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The condition is related to homeostatic systems used by the body to control the blood sugar level. It is described as a sense of tiredness, lethargy, irritation, or hangover, although the effects can be lessened if a lot of physical activity is undertaken in the first few hours after food consumption.
The alleged mechanism for the feeling of a crash is correlated with an abnormally rapid rise in blood glucose after eating. This normally leads to insulin secretion known as an insulin spike , which in turn initiates rapid glucose uptake by tissues, either storing it as glycogen or using it for energy production.
The consequent fall in blood glucose is indicated as the reason for the " sugar crash". Sugar crashes are not to be confused with the after-effects of consuming large amounts of protein , which produces fatigue akin to a sugar crash, but are instead the result of the body prioritising the digestion of ingested food.
The prevalence of this condition is difficult to ascertain because a number of stricter or looser definitions have been used. It is recommended that the term reactive hypoglycemia be reserved for the pattern of postprandial hypoglycemia which meets the Whipple criteria symptoms correspond to measurably low glucose and are relieved by raising the glucose , and that the term idiopathic postprandial syndrome be used for similar patterns of symptoms where abnormally low glucose levels at the time of symptoms cannot be documented.
To assist in diagnosis, a doctor may order an HbA1c test, which measures the blood sugar average over the two or three months before the test.
The more specific 6-hour glucose tolerance test can be used to chart changes in the patient's blood sugar levels before ingestion of a special glucose drink and at regular intervals during the six hours following to see if an unusual rise or drop in blood glucose levels occurs.
According to the U. A crash is usually felt within four hours of heavy carbohydrate consumption. Along with the symptoms of hypoglycemia, symptoms of reactive hypoglycemia include:   .
The majority of these symptoms, often correlated with feelings of hunger, mimic the effect of inadequate sugar intake as the biology of a crash is similar in itself to the body's response to low blood sugar levels following periods of glucose deficiency.
The NIH states: "The causes of most cases of reactive hypoglycemia are still open to debate. Others believe deficiencies in glucagon secretion might lead to reactive hypoglycemia.
Several other hormones are responsible for modulating the body's response to insulin, including cortisol, growth hormone and sex hormones.
Untreated or under-treated hormonal disorders such as adrenal insufficiency see also Addison's disease  or growth hormone deficiency  can therefore sometimes cause insulin hypersensitivity, and reactive hypoglycemia.
Stomach bypass surgery or hereditary fructose intolerance are believed to be causes, albeit uncommon, of reactive hypoglycemia.
Myo-inositol or 1 D - chiro -inositol withdrawal can cause temporary reactive hypoglycemia. There are several kinds of reactive hypoglycemia: .
To check if there is real hypoglycemia when symptoms occur, neither an oral glucose tolerance test nor a breakfast test is effective; instead, a hyperglucidic breakfast test or ambulatory glucose testing is the current standard.
The body requires a relatively constant input of glucose, a sugar produced upon digestion of carbohydrates, for normal functioning. Glucagon and insulin are among the hormones that ensure a normal range of glucose in the human body.
This hormone initiates the absorption of the just-digested blood glucose as glycogen into the liver for metabolism or storage, thereby lowering glucose levels in the blood.
In contrast, the hormone glucagon is released by the pancreas as a response to lower than normal blood sugar levels. Glucagon initiates uptake of the stored glycogen in the liver into the bloodstream so as to increase glucose levels in the blood.
More insulin than is actually needed is produced in response to the large, rapid ingestion of sugary foods.
Reactive hypoglycemia can usually be relieved by dietary changes: . The first important point is to add small meals at the middle of the morning and of the afternoon, when glycemia would start to decrease.
If adequate composition of the meal is found, the fall in blood glucose is thus prevented. Patients should avoid rapidly absorbed sugars and thus avoid popular soft drinks rich in glucose or sucrose.
They should also be cautious with drinks associating sugar and alcohol, mainly in the fasting state. As it is a short-term ailment, a sugar crash that was not caused by injecting too much insulin does not usually require medical intervention in most people.
The most important factors to consider when addressing this issue are the composition and timing of foods. Acute short-term low blood sugar symptoms are best treated by consuming small amounts of sweet foods, so as to regain balance in the body's carbohydrate metabolism.
Suggestions include sugary foods that are quickly digested, such as:. The anti-hypertensive class of medication known as calcium channel blockers could be useful for reactive hypoglycemia as inhibition of the calcium channels on beta islet cells can help prevent an overproduction of insulin after a meal is eaten.
If there is no hypoglycemia at the time of the symptoms, this condition is called idiopathic postprandial syndrome. It might be an " adrenergic postprandial syndrome" — blood glucose levels are normal, but the symptoms are caused through autonomic adrenergic counterregulation.
Dietary recommendations for reactive hypoglycemia can help to relieve symptoms of postprandial syndrome. From Wikipedia, the free encyclopedia.
The Nutrition Coalition is a nonprofit advocacy organization working to strengthen national nutrition policy so that it is founded upon a comprehensive body of conclusive science, and where that science is absent, to encourage additional research.
Following the research, not the money, to find the truth. High fructose corn syrup has been on the high alert list for a while now, but there is still a need for good resources that explain what HFCS is, what foods contain it and why we should be on alert for it and avoid it!
This article covers the what and where, and offers a great list of resources for more information. Definitely bookmark and keep handy!
Continue reading …. You are probably familiar with Roundup as a convenient way to control dandelions in your yard and weeds growing in the cracks of your walkways.
Because of its perceived nontoxicity, the government has put very little effort into testing residue levels in the foods that we put on our table.
The crops that are engineered to resist glyphosate are highly contaminated, because they take up the glyphosate and incorporate it into their own tissues.
These include corn, soy, canola, alfalfa and sugar beets. As well, many grains, legumes and other crops are sprayed with glyphosate right before harvest as a desiccant or ripener.
These include sugar cane, wheat, barley and oats, among others. How do stem cells work in Back pain and Joint pain?
Simple Explanation of a complex mechanism.