HYPOGLYCEMIA - low Blood SugarNutritional Causes, Prevention and Therapies
While many practitioners recommend nearly identical dietary lifestyles for people suffering from
low blood sugar (hypoglycemia) or diabetes (hyperglycemia), Sodium management, and the presence of adequate amounts of Fiber, are an important consideration to help improve sugar metabolism in both situations.
Sodium effectively slows insulin response, which in diabetics contributes to poor blood sugar control, however for individuals suffering from
low blood sugar (or even hyperinsulinism), higher sodium levels can be an advantage because they prevent a quick rise and fall in insulin levels and subsequently reduce those dreaded
blood sugar highs and lows commonly experienced with hypoglycemia.
Some practitioners also place great importance on the Glycemic Index (GI) of any particular food or beverage consumed, however from personal clinical experience, only the reduction or elimination of simple sugar / carbs is necessary, while complex carbs, or even most refined carbs don't have to be avoided at all - regardless of their glycemic index.
Signs of low blood sugar include weakness, mood swings, headaches, nervousness, irritability, or nausea with milder cases, and there is the potential of visual disturbances, shaking, sweating, confusion, palpitations, anxiety, dizziness, aggression or severe fatigue with more severe cases of hypoglycemia.
Regardless of lifestyle changes or treatments recommended by their practitioners, there are general rules which patients themselves can follow trying to control the symptoms of both, blood test-verified
low blood sugar, or reactive hypogycemia (symptoms only):
• Meals have to be kept smaller and spread throughout the day. If possible, individuals prone for hypoglycemic episodes should not go for more than three hours without a meal or snack.
• When consuming complex or refined carbs, they should be consumed with some fat or protein.
• Emphasis should be placed on increasing protein intake -- eggs, nuts, seeds, chicken, turkey, lamb, beef, salmon, tuna..., or one may consider a protein supplement (if protein tests consistently low).
• Evaluating frequently-consumed foods by their potential to aggravate
low blood sugar symptoms will not only help with meal planning at home, but also with dinner invitations, or when travelling.
• Because of its blood sugar-lowering and blood pressure-lowering potential, the sweetener Stevia should be evaluated first on an individual basis, before being regularly used by anyone suffering from hypoglycemia, or general glucose tolerance problems.
Feedback has been mixed, with stevia being well tolerated by some, but less so (i.e. aggravated low blood sugar symptoms) by others.
Allowed are all foods containing complex and most refined carbohydrates, while simple sugars / carbs should be eliminated. Following is a list of complex, refined and simple carbs:
Complex Carbs:Legumes, such as lentils, peas and beans.
Vegetables, such as beets, broccoli, cabbage, carrots, cauliflower, corn, lettuce, peppers, potatoes.
Grains, nuts and seeds, including whole-grain bread, pasta, cereal and flour.
Refined Carbs:Most unsweetened, but refined (non-whole-grain) cereal, bread, granola, pasta, general baked goods.
Simple Carbs (to be eliminated):
Candy, honey, pop, donuts, sweetened cereal, cakes, sweet fruit (particularly when overripe), fruit juice (unless watered down), white sugar, brown sugar, corn syrup, maple syrup, molasses, sucrose, glucose, fructose, maltose, dextrose, and other "...ose" variations.
Additional considerations to reduce symptoms of
low blood sugar include the avoidance of Alcohol and Caffeine, as well as foods or beverages that contain high amounts of Potassium (which lowers chromium and manganese). The same applies to supplementing larger amounts of Vitamin C (which stimulates insulin and lowers manganese), and Vitamin B6 (which supports potassium, magnesium, and also lowers manganese).
Adding Supplemental Fiber to one's meals - particularly when carbohydrates are consumed - equally benefits individuals suffering from hypoglycemia, and those with hyperglycemia. This may include the most common type of soluble fibers such as Psyllium seed, available in powder, husks or tablet forms, or may consist of a special fiber blend containing konjac root extract (glucomannan), sodium alginate, xanthan gum, and others.
For Vegetarians, the lower protein content of many vegetarian foods can be a problem, as can be the higher potassium and lower sodium levels - particularly with beans and potatoes - when compared to animal products. One option is to place more emphasis on consuming celery, spinach or beets, which have a lower potassium / higher sodium ratio. But regardless, vegetables - unless thoroughly cooked - and fruit provide the least satiety, although baked potatoes (consumed without any fat) ranked highest on the Satiety Index. Unfortunately, the ratings were only valid for the first two hours after consumption.
For ovo vegetarians, having eggs for breakfast provides one of the best protein bases to help maintain adequate blood sugar control into the day, while oatmeal may be a reasonable compromise for vegans.
Most Nuts - if otherwise tolerated - can, or should be part of a hypoglycemic diet, being a convenient source of protein for those trying to manage low blood sugar symptoms. Cashews, chestnuts, and coconuts in particular have a lower potassium / higher sodium ratio, which helps sustain higher
blood sugar levels.
Coconuts (i.e. coconut oil) also contain larger amounts of medium chain triglycerides
(MCT), which may offer nutritional support in a number of medical conditions, including seizures, poor immunity or immunosuppression, and various malabsorption syndromes. Nuts, particularly almonds, and (sunflower) seeds are also convenient, non-perishable foods when travelling.
Signs of Low Blood Sugar....
hypoglycemia-low-blood-sugar