Figuring out what hypoglycemia is
Linking hypoglycemia and diabetes
Identifying symptoms of hypoglycemia
Looking at whoâs prone to blood sugar imbalance
Taking the road to radiant health
O ver the years, researchers have coined different names for the condition that people suffer from when they believe that they have hypoglycemia, including functional hypoglycemia, relative hypoglycemia, disinsulinism, hypoglycemic fatigue, and insulinogenic hypoglycemia. Donât get too hung up on the names, though. Your attention should be on regaining your health, not worrying about what your constellation of symptoms should be called.
No matter what you or your doctor calls your low blood sugar, this chapter is a great starting point. This chapter gives you the lowdown on hypoglycemia, whoâs prone to having it, and what you can do to make this roller coaster ride not so rough.
Defining Hypoglycemia
Defining hypoglycemia is easy. Itâs low (hypo) blood sugar (glycemia). Modern medicine, or allopathic medicine, which is Western medicine as itâs practiced in developed countries, recognizes two major categories of hypoglycemia â organic and fasting, which both generally have clear-cut causes â as legitimate. Other types of hypoglycemia, which fall under the category of relative and reactive hypoglycemia, arenât usually recognized by mainstream medicine. Itâs still a controversial subject, although some studies indicate that sensitive people can suffer from hypoglycemic-like symptoms even when their blood sugar doesnât drop to a level thatâs medically defined as hypoglycemia. (See Chapter 5 on how blood sugar is measured.)
The diagnosis of idiopathic reactive hypoglycemia, or reactive hypoglycemia for short, isnât universally accepted by allopathic doctors. This is the type of hypoglycemia that people are referring to when they complain of being hypoglycemic. Reactive hypoglycemia is also this bookâs focus. In the rest of this book, unless otherwise stated, weâre talking about reactive hypoglycemia.
But before you get into the rest of the book, take a look at the following sections to discover more about the different types of hypoglycemia and see where your symptoms might fall.
Organic
With organic hypoglycemia, your blood sugar level when youâve been fasting is invariably low. (The fasting level is the amount of sugar in your blood after fasting â not eating anything â for 10 to 12 hours.) The symptoms are usually continuous.
This type of hypoglycemia is very rare and may be caused by glandular defects or tumors. If you have organic hypoglycemia, it warrants further investigation to determine whether you have an enlarged pancreas, tumors of the pancreas, or other causes that are unrelated to what you do or donât eat.
Relative
Relative hypoglycemia is a condition where your blood sugar declines from an elevated level to a low level quite rapidly. The group of people most often misdiagnosed as normal suffer from relative hypoglycemia. For example, youâre said to have relative hypoglycemia if
Your blood sugar falls 20 milligrams (mg) or more below your fasting level within six hours after eating, and you experience symptoms.
Your blood sugar falls 50 mg or more within one hour after eating, and you experience symptoms.
During the test that checks your blood sugar level, your blood sugar increases by 20 mg or less after ingesting the glucose that youâre given to drink for the test, and then falls to at least 20 mg below your fasting level. (Chapter 5 describes the test you can take to check your blood sugar level.)
Reactive
Reactive hypoglycemia refers to how your body reacts after you eat. How high or low does the blood sugar go? With this type of hypoglycemia, symptoms fluctuate according to the food you eat, the time of day when you eat, and so on. In reactive hypoglycemia, the level of sugar in your blood when youâve been fasting may be normal or even a little above whatâs considered normal. Your body then overreacts to the glucose in the food you eat by producing too much insulin, which causes the fall in blood sugar. (Thatâs why itâs called reactive.) Even if the blood sugar doesnât fall below whatâs considered the normal range, a person may experience symptoms of hypoglycemia if the fall is fast enough.
Many health practitioners donât differentiate between reactive hypoglycemia and relative hypoglycemia. They lump the two together and call it functional hypoglycemia. If you hear this term, it refers to hypoglycemia that typically occurs because of an imbalance in the body chemistry, probably due to an overactive pancreas producing too much insulin.
Fasting hypoglycemia is sometimes classified as being part of functional hypoglycemia. It can occur when you havenât eaten for a while. How long that is depends on the individual, but itâs generally sev...