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.
There’s just something about drinking 16 ounces of pure leafy green and fruit goodness that makes the skin glow. Tip: Use protein and healthy fats in green smoothies if you are monitoring your blood sugar levels. Loving the smoothies, thanks for information on switching the ratio, was wondering about sugars. My husband just found out he has type 2 diabetes he began by drinking green shakes and he changed the way he eats. Okay, so I feel like a bit awkward asking this with all this healthy raw talk, but are there any natural sweeteners you would recommend for occasional smoothie use?
The Kiwi Berry Punch is a low-calorie, nutrient-dense smoothie recipe that combine the best fruits and veggies for an optimal approach to healthy weight loss. The best part about a green smoothie–you can use a smoothie as a low-calorie meal replacement because they are full of fiber which keeps your body feeling fuller longer.
You can always limit the amount of fruit in your green smoothie by flipping our Green Smoothie Formula on it’s head. Adding 8oz of Greek yogurt is a great source of protein, and a great addition to any recipe!
Hi My husband and I have gone to smoothies while trying to cleanse him from the poison of chemo and radiation.
We suggest checking out our Goji Berry Orange Smoothie it was created by Amanda and is chockfull of superfoods and antioxidants that aid the body’s healing process and give the immune system a boost!
We're Jen and Jadah, two friends raising our families on healthy, whole-food recipes mixed in with some ice cream and pizza. We've seen the amazing health benefits of green smoothies firsthand— from losing 27 pounds to getting more energy than a double shot of espresso. The final destination of a journey is not, after all, the last item on the agenda, but rather some understanding, however simple or provisional, of what one has seen. In these modern times, with the plethora of blood-sugar-related diseases, we need tools like GI and GL to help us understand ways to control blood sugar. The self-testing, graphic approach to food testing developed in the balance of the newsletter is a less scientific but a more dynamic way to explore postprandial (post-meal) blood glucose levels (BGLs).
GI measures the blood glucose impact of foods eaten in isolation, yet we rarely consume foods this way. GI readings vary with the individual—blood sugar and insulin reactions are more extreme for diabetics, for example (See Charts 2A and 2B). GIs are calculated in the science lab as the day’s first meal after a 12-hour fast and using a fixed serving that includes 50 grams of carbohydrate.  Most of our daily calories, however, are consumed in combination and throughout the day, when our blood sugar is affected by other foods that we have eaten earlier, as well as by our level of activity. Of the following numbered charts, the first three are based upon scientific research journal articles (Charts 1, 2A, 2B), while the last four (Charts 3-6) are constructed from my own self-testing of foods4 using a simple blood glucose monitor. Chart 1:  Blood Sugar Curves of White Bread Compared to Bread with Added Fiber, Sourdough, and Vinegar. Chart 3:  Instant Oatmeal, Whole Oats (Soaked and Not Soaked), and Whole Oats Combined with a Protein and Fat.
To fully appreciate the impact of two back-to-back carbohydrate breakfasts please notice that the scale used for Chart 6 is twice that of Charts 3-5.
Resetting the Table–to Control Blood Sugar (For a discussion of other strategies, see April 2011).
Ramekins filled with condiments like nuts and seeds (GI=0).  Nuts and seeds provide healthy fats, fiber, vitamins, minerals, and antioxidants, while they slow digestion and curb blood sugar. Sourdough bread or whole-grain bread with whole kernels; butter from grass-fed cows and organic nut and seed butters such as tahini and pumpkin seed butter. A pitcher of water and glasses for all—sometimes we mistake hunger for what is in fact thirst.  You might flavor the water with a little lemon juice or other flavoring.
Because 12-hour fasting, pre-meal blood sugar reading can vary, all data points at time zero prior to the first morning meal were indexed to zero in order to illustrate the change from a neutral starting point. I use the label “traditional” carbohydrates, just as we call unrefined fats, “traditional” fats. Adrenal fatigue is one of those catch all terms in the functional medicine and paleo community. The adrenal gland’s lack of output is mainly occurring due to HPA-Axis dysfunction, in other words the brain is not communicating to the gland appropriately. Like a thermostat that talks back and forth to the heater and the AC unit in someone’s house. This intimate back and forth communication happens because the brain and adrenals cross talk back and forth.
Catabolic hormones:  Hormones that break us down, deal with inflammation and liberate energy.
Anabolic hormones: Hormones that build us up and keep our body reproducing in a healthy fashion. When our body deals with stress acutely, our cortisol and adrenaline increases to help mobilize energy and put out the fire of inflammation. Our body shouldn’t be producing cortisol at a level of greater than 6 units of cortisol to 1 unit of DHEA. Below is a lab test from one of my patients showing the elevated cortisol to DHEA ratio, signifying this accelerating aging process. The lab markers are important indicators for the stress the body is under and can be a great marker to revisit to assess how patients’ improve various areas of stress in their life regarding diet, lifestyle, infection removal and detoxification. Assessing the glands that help control and regulate stress is very important to your health. Cortisol is secreted in a pulsatile fashion, higher in the morning and then tapering off throughout the day.
The more dysfunctional our adrenals become, we start progressing into deeper stages of adrenal fatigue where our brain (the master controller) isn’t able to communicate with our adrenals properly and we develop HPA axis dysfunction. This is nothing more than communicational breakdown that can be fixed with proper diet, lifestyle, stress management, and a properly prescribed adrenal program (specific to your pattern of adrenal fatigue). Most doctors may think the problem originates from the thyroid gland and put the patient on synthroid.
As you can see the various patterns of adrenal fatigue above, the worst of them all is the extreme adrenal fatigue pattern. What makes this cortisol rhythm so devastating to most individuals is that it can cause low energy, prevent restful sleep and decrease DHEA levels which prevents them from healing and repairing optimally. One study showed a flat cortisol rhythm was a major predictor of cardiovascular disease, even more than smoking!
Getting a cortisol saliva test that can measure your cortisol throughout the day is essential to diagnosing exactly what stage of adrenal fatigue you have and if HPA-axis dysfunction is occurring. There are some good telltale symptoms that help shed some light on how much adrenal dysfunction is present.
If you have 2 or more symptoms, there is good chance your adrenal are under some stress and could use some support. Since it is the month of Ramadan we’ve got some more tips for our Muslim followers to help them this month. While fasting, Muslims wake up before sunrise to eat a big meal so that they have energy while they fast during the day, this is called Suhoor or Sehri.
A health fats filled meal could be an avacado sandwich on whole wheat muffin with cilantro, tomato, smoked salmon and eggs. Time saving tip: Pack your fruits and veggies in packets for the week so it is easier to make your shakes during suhoor! Lastly, be sure to balance your meals during suhoor.  Try to incorporate some fiber, protein, healthy fats, fruits, vegetables and fluids as much as you can into your meals.

This entry was posted in Beauty & Health, Lifestyle, What's Happenin' and tagged Fasting, food, healthy eating, Iftaar, iftar, islam, muslim, ramadan, sehri, suhoor. The Blind Man from Don’t Breathe, Stephen Lang, to be seen doing a Bollywood dance number!
No hype, straight forward, down to earth, honest talk about holistic health, natural health and green living to improve or protect your mental and physical health. The first obstacle one must overcome when designing a Paleo breakfast is the definition or image of what constitutes a healthy morning meal.
Eating a high-carb breakfast will drain your energy, cause depression and anxiety, produce brain fog, increase your appetite and cravings, increase blood sugar, cholesterol and triglycerides, and make your body hold onto fat regardless of how much you exercise or restrict calories, because it throws your metabolism out of balance. Prior to the Agriculture revolution, breakfast consisted of things like meat, fish and eggs. If you’re into the wild game, then venison and steamed vegetables will work just as well. Every now and then I may throw in a piece of coconut Paleo bread with almond butter, but it always accompanies my steak and eggs, it doesn’t take the place of. You can also add a small serving of berries or sliced peaches on the side if you want a little something sweet with your Paleo breakfast. If you have an issue with eggs due to a food sensitivity or an autoimmune disorder, then you can remove those.
Feel free to get wild and crazy and use your favorite spices in abundance and a little sea salt. Be sure your beef is grass-fed so it has the proper omega-3 to omega-6 fatty acid ratio and is free of hormones, your eggs and poultry should be cage-free and organic and your salmon should be Wild Alaskan so it will be lower in toxins and have the right ratio of omega fatty acids as well. Now, I know in many of the Paleo cookbooks and blogs you may see some beautiful Paleo diet breakfasts that consist of fruit and nuts, and yogurt and fruit, or other beautiful meals that are moderately high in carbs.
You may even see many Paleo people including coffee in their morning meal and making statements that it’s okay. It takes a little time to adjust your mindset about what should be included in your morning menu, but the changes you see in your physical and emotional health will help you stick with the plan. Chicory root is caffeine-free, is believed to kill parasites and bacteria like salmonella, and it is often touted as a prebiotic, meaning it feeds friendly bacteria. There are a wide variety of side-effects reported, which may include, allergic reactions resulting itching, rashes, hives and skin inflammation, decrease in appetite and weight loss. Inulin, which is a fiber that constitutes most of chicory’s make up, can cause gastrointestinal distress for many people including, gas, bloating, belching, cramping and abdominal pain. Chicory may interact with some prescription medications used for cardiac conditions, particularly beta blockers and it can induce menstruation when it isn’t time and may also induce miscarriages. However, carob is a legume, so that means it contains a variety of anti-nutrients that can damage the GI tract, cause inflammation, lead to autoimmune disorders, cause nutritional deficiencies, etc. Well Oxy-powder can assist in removing parasites, but I don’t know that it could do the job in and of itself.
Feeling sluggish after eating meat is a common experience in people who have been vegetarians or not eating very much meat until their meat eating machinery gets up-regulated again. The amount of meat that each person should eat varies from person to person depending on heritage, biochemical needs, health conditions etc.
Our ancestors had very little access to carbohydrates, therefore the human being evolved to function most optimally primarily on animal protein and fat and very little carb. There is no evidence that points to the existence of a vegetarian or vegan culture, except in times of famine. Yes, there are a lot of lies and misinformation out there, but the science is clear we are meat eaters and that a diet high in carbs causes disease. Additionally, I would suggest you read some books like, The Primal Blueprint by Mark Sisson, Primal Body Primal Mind by Nora Gedgaudas, Grain Brain by Dr.
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.
That is why we, Jadah and Jen, started creating recipes for green smoothies and sharing them with all of our friends— we want to help others start a healthy lifestyle too!
Following this rule gives us adequate amounts of leafy greens, while still capturing the rawesome flavors of all the fruits we add! Yet for those who have been drinking green smoothies for a few weeks— this is a challenge worth going for.
We love blendin’ with NutriBullet, it’s a power packed blender and perfect when blending for one! While weight loss is not the #1 goal at Simple Green Smoothies, it can be a happy accident.
If you’re monitoring your blood sugar, we always recommend speaking with your doctor to be sure that green smoothies are a good choice for you, personally. We’re so excited to have you blendin’ with us, and love hearing that our tips are making green smoothies even more accessible! We’re so excited to hear that our recipes are a great healthy option for your husband!
I try to use fruit as a sweetener whenever possible (amen bananas), but sometimes I don’t have that option with the fruit on hand. I’ve seen a green smoothie with green apple, cucumber, spinach and kale with chia seeds. Did you know our co-founder Jadah lost over 25lbs in three months by replacing one meal with a green smoothie? Since we are not doctors or nutritionists, we suggest that any member of our community with health concerns to speak to their healthcare provider to confirm that green smoothies and the natural sugars are okay for their eating plan. Instead of blending 60% fruit with 40% leafy greens, blend 40% fruit with 60% leafy greens or use another ratio to meet your dietary needs. The second factor—the postwar shift from traditional to refined carbohydrates—is largely due to the growing role of the commercial food industry and processed, convenience foods.  Convenience foods must have a long shelf-life, so food companies rely upon refined flours and oils, which do not go rancid. Visual pictures of postprandial blood sugar behavior, while less scientific than GI measurements, are nevertheless powerful learning tools, providing a real flavor for how our body reacts when we eat different kinds of foods. This chart illustrates the second meal effect– that what we eat at one meal affects postprandial blood sugar behavior at the next. What we do to our children when we give them a sugary cereal or a Pop-tart for breakfast extends beyond this first meal to affect their blood sugar, hunger, concentration, and desire to overeat throughout the rest of the day. One of the best herbs and spices to moderate blood sugar.  It can be sprinkled on hot cereals and desserts such as puddings, custards, and stewed fruits. Most people don’t have a gland that is fatigued like you may see in a long term type II diabetic’s pancreases that now needs to rely on insulin to stabilize their blood sugar.
As the temperature outside increases, the AC would kick on and vice versa if the temperature would drop, the heat would turn on. Yet at the same time our anabolic hormones (DHEA, progesterone and estrogen) stay at healthy levels so we can adapt. As our cortisol becomes >6, our body is shifting into a catabolic state (breaking down faster or accelerating the ageing process).
Cortisol is designed to help stabilize blood sugar and help deal with stress and inflammation.
The reason why TSH levels become effected is because if the body is stressed (a sign is excess cortisol) the body doesn’t want to raise its metabolic rate and break down faster. The problem could very well be attributed to the elevated cortisol production from the adrenal glands.
This pattern is flat throughout the day, with cortisol being relatively low across the day and even a slight raise in cortisol at night, can throw of your sleep too. So essentially the closer your morning and night time cortisol are (a flatter slope in the cortisol rhythm) is a significant risk factor for the #1 killer, cardiovascular disease.
To help our readers we’ve got a guide on what to eat during Suhoor or Sehri so that you can maintain energy throughout the day.

You could have a scrambled egg and spinach wrap in a whole grain tortilla or you could try a protein filled milkshake made of peanut butter, greek yogurt, milk, quick oats, banana, chia seeds and coco powder. Try to keep in the healthy fats in your diet, because they keep you full longer than fried fats.
Try to eat fruits and vegetables as much as possible during suhoor to keep your body healthy throughout the day. You could also try to add vegetable dishes like kale, eggs and chedder cheese toasted on a whole grain toast or muffin.
When you break your fast during Iftaar be sure to take the traditional route as it works best, a date and a drink (water, juice or a Rooh Afza drink). If you are new to primal eating, then you have been conditioned to believe that breakfast should consist of cereal, toast, muffins, pop-tarts, granola, waffles, pancakes, etc.
Eating a high-fat breakfast activates your fat burning metabolism, so it is one of the best ways to lose weight. The point to be aware of is this: healthy folks might get away with eating these things, however, for the conditions we are dealing with at this blog, which include things like depression, anxiety, candida overgrowth, insomnia, adrenal fatigue, fibromyalgia, sugar addiction, carb addiction, autonomic nervous system dysfunction, chemical sensitivities, fibromyalgia, irritable bowel, chronic fatigue, hypoglycemia, insulin resistance, and gut dysbiosis, a breakfast that consists of fruit and nuts is too high in carbs, and will likely trigger a carbohydrate binge and a variety of negative symptoms like fatigue, depression, anxiety, headaches, cravings for sugar etc. Again, some healthy folks may get away with this, but if you have any of the aforementioned conditions above, coffee should be avoided completely.  Coffee is an addictive, mind-altering drug that has many negative effects on the body and mind, including but not limited to, increasing your blood sugar, heart rate and blood pressure, depleting neurotransmitters in the brain, overstimulating the autonomic nervous system and triggering your stress response system, encouraging Candida overgrowth, perpetuating cravings for sugar, carbs and other addictive substances, contributing to hypoglycemia and draining the adrenal glands. In addition to your ideas, we’ve been having cabbage, Brussels sprouts, garlic, and onions sauteed in coconut oil, plus eggs for breakfast. I want to try Paleo bread but the shipping cost alone at the link would be over $20 to Hawaii, making it $36 for 2 loaves. It has a mild diuretic and laxative effect and stimulates the gallbladder to release bile, so anyone with gall stones should be careful. This indicates that chicory has a strong impact on our hormones and could potentially lead to hormone imbalance. Carob is a better choice than chocolate and there is no harm in having it as an occasional treat. I saw your post for dysautonomia and was looking at your suggestions for healing it, and came across this post. Out of more than 150 native cultures that have been studied, not a single one of them were found to be vegetarian.
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. Adding more leafy greens gives our bodies access to more of their tasty nutrients (phytonutrients, protein, vitamins, antioxidants, and more), and using low sugar fruits keeps our green smoothies lean and mean! FYI: when blending in a NutriBullet we suggest halving our recipes and adding a little additional liquid base to ensure everything blends smoothly. Talk about crash, brain fog, and an overwhelming desire to just put my head down and nap like a champ! Your adrenals are instrumental at producing hormones throughout the day that are designed to do just that. The next easiest step is to start lowering the metabolism or body temperature by dialing down thyroid function a few notches.
This commonly happens in Stage 1 adrenal fatigue and can be fixed with the right dietary changes, lifestyle and supplementation.
People may feel indigestion, constipation, headaches, low blood sugar, lethargy, gas pains and much more because of the drastic changes and it is absolutely natural. Be sure to eat foods like bran muffins, whole grains, nuts, berries, brown rice, seeds, apples, pears, crunchy veggies and oatmeal. You can even add in seeds or nuts of your choice on top for a delicious breakfast during Sehri!
Start with small portions and eat dinner, don’t skip on food until suhoor or stuff your face until suhoor.
None of these are healthy choices; they promote addiction, depression, anxiety and other mental health disorders, insulin resistance, type 2 diabetes, obesity, heart disease, cancer and more. In the caveman days, breakfast consisted of a leg or a side of whatever was left over from the kill the night before.
Get in the habit of doing something else during that time frame, like meditating, exercise, deep breathing exercises and break the need to have that ritual. It will take your children a little time to adjust to the taste difference, but if you do not allow chocolate and only permit carob, then eventually they will adjust and come to appreciate the flavor of carob. I’ve been vegetarian most of my life and have just started eating meat in the last year.
If the person has dysautonomia, then it is even more important, as a minimum of 4 ounces per meal would be needed so the brain can make the neurotransmitters needed to restore balance to the autonomic nervous system and keep blood sugar stable. 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. By doing this, you get all the fiber and essential vitamins without the high sugar content (which can affect people in different ways). We really try to avoid overly processed sugar options and rather reach for natural sweeteners like honey, maple syrup or dates. This is why diabetes and obesity often go hand-in-hand (90% of diabetics are either overweight or obese).
David Ludwig regarding high-glycemic foods and overeating, cited in the Recommended Reading section at the conclusion of this newsletter. You can also throw some fresh fruits and berries in with instant oatmeal for a healthy meal. For protein include eggs, yogurt, beans, soy, fish and even meat (but be sure to cut out the fat!) You’re even allowed some chicken.
Stay away from juices because they are more artificial preservatives and sugar than actual fruits. It is very important especially since the weather is so warm, you will dehydrate quickly during the day.
However, I don’t recommend pork, because pork harbors parasites that are not destroyed with cooking. Drink a big glass of water instead, and if you really need to have a cup of something warm, then have a cup of herbal tea. I recently read about organic Chicory and that it can be replaced with coffee so I went ahead an ordered some (100% roasted chicory root), but I wanted to ask you if this is safe for candida sufferers to consume. If you must absolutely have something hot to drink in the morning, then have a caffeine-free herbal tea. Cholesterol is also very important for brain function and for the adrenal glands to make cortisol and for all our other hormones.
I don’t care about using another test strip it if means my blood sugars are better controlled!
Anyway, I do appreciate you recommending that I not start putting all the greens in all at once.
I do want to ask, though, is it OK to add protein powders or power green powders to the smoothies. I also have read many studies that say the healthiest peoples around the globe have a mostly vegetarian diet, with some meat added. And also, isn’t it true that our ancestors didn’t always have meat all of the time to consume? I’ve been struggling to figure out which food choices are best for me to heal, but the more i research, the more confused I am. Ledoux began her career as an ObGyn nurse practitioner prior to becoming a practicing midwife in the Santa Cruz community. Working together with ObGyn physicians in her own practice, she has over 20 years experience in women's health, pregnancy and childbirth.

Jan irvin
What should blood sugar be 2 hours post meal means
Hypoglycemia blood sugar test


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