anxiety

The Adrenal/Blood Sugar Connection and How to Eat to Heal-- Hypoglycemia

The Adrenal/Blood Sugar Connection and How to Eat to Heal

Information on Hypoglycemia

Heather Hunt DC

Also there is a shortened version of this on my You Tube Channel https://www.youtube.com/watch?v=BWnexiQ1JC0 

Hypoglycemia (low blood sugar) occurs when our bodies cannot hold blood sugar stable and the blood sugar level dips too low resulting in undesirable symptoms like:
Feel shaky

Irritable

Cranky/“hangry” 

Inability to think 

Lack of concentration

Craving sweets/sugar

Dislike eating breakfast

Feel better after meals

Waking in the night

Crave caffeine

Wake too early in AM 

Afternoon fatigue

Headache 

Strenuous  exercise difficult to do

Hard to stay balanced

Mood swings

Nausea

Many Causes of Hypoglycemia.  It seems to run in families, be more common in women, and go with adrenal dysregulation issues. The understanding of the adrenal connection often goes missed, and I consider it to be essential to understanding and treating blood sugar issues. The adrenal glands are part of the endocrine (hormonal) system and are little glands that sit on the kidneys.  Among other jobs, they secrete the hormones adrenaline and cortisol to respond to stress and can be considered the first responders. These glands are responsible for monitoring the environment (both internal in the body and external) to see if we are safe and balanced.  They respond if there is any threatening or stressful situation and put the gears in motion for what we call “fight, flight or freeze” (aka survival mode).   What has gotten aberrated in modern times is that stress can come in many forms.  In most situations the response needed is not triggered by being attacked by a tiger, an encroaching famine, and other true survival needs.  Now our main stress comes through blood sugar swings, alarming news headlines, relationship tension, the demands of work, the go go go nature of our world.  Likewise, the more empathic and sensitive we are we can have stress from (an empathic response) seeing someone suffering, throwing plastic in the “recycling,” illness in others, animal suffering, trees being cut down, climate change, etc).  And interestingly, the adrenals activate even to good stress like having a baby, getting married, going on vacation.  It is all stress and triggers a survival mode of thinking and doing and a slip into the fight, flight or freeze response.  

 

Adrenal Dysregulation.  As you can imagine, in our times the adrenals get overtaxed from very young ages.  Even with a perfect upbringing and family, if one is sensitive, there is still stress (nightmares, scary movies, the demands of school, perfectionism).  If there is overt trauma well then game over, just know you will likely have an adrenal issue.  There are many types of adrenal problems.  Overly excited adrenals secrete too much cortisol and adrenaline and will result in feeling wired and also feelings of anxiety, panic, worry and dread.  Exhausted adrenals will let you not get off the couch, no sex drive, just being really tired and not even being able to push yourself through exercise, etc without sugar and/or caffeine.  What I think most common is what I call dysregulated adrenals.  In this situation they are neither hyper or fatigued, but they are dysregulated (out of balance) and will secrete too much adrenaline/cortisol inappropriately giving you an anxious/wired/mind racing/feeling unsettled experience with an underlying deep fatigue.  

 

NOTE: People who do not have robust adrenal health and/or have this tendency towards hypoglycemia  will likely NOT DO WELL with Ketogenic Diets and Intermittent Fasting.  Stabilize the adrenals first.

 

Adrenals and Blood Sugar. Adrenals monitor internal stress and what is out of balance in our bodies.  We are focused here on blood sugar, and sure enough the adrenals monitor blood sugar levels to make sure we are well fed and safe.  When the blood sugar dips low between eating, the adrenals signal the liver to secrete stored blood sugar (glycogen) to keep endogenous/internal blood sugar levels stable.  But what if the adrenals are exhausted themselves?  Then they do not respond well and the person stays hypoglycemic and needs to eat their way to more energy and grabs a carbohydrate (sugar, starch, grain, fruit) or caffeine.  When the adrenals are overworked and on overdrive you actually can have increased fasting glucose (particularly in the morning when cortisol is naturally at its high) or a high hemoglobin A1C in blood work.  You might also feel nauseous and not even hungry as you are living off your internal stores of glycogen and putting a big tax on your liver.  When the adrenals are dysregulated they do not signal correctly so you are bouncing between highs and lows, especially in the night around 3am when you are lying awake, alert and your mind is looping and racing and your heart may even be pounding….

 

Healing your Adrenal Glands through blood sugar regulation.  If our blood sugar roller coasters between highs and lows throughout the day we do not feel good, we feel that instability directly in our moods and bodies.  Likewise, when our cortisol cycles through highs and lows we feel terrible (anxiety to fatigue and depression).  We cannot feel good in our bodies and thus in our world when our blood sugar and adrenals are out of balance, especially since the adrenals specifically monitor our wellness and safely and inform us of it.  So the answer to stabilizing our blood sugar is through healing our adrenals and the answer to healing our adrenals is stabilizing our blood sugar.  Everything is connected!   Luckily, we can stabilize our blood sugar and adrenals directly by how we eat.  What is more challenging is changing the stress in our life and how we respond to it, which puts direct tax on our adrenals.  I have many more articles on this sort of life work, for example read the Wisdom of Self CheckIn.  

 

The Blood Sugar Roller Coaster: People with a tendency of hypoglycemia will crave sugar and other carbohydrates as a quick fix to raise low blood sugar levels.  Carbohydrates are the foods that raise blood sugar levels (where pure fat and protein satiate and stabilize over the longer term).  When simple carbohydrates (refined grains, sugars, fruits, etc) are eaten in the absence of protein and fat, the blood sugar spikes quickly (making a hypoglycemic person feel quickly better), but drops quickly as the hormone insulin works fast to get the blood sugar in the cells and decrease the circulating sugars. If insulin keeps spiking over the long term, the cells can develop a resistance to it and thus Metabolic Syndrome and/or Type 2 Diabetes can ensue.  It is largely unknown that one can develop Type 2 Diabetes merely from being hypoglycemic. 


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A Simple Solution for Hypoglycemia is to add more protein and fat to meals/snacks so our blood sugar does not drop as quickly as on higher glycemic index foods.  Proteins can delay low blood sugar for two to three hours and fats can satiate for up to four hours. Don’t bother eating low fat items, they have more carbs and they are more processed.  

 

The Importance of Carbohydrates:                                                                                                           Remember, you need carbohydrates to raise your blood sugar.  Healthy carbs are not evil.  Eating a meal of only protein and fat (nuts, meat, cheese, hard boiled eggs) will not raise your blood sugar and it will still stress your adrenals to raise it endogenously (by pulling stored sugar from the liver).  Even a breakfast of eggs and spinach may not work if your adrenals are dysregulated, you may need a more robust carb.   So while I do not suggest eating simple carbs and sugars, you do need carbs initially if you are hypoglycemic (think quinoa, brown rice, sweet potatoes, beets, butternut squash, lentils, legumes, etc) to feel good.  As you stabilize you will notice you can cut carbs back and that decrease in carbs will help stabilize blood sugar even more.                                                                                                      

 

WHAT FOODS have PROTEINS, FATS and CARBS

 

Carbohydrates 

Fruits 

Vegetables

Complex (whole grains)

Lentils/legumes
Simple (refined grains)

Sugars

 

Fats
Butter

Olive Oil

Coconut oil

Avocados

Whole fat dairy

Meat

 

Protein

Whole Fat dairy

Meat

Nuts

Eggs

Beans/lentils

 

HOW TO EAT, A day in the life of a healthy hypoglycemic:  You need to eat every 2-4 hours depending on how hypoglycemic you run (get too shaky between meals, your brain stops working, irritable, cranky, etc).  As you stabilize, you can eat fewer snacks and stretch out times between eating without getting hypoglycemic.  Eventually, you may move on to a more paleo or keto diet, but not until your adrenals are healthy.

Please try to get organic.  You will put additional stress on your body if it has to process the pesticides, growth hormones and antibiotics of conventional foods.  Also, please steer clear of GMO (genetically modified foods).  They have been modified into new protein structures that our body has not evolved to deal with and they have other disturbing gut effects.

Every meal/snack eat a protein, fat and carb.

PLEASE DON’T BE AFRAID OF HEALTHY FATS (organic butter, coconut oil, avocados)

6-8am- A good morning routine will set the stage for a stable blood sugar day.  Breakfast with 15-25 grams of protein

10-11am- snack. Aim for 7-12grams of protein. 

1pm- Lunch: Aim for another 15-25g protein.

3pm: snack

6:00-7pm- dinner protein/fat/carb… Aim for 20g of protein again!

If you are waking up in the middle of the night, it may be because of hunger.  Do an experiment and eat a snack before bed.   Yogurt or something (lots of fat/protein).  See if it helps you sleep!  

Breakfast ideas: A good morning routine will set the stage for a stable blood sugar day.  Eat 15-25grams of protein within an hour of waking.  This is a lot of protein!  An egg has 6 grams.  2 slices of Jarlsberg cheese has 14 grams.  

Collagen: My favorite cheat breakfast is Whole Body Collagen powder by Designs for Health (available at my online store).  It is a tasteless powder that dissolves in liquid.  I add it to my caffeinated beverage of choice with heavy cream and eat that for breakfast (11g protein).  Collagen can be added to pureed soups, tea, smoothies, oatmeal and more making it a great protein booster.

 

Smoothie with ½ banana, handful of frozen blueberries, full fat yogurt or coconut milk plus a protein powder of choice:  2 scoops SP Complete and 2 scoops Whey Pro Complete (these are the powders we use for our cleanse).  They are incredibly blood sugar stabilizing and like a multivitamin in a smoothie!  25 grams of protein

2 eggs scrambled with cheese, veges, piece of gluten free seed toast with butter

Snack Ideas: handful nuts with ½ fruit, brown rice cake and almond butter, smoothie with powders, yogurt, ½ apple with cheese, apples and peanut butter, carrots and hummus). 

Lunch Ideas: leftovers are my favorite!  Salad with chicken (but need dried fruit, quinoa, beets or a carb with this!)

Dinner Ideas: 

Final Notes: Use an app like “My Fitness Pal” or Chronometer to see how much protein/fat/carbs you are eating.

For more information on how and what to eat, watch our Cleanse Orientation/Introduction video on our website www.heatherhuntdc.com

Salt: Many people have really switched to alternative salts like Himalayan.  Please note that Himalayan salt does not have adequate dietary iodine.  Iodine is needed for thyroid and hormonal health unless you have Hashimoto’s Thyroid disease. If there is no Hashimoto's Thyroid issues, I recommend cooking with Celtic or iodized sea salt and seasoning with Himalayan. Iodine is contraindicated for Hashimoto’s and can make it worse.

I really encourage people to eat GLUTEN FREE.  Even if you do not have gastrointestinal reactions to gluten, you very well may still be having a skin or neurological reaction.  



Parents of Young Children-- Be nice to yourself!

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Today I treated two mamas who have young children.  Ages 6 months and 3 years or so.  One had to bring her kids to her hour long appointment with me because she has them full time while her husband works.  As she started through her history she explained how she has not lost her baby weight, feels anxious and depressed, feels overwhelmed and feels like she is a bad mom for all of it.  I am listening and watching her beautiful boys play contentedly in my room and noting their bright eyes and healthy skin.  She further explains that they are trying to sell their house, trying to buy a new house, may be homeless in the interim between the two and still, she can't understand why she can't just get out to exercise.  And then she explains how her son is waking her every two hours to nurse and she can't sleep train as they are moving so soon and also that when her back hurts she can't even get around to stretch.  LIKE IT IS HER FAULT!!!

I so remember being here.  I had three sons in five years.  By the third many a day went by when I looked on and thought how this was not so fun anymore, that I should be feeling joy but all I felt was overwhelm, overstimulation and dread.  And then my youngest son turned four and things got a lot more fun and easy.  Then he turned five and I felt myself again.  Finally.  I could exercise, eat better, lose the baby weight (well, almost) and mostly I could feel the stoke return.  


After taking the history of this awesome mama I just gave her a big hug. I said,"I think you are doing amazing. You have a lot of really hard things going on in your life. Plus COVID-19! You aren't even complaining. But please do not be hard on yourself. These are the hardest years, I promise it gets better! In 5 years you will see you birthed your best friends. And when you start to sleep and wean, etc you will get your energy back and be able to want to exercise, want to eat healthier, you will start to feel yourself again."

But what I realized is that I don't feel "myself" even still after having kids.  Not my historical self.  I am different after becoming a mom.  A few years ago I realized a lot of what I was going through was really an identity crisis.  I was not who I was before I had kids and I did not have a firm new identity because of the empathic expansion driven by motherhood.  My heart grew exponentially becoming a mom and it took me time to fill the new territory of my heart with more than anxiety, dread, overwhelm and lots of love of course also.  (People say agony and ecstasy share the same vibration.  After becoming a mom, I get that!).  

When my youngest son was five I decided I needed to feel settled in my new identity.  I fortunately kept journals daily from when I was 12 years old till 25 years old.  So I started reading the journals to remember who I was.  I remembered these aspects of myself that I wanted to bring into my new identity and felt like I literally pulled the threads forward and established them into myself now.  Then I took what I have learned in motherhood that I wanted to keep/strengthen into my identity and pulled those threads and I wound myself into a new nest of Self that is old and new and physically different than before but beautiful and WHOLE.


My favorite definition of healing is "establishment in Self."  I want all you mamas out there to remember that you are in a huge identity shift and heart shift and being shift.  You live in a society that does not support mothers and families and children.  You have to work hard to stay balanced within that and none of this is your fault.  You are doing the best you can and you are AMAZING!  And none of us can be perfect all the time in our day to day moment to moment. But you are PERFECT underneath it all and your children chose you.  And the grace is that your kids only know you, you are their normal.  So even if you lose it once in awhile and are not your best most patient self, they will not know any different.  And just stay open and transparent with them as they get older that you are trying your best and that you love them.  But you also need to love yourself.  Because you are worth it.  And you are Amazing.  And we are all on our own healing path as we establish ourselves into our most whole beautiful vital selves.  Be gentle with yourself.  Treat yourself as well (if not better!) then you care for your children, because mothers are the keystone of the family, and your happiness and wellness matters.


And remember, this too shall pass.  I got to mountain bike for 12 miles yesterday with my three sons.  Who would have guessed that in not too many years it would be so fun?

Fuel Sources for Optimal Vitality CheckList

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Optimal vitality is my number one health goal. Vitality is only possible when our cells have sufficient fuel to function optimally and thus give us energy.  Here is a checklist of what I think is necessary for robust energy levels and the blood tests necessary for evaluation. 

Thyroid:  Thyroid hormones are used to regulate the rate of metabolism in every single cell of your body.  When thyroid levels are low, every cell “runs” slowly.  This can manifest as fatigue, weight gain, inability to lose weight, hair loss, slow brain function/brain fog, constipation (fewer than one BM a day), depression, infertility and more.  Blood Test: TSH, free T4, total T3, free T3, and the two thyroid antibodies (TPO antibodies and thyroglobulin antibodies).

Adrenal Glands: Adrenal glands are the body’s stress response system and are extremely important for quality of energy levels.  When these are worn down, one can experience extreme fatigue, overwhelm, and a sense of losing one’s spark.  When on overdrive, wired adrenal glands lead to anxiety, dread, insomnia, heart palpitation and more.  Blood Test: morning cortisol and DHEA-S.

Iron levels: Iron is mandatory for our cells to receive oxygen.  Our cells need glucose (food) and oxygen (air) to function well.  With low iron you will have cellular low oxygen.  It is important to correct iron deficiency anemia in order for all other imbalances/disorders/diseases to correct. Blood Test: ferritin (iron storage), iron saturation, TIBC, serum iron.

Blood Sugar Levels: Blood sugar that is too high, too low, or unstable can lead to fatigue, anxiety, unpredictable mood/energy fluctuations and more.  Test: fasting glucose and Hemoglobin A1C.

B vitamins: Important for mental clarity, energy levels, mood, nervous system health, liver detox pathways, arterial health and more. Test: homocysteine and B12.

Vitamin D:  Important for hormone balance, mood stability, and seasonal affective disorders.

Sleep:  Sleep is one of your most important fuel sources and absolutely indispensable for optimal health and vitality.  Night is when the body rests, the organs and brain clear waste products and reset, and rejuvenation occurs.  The best hours for sleep are 10pm to 6am for these important processes to occur.  Please, never underestimate the importance of sleep.  If you do not have good sleep hygiene, don’t bother with other steps.  If you cannot sleep despite your best effort, there are many reasons and please bring in your questions.

Chart for Fuel Source Optimal Blood Levels

Blood work is easily accessible through the cash lab we order through with 90% off insurance prices. 

Thyroid: TSH 1-1.5, Free T4 1.2-1.8, Total T3 120-180, Free T3 3.2-4.2, TPO Antibodies under 15, Thyroglobulin antibodies under 1.  More info from Dr Aviva Romm MD and my Thyroid Blog

Adrenals: Morning Cortisol 12-18 ug/dL, DHEA 150-250 ug/dL

Iron: Ferritin 35-100 ng/dL, the others in normal range

Blood Sugar: Fasting Glucose 85-99, HbA1C 4.5-5.6

B Vitamins: B12 800-1200, Homocysteine 7 or below        

Vitamin D: 50-70 ng/mL

Anxiety caused by your Adrenal Glands?

Dr. Aviva Romm has another great article and podcast on Anxiety and Adrenals.  I personally know this connection and as I have learned how to calm my adrenal glands and lower my cortisol my anxiety gets better!  I love Apex Entergetics' product called AdrenaCalm.  It is a cream you can put on when you feel wired, anxious and stressed and it helps to calm.  Wonderful!

http://avivaromm.com/adrenal-anxiety-connection/