The SCARY Symptom I Never Expected In Eating Disorder Recovery... [123bc7]

2025-07-18

Post Time: 2025-07-18

Low blood sugar, also known as hypoglycemia, occurs when the glucose level in your blood drops too low. Glucose is the primary source of energy for your body, especially the brain, so it's essential to maintain stable levels. While often associated with diabetes, hypoglycemia can affect anyone. Understanding its causes, recognizing symptoms, and knowing how to treat it are crucial for maintaining your health and wellbeing. This article aims to provide you with a comprehensive guide on how to handle low blood sugar effectively, covering everything from initial recognition to prevention strategies.

Low blood sugar isn’t just an inconvenience; if left untreated, it can lead to serious health consequences, including seizures, loss of consciousness, and in rare cases, coma. For people with diabetes, managing blood sugar levels is a daily challenge that requires careful attention to diet, medications, and activity. For those without diabetes, episodes can still occur and understanding why is essential. Early recognition and prompt treatment of hypoglycemia can minimize potential risks, ensuring your body functions optimally.


Identifying the Symptoms of Low Blood Sugar

Recognizing the signs and symptoms of low blood sugar is the first crucial step in addressing it effectively. The symptoms can range from mild to severe and may vary from person to person. It's important to note that these symptoms can develop rapidly. Here’s a comprehensive list to help you identify hypoglycemia:

Mild to Moderate Symptoms:

  • Shakiness or Trembling: One of the most common early signs of low blood sugar.
  • Sweating: Often accompanies the shakiness and can be noticeable even in a cool environment.
  • Anxiety or Nervousness: A feeling of unease or apprehension that isn't easily explained.
  • Irritability or Mood Swings: Sudden changes in mood can signal that blood sugar levels are fluctuating.
  • Rapid Heartbeat (Palpitations): A faster or irregular heartbeat can also occur.
  • Dizziness or Lightheadedness: Feeling faint or unbalanced.
  • Hunger: An intense feeling of hunger, sometimes even if you've recently eaten.
  • Tingling or Numbness of Lips, Tongue or Cheeks: This sensation can signal nervous system issues related to hypoglycemia.
  • Blurred Vision: Difficulties focusing can be a sign of blood sugar fluctuation.

Severe Symptoms:

  • Confusion or Disorientation: Difficulty thinking clearly or knowing where you are.
  • Difficulty Concentrating: Struggling to focus on tasks or conversations.
  • Seizures or Convulsions: In more severe cases, this neurological event can happen.
  • Loss of Consciousness: A very serious symptom which requires immediate intervention.
  • Slurred Speech: Difficulty speaking clearly.

Understanding these symptoms will not only allow you to treat yourself promptly but also enable you to help others who may be experiencing these issues. People who manage their glucose levels very strictly with insulin therapy or oral medications are at an increased risk of low blood sugar levels, and vigilance in recognizing symptoms is therefore vital.


Causes of Hypoglycemia: Understanding the Triggers

Understanding what causes low blood sugar can help you prevent future occurrences. Hypoglycemia is not exclusively a diabetic condition, though it's most commonly associated with it. Below, we outline various factors and circumstances that may contribute to low blood sugar:

For People with Diabetes:

  • Insulin or Medication Overdose: Taking too much insulin or certain oral diabetes medications can cause a significant drop in blood sugar. This often occurs when there’s a miscalculation of insulin dosage relative to food intake.
  • Skipping Meals or Eating Too Little: Irregular meal times or insufficient carbohydrate intake can lead to inadequate glucose supply in the bloodstream.
  • Delayed or Inadequate Food Intake: When the timing of food intake doesn’t match with the peak action of diabetes medications, this imbalance often leads to hypoglycemia.
  • Increased Physical Activity: Exercising without adjusting insulin or medication doses, or without proper food intake, can result in using up glucose stores too quickly.
  • Alcohol Consumption: Alcohol can impair the liver's ability to release glucose, increasing the risk of low blood sugar, especially when combined with medication.

For People Without Diabetes:

  • Reactive Hypoglycemia: Occurs a few hours after eating a meal, often due to excessive insulin release in response to high-sugar foods. This leads to a rapid drop in blood sugar.
  • Fasting Hypoglycemia: Usually caused by underlying conditions like certain liver or kidney diseases, tumors or endocrine problems.
  • Certain Medications: Some medications unrelated to diabetes can lower blood sugar, especially in combination with fasting, intense exercise or a limited caloric intake. For example, quinidine or sulfa medications can, in rare instances, induce hypoglycemia.
  • Medical Conditions: Certain illnesses that affect the liver, kidneys, or adrenal glands can affect glucose metabolism, leading to hypoglycemia.
  • Surgery: Major surgery and the follow up recovery period with limited food intake may cause issues in managing blood sugar levels.
  • Nutrient deficiencies: Not having a balanced diet or being chronically malnourished can contribute to reactive and or fasting hypoglycemia.
  • Severe Infection or Illness: These situations create greater demands for glucose and this may quickly deplete circulating glucose and liver stored glycogen leading to hypoglycemia.

Recognizing the specific causes or contributing factors in your own life is crucial for managing and preventing future occurrences of low blood sugar. By adjusting lifestyle choices and, in some cases, managing medications with a doctor's guidance, one can greatly reduce the risk.


How to Treat Low Blood Sugar: Step-by-Step Guide

Treating low blood sugar promptly is crucial to avoid severe complications. The "15-15 rule" is a widely recommended method for addressing hypoglycemia effectively. Here's a step-by-step guide on how to handle an episode:

Step 1: Recognize the Symptoms

As discussed earlier, be aware of the common signs of low blood sugar. These can include shakiness, sweating, dizziness, confusion, and more. If you feel any of these symptoms, take action immediately.

Step 2: Check Blood Sugar (if Possible)

If you have a blood glucose meter, use it to check your blood sugar level. A reading below 70 mg/dL (3.9 mmol/L) typically indicates hypoglycemia. However, don’t delay treatment if you don’t have a meter. Act quickly if you experience symptoms even before checking.

Step 3: Administer the 15-15 Rule

  • Consume 15 Grams of Fast-Acting Carbohydrates: Take a source of rapidly digestible carbohydrates to quickly increase your blood sugar. Examples include:
    • 3-4 Glucose tablets or 15 grams glucose gel.
    • Half a cup of fruit juice (not sugar-free).
    • One cup of milk.
    • A tablespoon of honey, jelly or syrup.
    • 15-20 hard candies such as skittles or lifesavers.
    • Half can of regular soda or cola (not diet).
  • Wait 15 Minutes: Allow your body enough time to absorb the carbohydrates and start raising blood sugar levels.
  • Recheck Blood Sugar (if possible): If you have a glucose meter, recheck your blood sugar after 15 minutes. If your blood sugar is still below 70 mg/dL or if you still experience symptoms, repeat the process and consume an additional 15 grams of carbs.

Step 4: Follow with a Long-Acting Carbohydrate and Protein Snack (after blood glucose returns to normal):

Once your blood sugar is back within the normal range, it's important to follow up with a snack containing a combination of complex carbohydrates and protein to prevent another drop. This can include:

  • A piece of whole-wheat toast with peanut butter.
  • A small piece of fruit and a handful of nuts.
  • A glass of milk and a few crackers.
  • Yogurt with berries.
  • A protein bar or a protein shake.

Step 5: Seek Immediate Medical Assistance for Severe Hypoglycemia

If someone is unresponsive or has seizures or loses consciousness due to low blood sugar, or you are unable to get blood sugars back to normal with repeated 15 gram doses of carbs, do not try to feed them food by mouth. Instead, immediately:

  • Call for emergency medical help.
  • If glucagon is available, administer it according to the manufacturer’s instructions. Glucagon is a hormone that can quickly raise blood sugar and is especially helpful for severe hypoglycemia, when a person is unconscious or cannot swallow.
  • If no glucagon is available, wait for medical assistance and do not attempt any treatment by mouth.
  • After the individual recovers, and is able to eat and drink, ensure they eat a snack with complex carbohydrates and protein as described above.

Important Considerations:

  • Plan Ahead: If you are prone to low blood sugar, always carry fast-acting carbohydrates with you. Keep some at home, in your car, at work, and in your bag.
  • Educate Others: Inform family, friends, and colleagues on how to recognize and treat hypoglycemia in case you're unable to do so yourself.
  • Consult Healthcare Provider: Discuss recurrent low blood sugar events with your healthcare provider to identify possible causes, assess medications, and adjust your care plan, especially if you are diabetic.

By following these steps, you can effectively manage low blood sugar and reduce the risk of any potentially serious complications.


Preventing Low Blood Sugar: Strategies and Lifestyle Adjustments

Prevention is key to managing low blood sugar, especially if you have diabetes or have recurring episodes of hypoglycemia. By making a few adjustments to your lifestyle and routines, you can significantly reduce your risk. Here are several strategies:

Dietary Management:

  • Regular Meals: Eating meals at consistent times each day and not skipping meals will help maintain a steady supply of glucose to your bloodstream.
  • Balanced Meals: Incorporate a combination of complex carbohydrates (whole grains, vegetables), lean proteins (chicken, fish, tofu, legumes), and healthy fats (avocado, nuts, olive oil) into your diet. This helps regulate blood sugar release more consistently than simple sugars.
  • Portion Control: Avoid eating excessive amounts of foods with a high glycemic index or that will cause rapid fluctuations in glucose levels. Moderate portion sizes can minimize extreme spikes or drops in blood sugar levels.
  • Avoid Sugary Drinks and Simple Sugars: These can lead to rapid rises followed by sudden drops in blood sugar. Opt for healthier options like water, unsweetened tea, or low-sugar alternatives.
  • Fiber Rich Foods: Include high fiber foods in your meals. Fiber slows down the absorption of sugar into the bloodstream, which is essential for preventing spikes and crashes.
  • Frequent Small Meals: Consider eating small meals and snacks throughout the day. This approach helps stabilize your blood sugar, particularly for those who are prone to reactive hypoglycemia.

Lifestyle Adjustments:

  • Regular Exercise: Maintain a consistent exercise routine, but understand how activity impacts your blood sugar levels. Monitor blood glucose levels before, during, and after exercise to make necessary adjustments.
  • Monitor Blood Sugar Regularly: If you are prone to hypoglycemia, especially if you have diabetes, check your blood glucose levels regularly and be sure to monitor trends. Keep an accurate record of any episodes to assist healthcare providers in tailoring treatments.
  • Medication Management: Follow prescribed medication dosages carefully and work closely with your healthcare provider to manage these drugs. Never change your dosage of insulin or medications for diabetes without guidance from your healthcare provider.
  • Alcohol Awareness: If you drink alcohol, do so in moderation, with food, and be aware that it can lower blood sugar for several hours.
  • Stress Management: Engage in relaxation techniques like yoga or meditation to help manage stress. Stress can impact hormones that regulate glucose levels.
  • Adequate Sleep: Prioritize getting enough sleep as it can impact hormone regulation and overall metabolic health.
  • Communicate with Your Care Team: Regular consultations with healthcare professionals enable appropriate management strategies to prevent or manage low blood sugar effectively. This is crucial for people with diabetes and anyone else experiencing recurrent episodes of hypoglycemia.

Specific Recommendations:

Recommendation Practical Application
Regular Meal Timing Eat breakfast, lunch, and dinner roughly at the same time every day.
Balanced Diet Combine lean proteins, healthy fats, and complex carbs in each meal.
Glucose Monitoring Track glucose levels before/after exercise, meals and during symptomatic episodes.
Medication adherence Follow instructions exactly, and do not modify your prescribed insulin regimen without input from your care provider.
Limit alcohol Do not consume alcohol on an empty stomach and always consume with food.
Exercise adjustments Understand that intensity of activity requires changes in carbohydrate or insulin management, with medical oversight.
Emergency kit Keep a readily accessible emergency kit containing fast-acting carbohydrates (glucose tabs or gel) and a glucagon pen with you.

By incorporating these preventative measures into your daily life, you can gain better control over your blood sugar levels, minimizing the risk and potential impact of hypoglycemia.


Conclusion: Empowering Yourself to Manage Low Blood Sugar

Effectively managing low blood sugar requires a proactive approach that combines awareness, knowledge, and actionable steps. From recognizing the initial symptoms and promptly addressing an episode to making lifestyle changes that help prevent recurrence, a comprehensive strategy can make all the difference. By understanding the various triggers, such as incorrect insulin dosages, inadequate food intake or excessive exercise for diabetic patients, or reactive hypoglycemia, fasting hypoglycemia or unusual medical conditions for non-diabetics, you can better tailor your approach to manage your health.

This article aimed to equip you with a complete set of tools and insights necessary to handle low blood sugar confidently, providing an accessible guide for everyone who experiences or might experience this condition, whether associated with diabetes or not. The 15-15 rule, dietary management, and routine health practices are not just for immediate intervention but also vital components for sustained wellness. By integrating this knowledge into your life, you will not only better safeguard yourself but also those around you who may need immediate assistance. Remember to consult with a healthcare professional for personalized guidance if you have questions, or when managing recurrent episodes of hypoglycemia. Your health is a priority, and by taking informed action, you can maintain better control of your overall well-being.

In today's video we're talking all about reactive hypoglycemia. A symptom I never expected to have years after eating disorder recovery. Back when I recovered from my eating disorder, I thought that eating better automatically meant my body would go completely back to normal right away, but unfortunately that wasn't the case. I experienced hypoglycemic episodes years after my recovery - and to be honest, I didn't get ton of help or answers from the medical experts I knew at the time. And I don't necessarily blame them either!! Reactive Hypoglycemia is not incredibly common, so that makes studying it and learning more about it even more difficult. There's A LOT I wish I knew back in the high blood sugar and excessive sweating day to help improve my symptoms and have less episodes of low-blood sugar. Watch this video to hear my personal hypoglycemia story, and at the end, I'll share with you my top tips to improve symptoms. If this video helped you, scroll down to find different ways to work with me and support the channel ✨ And don't forget to comment below - what has been your own experience with reactive hypoglycemia? Has it impacted you, or someone you know? What helped and what didn't? We'd love to hear from you!! Links to the research studies on this topic: 🥑 [FREE] Mindful Eating & Food Freedom Masterclass » 🔗 Work with me 1:1 » 🍏 Join the Mindful Muscles Academy - my mindful eating program for a fit & active lifestyle! » ✨Love the channel? Here's some ways to support this free content! ⤵️ » Patreon → »Help to Fund My Creator Wishlist → » food & fitness freedom challenge → ⏰ TIMESTAMPS 0:00 Intro 0:22 Reactive Hypoglycemia 1:56 My Eating Disorder Story 3:40 Where the Hypoglycemia Began 6:06 I Thought I Was Crazy... 8:00 Hypoglycemia Tests & What My Medical Team Suggested 10:53 Recent Studies on Hyperinsulinemia & ED Recovery 11:46 Managing Reactive Hypoglycemia 12:46 TIP 1 - Meal Timing & Low Blood Sugar 14:11 TIP 2 - Strategic Snack Planning for Balanced Blood Sugar 16:26 TIP 3 - Balanced Meals & Fiber for Blood Sugar 17:52 TIP 4 - Don't Suffer In Silence 19:14 TIP 5 - Managing Caffeine & Alcohol 20:40 Comment Your Experiences & Stories Below! 21:30 What to Watch Next 📲WHAT TO WATCH NEXT » 4 Things I Wish I Knew in ED Recovery: 🛍 FAVE PRODUCTS & RESOURCES (I receive commission for some purchases using affiliate links) » Shop my Favorites on Amazon! - » Shop all my affiliate codes & faves - » Recommendations for RDs & Online Creators - » 30% off Orgain Protein with code DBN30 - 169 blood sugar a1c » 40% off Thrive Market - » Precision Nutrition Certification - 📲 SOCIAL MEDIA » Website - » Courses - » Instagram - » Etsy Store - » Tiktok - 🦋 ABOUT ME Hey there! My name is Katie, I’m a Registered Dietitian Nutritionist & Certified Personal Trainer. I help active men & women go from restrictive diets to food freedom so they can heal their metabolism & fuel with mindfulness, intention & confidence. I believe that honoring your health doesn't have to mean being on a restrictive diet, or obsessing over the numbers (the scale, calories, grams). On this channel I’ll help you debunk fact from fiction around various nutrition topics. We’ll also talk tangible nutrition & find food freedom tips and strategies that will help you heal your relationship with food and fuel with intention, 151 fasting blood sugar including: mindful eating, gentle nutrition and reverse dieting. To learn more about how you can start your journey to food freedom today visit: 🚨 DISCLAIMERS This video is NOT sponsored. Some product links are affiliate links which means if you buy something I receive a small commission. This video is for entertainment and informational purposes only. The information provided is not intended to be a substitute for professional medical advice, diagnosis or treatment. Never disregard professional medical advice, or delay in seeking it, because of something you have heard or read on this youtube channel or associated website. Never rely on information on this website in place of seeking professional medical advice.
The SCARY Symptom I Never Expected In Eating Disorder Recovery...
The SCARY Symptom I Never Expected In Eating Disorder Recovery... [123bc7]