Reactive Hypoglycemia (S2E9)

Nothing makes life in my practice of Acupuncture and Traditional Chinese Medicine more challenging, than Reactive Hypoglycemia. For the most part this is due to one of three things. The three things that cause it are high glycemic, carbohydrate rich environments, food allergies and sensitivities and endocrine disorders such as hypothyroidism and adrenal fatigue. Just about every body-work therapy out there, as well as many medications, herbs and supplements, can cause an unexpected drop in blood sugar. Although practitioners prepare for this eventuality, when a hypoglycemic episode occurs, it can still be un-nerving due to the symptoms that it evokes in patients with this issue.

Hypoglycemia can induce the following constellation of symptoms: shakiness, anxiety, irritability, unconsciousness, palpitations, vertigo, angina, panic, hunger, sweating, abdominal pain, headache, blurring of vision, fatigue, impaired memory, seizures and muscle cramps. As you can see, just about everything that plagues people seeking treatment.

However, the icing on the proverbial cake of hypoglycemia (if you’ll pardon the pun), is the belief in conventional medicine that it is ‘over-diagnosed’. Yet the irony, is that it is caused by the high glycemic food environment which we are surrounded by.

High glycemic carbs like sugar, bread, pasta, rice, juice and pop, cause both blood sugar to become erratic, due to the insulin resistance that results, as well as inflamed intestines, which increases the severity of food sensitivities and allergies. When this occurs, malabsorption of many different nutrients also results.

To improve hypoglycemia, adopt a diet higher in protein and fat, with high fiber carbohydrates of the vegetable variety, avoid caffeine and alcohol and adopt the following supplements:

A good multivitamin/multimineral, chromium (in any of its supplemental forms) 500-1000 micrograms/day, magnesium citrate (250mg/day) and Niacinamide (250mg,2x/day)

Tune in next episode when we’ll talk about Niacinamide.

Be Well and Be Zen



Gaby., Reactive Hypoglycemia., Nutritional Medicine (2011)., Ch. 6., pp. 19-23, ISBN13: 978-0-9828850-0-0. Fritz Perlberg Publishing, Concord, NH.


Shai I, Weight Loss with a Low-Carbohydrate, Mediterranean, or Low-Fat Diet (2008)., N Engl J Med 2008;359:229-41.

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