Reactive hypoglycemia, FMS CMP Devin Starnabyl

Discussion in 'Fibromyalgia Main Forum' started by lenasvn, Mar 19, 2006.

  1. lenasvn

    lenasvn New Member

    Many here have asked the same question, including me- about reactive hypo. Here is some interesting stuff:

    Reactive Hypoglycemia (RHG),
    Insulin Resistance: FMS & CMP Perpetuating Factor
    by Devin J. Starlanyl


    Adapted From "Fibromyalgia and Myofascial Pain: A Survival Manual,
    edition 2", 2001, Starlanyl and Copeland.

    This information may be freely copied and distributed only if unaltered,
    with complete original content including: © Devin Starlanyl, 1995-2002.

    Far too many care providers refuse to believe that these conditions exist, in spite
    of all the research to the contrary. Reactive hypoglycemia is not the same as fasting hypoglycemia, which is low blood sugar that occurs when you don’t eat. Reactive hypoglycemia is not always picked up on routine medical tests. It usually
    occurs two to three hours after a high carbohydrate meal, overstimulating the
    release of insulin, which triggers a compensatory adrenalin response. Hypoglycemia appears to induce abnormalities in decision-making processes (Blackman,
    Towle, Lewis et al. 1990) and can contribute to our fibrofog.

    Some symptoms of hypoglycemia (tremor, palpitations, anxiety, sweating, hunger,
    paresthesias) are due to changes caused by the response of the autonomic nervous system. Other symptoms (confusion, sensation of warmth, weakness or
    fatigue, severe cognitive failure, seizure, coma) are the results of brain glucose
    deprivation itself (Cryer, 1999). Coexisting RHG makes treatment of FMS and CMP
    extremely difficult. Myofascial TrP activity is so aggravated by it that it doesn’t
    make sense to treat TrPs unless the hypoglycemia is treated also (Simons 1989).

    When your body no longer responds appropriately to the insulin that you produce,
    you have developed IR. Insulin resistance can be serious. Activation of the HPA
    axis and the central sympathetic nervous system can cause endocrine abnormalities, insulin resistance, and other symptoms leading to disease states, including
    Type 2 diabetes (Bjorntorp, Holm and Rosamund, 1999). Normal blood sugar
    levels with coexisting high insulin, associated with obesity or problems in fat metabolism, could be considered as "normoglycemic diabetes", which will develop in
    time toward hyperglycemia (Ionescu-Tirgoviste, 1998). This would be a case of IR
    leading to RHG, instead of the other way around. Abdominal obesity, the fat pad
    over the belly, is a clinical marker of insulin resistance (Grundy, 1999) and is common in FMS. Abdominal obesity and neuroendocrine/HPA axis dysfunction are
    predictors for disease (Bjorntorp, P. and R. Rosmond, 2000). A lax, pendulous
    abdomen is associated with certain TrPs (Simons, Travell and Simons, 1999). Insulin-resistant individuals have difficulty in both using insulin to stimulate muscle
    glucose use and breaking down fat for use (Abbasi, McLaughlin, Lamendola et al.
    2000).

    One inexpensive over-the counter supplement that may help normalize the sensitivity of your body to insulin is the amino acid taurine. Taurine is an amino acid

    Reactive Hypoglycemia (RHG), Insulin Resistance: FMS & CMP Perpetuating Factor
    by Devin J. Starlanyl © 2001 Page 1


    that cats can’t make themselves, so cat food has taurine added. Taurine may help
    us avoid the fibrofat belly pad, linked to insulin resistance (Anuradha, and
    Balakrishnan. 1999). Inositol is a key supplement that may enable people with
    RHG and IR to appropriately use the insulin that they produce.

    Dr. R. Paul St. Amand found that there is a subset of people with reactive hypoglycemia (St. Amand and Marek, 2000). The symptoms he lists include: headaches,
    dizziness, irritability, chronic fatigue, depression, nervousness, difficulty with
    memory and concentration, nasal congestion, heavy dreaming, palpitations or
    heart pounding, day or night sweats, anxiety in the pit of the stomach, leg cramps,
    numbness and tingling in the hands and/or feet, flushing, and craving for carbohydrates and sweets. Most of these symptoms diminish five or ten minutes after
    eating sugar. Symptoms often worsen before menstrual periods and become severe after childbirth. When patients with this combination are put on a limited
    carbohydrate diet, they often feel improvement after seven to ten days. They are
    seven to ten very uncomfortable days. The headache and fatigue can be extreme.
    If you are aware that sugar can ease the symptoms in the short term, you will be
    tempted to cheat. Caffeine must be avoided on this diet. Insulin effects are
    greatly enhanced by caffeine, because it blocks the enzyme phosphodiesterase.

    I use whey protein or egg white powder to help keep a good balance in my diet. I
    add the unflavored whey to some foods. It makes a great thickener in some recipes; for example, in vegetable puree soups with a chicken broth base. I make a
    "milk shake" using vanilla protein powder, frozen wild blueberries, and 2% milk. A
    little vanilla-flavored powder in applesauce can balance a meal that otherwise
    would be too low in protein.

    It helps me to check the Zone recipe book (see the Reading List). After I look at
    those recipes, it is easier for me to judge how much protein and carbohydrate to
    use. There is usually enough fat in with the protein and carbohydrate. I have
    been told that a serving of vegetables is about the size of a hockey puck, and a
    serving of protein is about the size of a bar of soap, but this depends on the food
    chosen. It is important to know the glycemic index of your food as well.

    The glycemic index measures how fast a food raises your blood sugar levels and
    how quickly your body responds to it. High glycemic index foods raise blood sugar
    quickly. The glycemic index of the food depends on the type of sugar in the carbohydrate, the amount of fiber in the food, the amount of protein and fat in the food,
    and the method of cooking or processing of the food (Daoust and Daoust, 1996).
    Generally, the more fiber, protein, or fat in a food, the lower its glycemic index.
    Highly processed foods, or foods high in refined sugars or flours, are typically high-
    glycemic.

    Dr. Sears, the author of the Zone books, found that the best ratio for food balancing is 3 grams of protein to 4 grams of carbohydrate. Protein should comprise 30

    Reactive Hypoglycemia (RHG), Insulin Resistance: FMS & CMP Perpetuating Factor
    by Devin J. Starlanyl © 2001 Page 2


    percent of the diet, fats 30 percent, and carbohydrates 40 percent. Each time you
    eat either a meal or a snack, your food intake should match the 30/30/40 ratio
    because there is a need for a balanced hormonal response every time you eat.
    You need to adjust caloric intake to meet the needs of your metabolism and exercise. Your food cravings will become less intense once you are eating the proper
    balance and amounts of food. Here are four things you can do that can help
    modify your carbohydrate cravings:

    1. Eat moderate amounts of fat. Fat will decrease the flow of carbohydrates into
    the bloodstream, and decrease carbo craving.
    2. Cut down on the amount of carbohydrates.
    3. Eat protein as part of every meal and snack. It helps use up the fat stored in
    your body.
    4. Exercise regularly, to decrease the amount of insulin in your blood.
    One study found that short-term exercise is even more effective than diet in enhancing insulin action in individuals with abnormal glucose tolerance (Arciero,
    Vukovich, Holloszy et al. 1999), so don’t neglect this important avenue for insulin
    control. The balancing benefits of exercise could be wiped out if you drink a high-
    carbohydrate sports "energy" beverage to "recover" afterwards.

    There is a difference between wanting food and being hungry. That sentence
    would be a good topic for a meditation. Explore that difference. People often
    overeat to relieve stress. Eat when you are hungry, and eat just enough to stop
    the hunger. If you have a problem with traditional breakfast foods, try eating a
    balanced, nutritional nontraditional breakfast of things you like.

    You may find that taking a walk before or after a meal aids your digestion and
    reduces stress.

    Learn to eat like a gourmet. Eat slowly, chew thoughtfully, and enjoy each bite.
    Eat less, but eat mindfully, and you will be satisfied.

    Reactive Hypoglycemia (RHG), Insulin Resistance: FMS & CMP Perpetuating Factor
    by Devin J. Starlanyl © 2001 Page 3
  2. lenasvn

    lenasvn New Member

  3. Somewhere

    Somewhere New Member

    I needed this reminder. (Plus learned some new stuff I wasn't aware of).
    I have got way off track lately and seemingly have NO BRAIN! I am certain it is due to my reactive hypoglycemia.
    I will definitely get back on track. It's no fun being "brainless" and all the other goodies that go along with it.
    I also am saving this article.

    Thanks again, Sally
  4. Smiffy

    Smiffy Member

    Thank you for posting this information. I'm following Dr St Amand's diet to control hypoglycemia, but have never heard of taurine. I'm going to try some, it doesn't seem to be expensive. That 'fat tum' sure sounds familiar!