antibiotics should reflect the results of stool culture and antimicrobial sensitivities. Typhimurium has been on the rise in the United States since the early 1990s and now accounts for at least 25% of these isolates.
This is a reasonable choice in light of the antimicrobial resistance and the reluctance to use fluoroquinolones in the pediatric population. Typhimurium, public health laboratories may perform bacteriophage typing or pulsed-field gel electrophoresis (PFGE) to further characterize the drug-resistance patterns of these organisms. In addition to nausea, cramps, coughing, and sweating, his eyes have begun to tear uncontrollably and he complains of having had difficulty breathing while en route to the office.
Upon returning home, he finished drinking the bottle of water he had purchased earlier from the local deli and began to get ready for work.
The neurologic exam reveals the slight tremor in his left arm, slightly slurred speech, excessive salivation, and transient fasciculations in both upper extremities. And sometimes my body reacts differently depending on the time of day, which is frustrating. I get extremely tired-to the point of literally falling asleep right then and there, nausea, dizziness, headaches(similar to migraines) and fatigue. This appeared to completely eradicate the condition for many patients, allowing them to eat foods they never thought theya€™d ever be able to eat again, like chocolate cake, without having extreme hypoglycemic reactions (like that noted by Ailu in the comments in the last post, who has literally passed out after eating pancakes by themselves for breakfast). Therefore, you eat less food a€“ not good for the metabolism of someone in a functional state of starvation.
After my digestion finally got better and energy improved (yes on high-fat, mod protein, low-carb), I managed to slowly increase carbs without the blood sugar crashes and waking up in the middle of the night episodes.


I have no interest in being a fatass or keeping my followers from being able to get lean either. My preference for switching to high carbs is just diving in, and probably keeping meal size very small – eating every 2 hours for someone just coming out of the gates. I also seem to have less cravings later on in the day if I've had a good dose of protein earlier. I don't have any of his books or DVDs but if I have it right (JT would be the point man on this), Scott Abel wants people to train with intensity and full effort. However, extend the arm straight out and use a cable instead and you are working the bicep with maximum efficiency.
Food sources containing fast-acting carbohydrates for treating hypoglycemia include 8 oz of low-fat or nonfat milk, 4 oz of fruit juice or nondiet soda, 1 tablespoon of sugar, or 5 to 6 pieces of hard candy, such as jelly beans or fruit-flavored candies.1,5 In addition, there are OTC products specifically indicated for treating mild to moderate cases of hypoglycemia in the form of glucose tablets, gels, and drinks (Table 2). Because glucagon kits have expiration dates, patients should be advised to routinely check the dates and replace accordingly to have one on hand in case of a severe hypoglycemic emergency. While he may return to preschool as soon as he is feeling well enough to do so because direct spread from one child to another is rare, clinicians should defer to their local health departments regarding their clearance policies for convalescing children attending preschool.
You note negative Babinski and his cranial nerves (CN) 2-11 appear intact, while CN 12 appears slightly abnormal.
Hot Diets high protein content glycemic index Reviews and Bonus Limited Time, Background studies of weight-control diets that are high in protein or low in glycemic index have reached varied conclusions, probably owing to the fact that the. And no, I'm not talking about the great 80s movie by that name with an all-star cast about a group of college friends reuniting for a weekend (a movie that's 30 years old this year!). I also feel like a puppet whose strings have been cut.(My sister knows me well enough now to say, "you need something to eat, don't you?" My impression is that I look to her to appear "haggard" in an instant.
When experiencing nighttime lows, my dreams get stuck in a loop, like my brain can't come up with anything new. Not only that, but it re-awakens a beastly and outrageous hunger that is the worst nightmare of both Anorexics and obese alike. Secondly, consuming EXCESS protein beyond what your body uses (and your body uses very little for muscle-building if you are not eating very many carbohydrates a€“ the Taxi for getting dietary protein into muscle cells), forces the excess protein to be burned as energy (protein oxidation). I kept a moderate protein intake pretty steady the whole time and started eating more fruit and potatoes. Now, I am to the point where I can stuff myself with food and still continue to get leaner. He states that he carefully washed the broccoli, the oil was from a bottle he opened last week, and the pasta was from a box he had already used 2 days before.
Hot American diabetes association: glycemic index diabetes Reviews and Bonus Limited Time, Glycemic index and diabetes. No, for me, this Big Diabetes Chill is certainly no weekend getaway.Sometimes it feels weird telling people this, because I don't get the sense that "going cold" is one of the classic symptoms people think or know of when it comes to hypoglycemia. Probably because I don't talk about it a ton, but if they wanted to know they would definitely ask.
If my blood sugar goes Low overnight usually the thing that wakes me up is that I get really, really hot and start sweating. Uh oh, you need a rise in adrenal hormones like cortisol to use protein as fuel, which are antagonistic to the thyroid, increase insulin resistance, etc. I think part of the reason is due to incorporating all muscle systems in the workout, and doing lots of MET-style movements (asymetrical, high-speed, involving multiple muscle groups at once).
This isn't a freebie to start using the neoprene dumbbells because you still need to push yourself. Getting good at doing situps means recruiting as much support as possible from secondary muscles, using momentum, and doing whatever you can to take the strain off of the abdominals. All he had to drink was tap water with dinner last evening and the bottled water from this morning.
Heck, sweating is one of the symptoms people talk about most, and this is literally the polar opposite. Body reactions can definitely be frustrating and it's sometimes hard to know if it's my surroundings or the sign of a coming Low. A proper set of ab work would probably be 15 reps with just the abs, and no other muscles, constantly under strain. For me, this chill is a sign that I've come to recognize as being a signal for bad things ahead.I feel it coming on slowly, a slight shiver that makes itself known but doesn't completely distract me from whatever I might be doing at the time. How can we describe how it feels to be Low when each time we can have a different reaction?! Hot Glycemic index glycemic load - mendosa Reviews and Bonus Limited Time, This is the definitive table for both the glycemic index and the glycemic load. I am certain there is a pattern as to which symptoms appear under what circumstances, but I am too lazy to do the data collection and analysis. 1 set of 20 rep back squats with a weight that is my 10 rep max, that's intensity and leaves me walking for the door. Hopefully this helps and please chime in with tour thoughts JT because I could be way off the mark.
There might be a winter hat that gets pulled out and worn inside.Eventually, I wonder whether this is a blood sugar or house temp issue.
My workout in an hour is Going to be like this, I'm looking forward to hitting it hard and then having 3-4 cups of rice!
In the summer, it's a bit easier to tell because it's so warm outside, but this time of year gets a little trickier to determine whether I just need to crank the heater up, or whether diabetes is cranking me down.I can check my blood sugar on a meter or glance at my CGM, but sometimes even those aren't completely accurate and I find that my low blood sugar symptom is more revealing than the D-tech I so rely on (!) Sometimes my body just knows best by experiencing a big chill.Is this normal?
We talk a lot about diabetes gadgets and tech tools here at the 'Mine, and it's great to have access to these devices that can often catch these Lows before they get out of hand.But not always. With meters being as much as 20% off the mark and CGMs sometimes showing delayed results (especially when sugars are changing fast), current D-tech only takes us so far. And that's when we have to hope that we can rely on our bodies to alert us that something's wrong.So, as much as I sometimes scoff at the idea of relying on the old-school pictures above showing the range of D-symptoms, that's often what it boils down to when describing a low blood sugar to the general masses. That and maybe I look like Helena Bonham Carter even when it's clearly not cold outside.Because personally, it's usually that Big Chill that's the first sign of heading down fast.What say you, D-Peeps? How do you describe a low blood sugar, and what symptoms do you usually see first? This is our November post in the DSMA Blog Carnival.




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