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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. 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 a1c test and diabetes – national diabetes information, The a1c test and diabetes.
A1c test: medlineplus medical encyclopedia, A1c is a lab test that shows the average level of blood sugar (glucose) over the previous 3 months.


The a1c test and diabetes – national diabetes information, 2 the a1c test and diabetes. A1c levels – diabetes, The a1c test tells your average blood sugar level over the past 2 to 3 months.
Some statistics about type 2 diabetes state that 215000 people under 20 will be diagnosed with type one or two diabetes.
Pre-diabetes is also increasing because many of the younger generation have high blood sugar but not enough to really matter or effect the body. The amount of money spent in the United States on diabetic supplies and medications annually is 174 billion dollars, and will only increase as more people are diagnosed with type 2 diabetes. In recent years garlic has been the focus of serious medical and clinical attention because of beneficial effects on blood sugar Level. Onion is rich in flavonoids such as quercetin and sulphur compounds, such as cysteine and allyl propyl disulphide that have perceived benefits to human health.
Momordica charantia which is grown in tropical countries worldwide and it has been used as a traditional herbal medicine for thousands of years. Beans have a low glycemic index (GI) which by definition means they produce a relatively low rise in blood glucose after a meal. Fenugreek seeds (trigonella foenum graecum) are high in soluble fiber, which helps lower blood sugar by slowing down digestion and absorption of carbohydrates. Certain fish are high in omega-3 fatty acids, which have proven to help lower triglycerides, and research is being done to confirm other potential anti-inflammatory benefits associated with omega-3 fats. Ginger may help increase insulin sensitivity in patients with type 2 diabetes, according to the findings of a recent study. Cinnamon reduced serum glucose, triglyceride, total cholesterol, and LDL cholesterol levels in people with type 2 diabetes. 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.
Statistic show that diabetes and diabetes type 2 affect 25.8 million people in the United States only, making it one of the worlds (besides AIDs) biggest health concerns. Type 2 diabetes causes (and is the leading cause) kidney failure, blindness, and lower limb numbness.
Gestational Diabetes occurs when a woman is pregnant and can be dangerous to both child and mother. So it is important to learn how to make healthy food choices that helps to control the blood sugar level.
Studies shows that garlic helps the body to produce more insulin and to increase your sensitivity to insulin which makes it work more effectively. These compounds possess antidiabetic, antibiotic, hypocholesterolaemic, fibrinolytic, and other various beneficial biological effects. Momordica charantia extract, a herbal remedy for type 2 diabetes, contains a specific 11?-hydroxysteroid dehydrogenase type 1 inhibitor.


Beans are known functional foods that are low in fat and high in fiber, vegetable protein, folate, iron, magnesium, zinc, omega-3 fatty acids, and antioxidants.
Potential bene?ts of the intake of ?sh on the development of type 2 diabetes could be attributed to its high content of dietary n-3 polyunsaturated fatty acids, speci?cally eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). Ginger extract also helps increase cells’ absorption of glucose even independent of insulin. Studies shows that when people with early type-2 diabetes eat a serving of almonds with breakfast, results in a significant reduction in the post meal glucose levels. 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. The vast amounts of diabetes is due to the high sugar amounts in today’s food and medical advances that keep the defective diabetes gene in the population.
People over 65 are 25% of the United States diabetic patients, meaning that more people develop diabetes at a later state.
Type 2 diabetes statistics show that two out of ten mothers will develop this during their pregnancy. See if you’re at risk for developing type 2 diabetes by looking up type 2 diabetes statistics and talking to your doctor. To control the blood sugar level it is important to eat healthy food at the right time and in the right amount. Allium cepa in addition to its nutritional values has hypoglycemic effects that could be beneficial in management of type 1 and type 2 diabetic patients of all age groups.
They also contain phytate and phenolic compounds that may function in similar ways to ?-glucosidase or ?-amylase inhibitor type 2 diabetes medications like the oral hypoglycemic agent acarbose. 4-hydroxyisoleucine (an amino acid derived from fenugreek) may help stimulate the secretion of insulin, reduce insulin resistance, and decrease blood sugar levels in diabetes patients.
It has been shown that a high fiber diet works better than any other diet and may control blood sugar levels. Higher EPA and DHA quantities in the phospholipid cell membranes could increase insulin sensitivity.
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. It is beneficial to eat smaller, more frequent meals, rather than two or three big meals most people consume daily.
Some studies may allow recommending garlic powder tablets for the treatment of type 2 diabetes mellitus along with dietary treatment. Who consumed fish at least one to three times a month had a 40% lower risk of developing coronary heart disease compared to other with diabetes who ate fish less than once a month. Specifically, gingerols increased the distribution of a protein known as GLUT4, which stimulates the skeletal muscles to uptake more glucose. 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. These women also have an increased chance of getting diabetes in the next ten years after the pregnancy.
Insufficiency of GLUT4 is a major cause of insulin insensitivity and high blood sugar levels in type 2 diabetics. 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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