Feeling Tired? It Could Be Your Blood Sugar. Here's How to Know for Sure.

23 Aug 2025

Feeling Tired? It Could Be Your Blood Sugar. Here's How to Know for Sure. Feeling perpetually tired is a common complaint. While many factors can cont...

Feeling Tired? It Could Be Your Blood Sugar. Here's How to Know for Sure.

Feeling perpetually tired is a common complaint. While many factors can contribute to fatigue, one often-overlooked culprit is your blood sugar level. Fluctuations in blood glucose, also known as blood sugar, can significantly impact your energy levels. This article will delve into the connection between blood sugar and fatigue, helping you identify if it's the cause and what you can do about it.

Understanding the Blood Sugar-Energy Connection

Your body relies on glucose (sugar) for energy. When you eat carbohydrates, your body breaks them down into glucose, which then enters your bloodstream. Insulin, a hormone produced by the pancreas, helps glucose move from the blood into your cells to be used for energy.

However, when this process is disrupted, problems arise. This disruption can cause:

  • High Blood Sugar (Hyperglycemia): When your body doesn't produce enough insulin or can't use it effectively, glucose builds up in your bloodstream. While it might seem like you should have plenty of energy, your cells aren't able to access it, leading to fatigue.
  • Low Blood Sugar (Hypoglycemia): When your blood sugar drops too low, your cells aren't getting enough fuel to function properly, resulting in feelings of weakness, dizziness, and fatigue.
  • Blood Sugar Swings: Rapid rises and falls in blood sugar can leave you feeling like you're on a rollercoaster, with alternating periods of energy highs and debilitating lows. This is especially relevant when discussing reactive hypoglycemia.

Therefore, maintaining stable blood glucose levels is essential for sustained energy throughout the day. Understanding how blood sugar affects energy levels is the first step in addressing chronic fatigue.

Related reading: Managing Blood Sugar Best Practices For Using Your Blood Glucose Meter

Signs Your Fatigue is Related to Blood Sugar

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While fatigue is a general symptom, certain clues can indicate that your blood sugar levels are the culprit. Watch out for these symptoms, especially when they occur after meals or during periods of fasting:

  • Excessive Thirst: High blood sugar draws fluid from your tissues, leading to increased thirst.
  • Frequent Urination: Your kidneys try to flush out excess sugar through urine, causing more frequent trips to the bathroom.
  • Blurry Vision: High blood sugar can affect the lens of your eye, leading to temporary blurred vision.
  • Increased Hunger (Especially After Eating): Even after eating, your cells may not be getting enough glucose, leaving you feeling hungry and tired.
  • Irritability and Mood Swings: Blood sugar fluctuations can affect brain function, leading to irritability, anxiety, and mood swings.
  • Headaches: Both high and low blood sugar can trigger headaches.
  • Difficulty Concentrating: The brain needs a steady supply of glucose to function optimally. Fluctuations can impair cognitive function and make it difficult to concentrate.
  • Dizziness or Lightheadedness: Especially after eating sugary foods or skipping meals.
  • Craving Sugary Foods: Often a sign of reactive hypoglycemia; the body craves what it perceives as quick energy.

It’s important to note that experiencing one or two of these symptoms doesn't necessarily mean you have a blood sugar problem. However, if you experience a combination of these symptoms, especially in conjunction with persistent fatigue, it's worth investigating further. Consider tracking when your fatigue is worst, such as post meals, and what you ate that caused the fatigue.

How to Check Your Blood Sugar Levels

The most accurate way to determine if your fatigue is related to blood sugar is to get your blood sugar levels checked by a healthcare professional. Here are a few options:

  • Fasting Blood Sugar Test: This test measures your blood sugar after an overnight fast (usually 8-12 hours). A result of 100-125 mg/dL indicates prediabetes, and 126 mg/dL or higher indicates diabetes.
  • A1C Test: This test measures your average blood sugar level over the past 2-3 months. It gives a broader picture of your blood sugar control over time. A result of 5.7-6.4% indicates prediabetes, and 6.5% or higher indicates diabetes.
  • Oral Glucose Tolerance Test (OGTT): This test involves drinking a sugary drink and then having your blood sugar checked at regular intervals over a few hours. It's often used to diagnose gestational diabetes during pregnancy.
  • Continuous Glucose Monitoring (CGM): These devices use a small sensor inserted under the skin to automatically track glucose levels in real-time. This can be very helpful in identifying patterns related to food intake and exercise and better understanding how glucose impacts your energy levels.

You can also use a home blood glucose meter to check your blood sugar levels at home, but it's important to consult with your doctor to determine if this is the right option for you and to understand how to interpret the results accurately. A doctor can determine the best course of action for testing and treating any potential issues with blood glucose.

Strategies to Stabilize Your Blood Sugar and Combat Fatigue

Related reading: Decoding Diabetes Symptoms Risk Factors And Diagnosis

If you suspect that your fatigue is related to blood sugar imbalances, there are several lifestyle changes you can make to help stabilize your levels and boost your energy:

  • Eat Regular Meals and Snacks: Skipping meals can cause your blood sugar to drop, leading to fatigue. Aim to eat meals and snacks at consistent times throughout the day.
  • Choose Low-Glycemic Index (GI) Foods: These foods are digested more slowly, resulting in a more gradual rise in blood sugar. Examples include whole grains, fruits, vegetables, and legumes.
  • Limit Sugary Drinks and Processed Foods: These foods can cause rapid spikes in blood sugar, followed by a crash.
  • Combine Carbohydrates with Protein and Healthy Fats: This helps to slow down the absorption of glucose and promote stable blood sugar levels. For example, pairing an apple with peanut butter or whole-grain toast with avocado and egg.
  • Stay Hydrated: Dehydration can affect blood sugar levels, so drink plenty of water throughout the day.
  • Get Regular Exercise: Exercise helps your body use insulin more effectively, improving blood sugar control. Even a short walk can make a difference.
  • Manage Stress: Stress hormones can raise blood sugar levels. Practice stress-reducing activities like yoga, meditation, or spending time in nature.
  • Prioritize Sleep: Lack of sleep can disrupt hormone levels that affect blood sugar control. Aim for 7-8 hours of quality sleep per night.


Here is an example of how to incorporate various food groups into each meal in order to help balance blood sugar.

Meal Complex Carbohydrate Protein Healthy Fat
Breakfast Oatmeal (steel-cut or rolled oats) Greek Yogurt or Nuts/Seeds Nuts/Seeds (e.g., flaxseed, chia seeds, almonds)
Lunch Quinoa or Whole-grain Bread Grilled Chicken or Chickpeas Avocado or Olive Oil Dressing
Dinner Sweet Potato or Brown Rice Baked Salmon or Lentils Olive Oil or Nuts
Snack Apple Slices Almond Butter or Cheese Almond Butter or Cheese

When to See a Doctor

While lifestyle changes can often help stabilize blood sugar and improve energy levels, it's important to see a doctor if you experience any of the following:

  • Persistent Fatigue That Doesn't Improve With Lifestyle Changes: This could indicate an underlying medical condition, such as diabetes or thyroid problems.
  • Frequent Episodes of Hypoglycemia (Low Blood Sugar): Especially if you have diabetes or are taking medications that can lower blood sugar.
  • Symptoms of Hyperglycemia (High Blood Sugar): Such as excessive thirst, frequent urination, and blurred vision.
  • Family History of Diabetes: This increases your risk of developing the condition.

A doctor can help determine the underlying cause of your fatigue and recommend the best course of treatment, which may include medication, lifestyle changes, or further testing. Working with a healthcare professional is essential for managing blood sugar levels effectively and preventing long-term complications. They can also help rule out any other underlying conditions that may be contributing to the chronic fatigue.

Conclusion

Persistent fatigue can significantly impact your quality of life, but understanding the connection between blood sugar and energy can help you take control. By recognizing the symptoms of blood sugar imbalances, getting your blood sugar levels checked, and making healthy lifestyle choices, you can stabilize your blood sugar, combat fatigue, and improve your overall well-being. Remember to consult with your doctor for personalized advice and treatment if you have concerns about your blood sugar or persistent fatigue. Address potential blood sugar related fatigue early on to prevent it from causing long term issues or potential development of Type 2 Diabetes.