Blood sugar imbalance is a commonly undiagnosed problem.
Are you struggling with excess weight, fatigue after meals, too much body fat, constant hunger, frequent urination, difficulty losing weight, or sugar cravings?
These symptoms might be the red flags of blood sugar imbalance.
The early recognition of these symptoms will help you prevent excessive and unnecessary inflammation, and will give you the opportunity to take effective measures to reclaim your health. Glucose serves as your brain’s fuel and fuel for the cells throughout the body. When you do not have stable blood sugar (glucose), you comprise your overall health and your brain health.
Blood sugar imbalance can relate to (chronically) low or high blood sugar. Some people experience both, fluctuating blood sugar levels between low and high. Drops in blood sugar are known as hypoglycemia and high blood sugar spikes can refer to insulin resistance. Hypoglycemia is discussed in another post.
Why insulin resistance is problematic?
Many people are unaware that they have blood sugar imbalance and insulin resistance is a silent blood sugar problem. It is widely undiagnosed and if not managed it increases the risk for prediabetes, type 2 diabetes and a host of other serious health problems, including heart attacks, strokes, polycystic ovary syndrome (PCOS), hypertension, and hyperlipidemia known as metabolic syndrome, and cancer.
Let’s take a moment to talk about Insulin Resistance.
Insulin is a hormone made by the pancreas and its job is to help glucose in your blood (blood sugar) to enter the cells in your body, where it’s used for energy. Glucose comes from the food and drinks you consume. When blood glucose levels rise after you eat, your pancreas releases insulin into the blood. Insulin then helps to lower blood sugar (glucose enters the cells) to keep it in the normal range.
Insulin resistance is a condition when cells of the body don’t respond properly to insulin and they can’t easily take up glucose from the blood. As a result, it is more likely that glucose will build up in the blood leading to elevated blood sugar levels.
A growing body of evidence has consistently shown that insulin resistance is linked to low-grade systemic inflammation.
When the body becomes resistant to insulin, it tries to cope by producing more insulin (hyperinsulinemia), therefore people with insulin resistance are often producing more insulin than healthy people.
Insulin surges promote inflammation in the brain and in the body. Interestingly, blood sugar/insulin levels impact the brain’s ability to make neurotransmitters and are elucidated to play a role in neurodegenerative diseases such as Alzheimer's disease. Thus, unstable blood sugar affects brain’s biochemistry, causes inflammation and compromises your brain health.
Becoming insulin resistant does not happen over-night, it typically takes years to get there. Most common reason includes a diet high in sugars, sugary foods, sweets, cookies, sodas, bread, pasta, pastries, excess rice & potatoes, and grains. In addition, high stress, poor sleep and lack of physical activity. Being obese on itself increases insulin resistance as well. However, it is possible to be insulin resistant without being overweight or obese.
Insulin resistance initially presents no or mild symptoms and can easily go unnoticed
Insulin resistance develops in stages. During the initial - compensated phase of insulin resistance, insulin levels are higher, and normal blood glucose levels are still maintained. If compensatory insulin secretion fails, then either fasting or postprandial glucose concentrations increase. Eventually, type 2 diabetes develops when glucose levels become higher and the resistance increases and compensatory insulin secretion fails. The inability of the pancreatic β-cells to produce sufficient insulin in a condition of hyperglycemia is what characterizes the transition from insulin resistance to type 2 diabetes.
The symptoms become more pronounced once secondary effects such as higher blood sugar levels occur.
The symptoms may include:
- thirst or hunger
- feeling hungry even after a meal
- increased or frequent urination
- tingling sensations in hands or feet especially when insulin resistance progresses to type 2 diabetes
- feeling more tired than usual
- feeling sleepy after meals
- frequent infections
- difficulty concentrating (brain fog)
- weight gain around the middle (belly fat)
- high blood pressure
- high cholesterol levels
- Some people may have darkened skin in the armpit or on the back and sides of the neck, a condition called acanthosis nigricans
- Polycystic Ovary Syndrome (PCOS) might be a red flag to consider insulin resistance
How can insulin resistance be diagnosed?
There is no single perfect test used in clinic for diagnosis. But the easiest screening way, next to the clinical presentation, is to do a blood test for (fasting) blood serum glucose and insulin (and often other markers like Ab1c, cholesterol, triglycerides).
There are also helpful tools for insulin resistance assessment such as the Quantitative Insulin Sensitivity Check Index or a Homeostatic Model Assessment of Insulin Resistance (HOMA-IR).
Eating to balance your blood sugar might fix the problem
If you suspect you may have insulin resistance or prediabetes, there are things you can do to reduce inflammation and to be healthier.
Golden tips include avoiding sugary foods and drinks, avoiding processed foods and drinks, and having balanced meals consisting of real foods. Plant foods (veggies, fruits) rich in phytonutrients such as polyphenols-flavonoids with their anti-inflammatory and anti-oxidative powers should be plenty full on your plate. Keeping a moderate carbohydrate intake is also recommended. Think of a Mediterranean like diet. Some people also benefit from a ketogenic diet.
Most people will do well keeping following proportions on their plate:
- About 50-65% of non-starchy vegetables
- About 15-25% of quality protein
- About 15-30% of healthy fats
- About 5-15% of healthy starches
- Herbs, spices and salt
Healthy eating also includes eating fruits but preferably have them as a snack or a dessert.
Food groups: vegetables, fruit, protein rich foods, fat rich foods, herbs and spices, and heathy starches
Find your carbohydrate tolerance
First of all, having nutritious breakfasts with high quality protein and fat, (low-carbs) can be very powerful to stabilize your blood sugar.
For many people having little bit carbs for breakfast, a little more for lunch and even more for dinner will do the trick in keeping your blood sugar stable.
To find your carbohydrate tolerance monitor following: if you feel sleepy or crave sugar after you eat, you probably have eaten too many carbohydrates. But in case of severe insulin resistance you may feel sleepy even if you haven’t eaten any starchy or sweet foods. Let’s say you had beef and a salad for lunch and you still feel sleepy after eating. It might suggest that you are at the advanced stage of insulin resistance. In this case, it’s worth working with a professional who can help you correct the problem with nutrition and nutraceuticals.
Stable blood sugar is essential to overall health.
Information provided below is meant for educational purposes only, and does not constitute medical or nutritional advice or act as a substitute for seeking such advice from a qualified health professional.Reference list
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