Blood sugar low

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  • 8 Post By Janknitz
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Blood sugar low


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Old 08-25-2014, 16:26   #1
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Default Blood sugar low

What is the best thing to consume if on metformin to raise blood sugar???

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Old 08-25-2014, 16:38   #2
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Do you mean to 'lower' blood sugar? I'm confused.




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Old 08-25-2014, 17:08   #3
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Metformin doesn't work by lowering blood glucose. It's an "insulin sensitizer", meaning that it allows your cells to respond to your own body's insulin and thus control your blood glucose. Hypoglycemia is not the usual response to Metformin. It's unclear from your question, but if you are experiencing blood glucose levels that are too low, diet is likely the reason.

In another thread you said:
Quote:
I'm on metaformin and I'm trying to stick to a diet of greens, beans, onions, mushrooms, and seeds
Why? Are you feeding a bird or a human? There is very little protein or fat in that diet, inadequate calories and nutrients. It will be difficult or impossible to maintain good blood sugar control without adequate protein and fat. Take a look at LCHF for Beginners | DietDoctor.com for a good discussion on what you should be eating, as long as you are using your meter to make sure that what you eat is working for you. Nutrient density from a variety of foods with adequate protein, plenty of fat, sufficient calories and nutrients will make your body well and control your diabetes.
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Old 08-25-2014, 18:57   #4
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While I agree with your post, I'd have to disagree with this.

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Originally Posted by Janknitz View Post
but if you are experiencing blood glucose levels that are too low, diet is likely the reason.

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Old 08-25-2014, 19:16   #5
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If, however, you are eating lots of carbs (which it appears you are) then you may be experiencing hypoglycemia - the carbs send your BG high, then your pancreas kicks out insulin but the signals get crossed and it makes too much, sending your BG down low.

By the way, what level on your meter are you calling "low". Often its the fast drop of BG rather than how low it goes that makes one think one is "too low". Testing may show a level of 70 and even in the 60s, but that's not actually a real low. But, again, it certainly can feel like it.

the best treatment for hypoglycemia, if that's what you are experiencing, is to eat low carb (and high fat) so that one gets off the high/low roller coaster.

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Old 08-25-2014, 21:08   #6
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Quote:
Originally Posted by skb View Post
While I agree with your post, I'd have to disagree with this.
Tell me more, Shanny. It's my understanding that Metformin is not known for causing hypos because it's action is insulin sensitization, not lowering glucose. Is that wrong?

AFAIK, hypos are typically because of too many carbs (when the insulin finally catches up to too many carbs there's too much insulin, which drives the BG down too low) or when a person is a "sugar burner" and is not eating enough.

And the real question is whether or not the OP's blood sugars are really even "too low".

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Old 08-25-2014, 21:20   #7
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That was Shyam (skb) who made the statement, but I also disagree that diet causes hypos. The most common causes are some of the oral drugs like sulfonylureas et.al., which force the pancreas to produce endogenous insulin, whether it's needed or not. Of course hypos are always a concern in patients who use exogenous insulin.

Metformin works on the insulin receptors in the cells so that they are able to access the insulin that's already available. Met also works in the liver so that it reduces the number and amount of glucose delivered to the bloodstream.

What you describe is what I call reactive hypoglycemia.

Now I'll step aside and let skb answer the question himself!




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Old 08-25-2014, 23:22   #8
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Sorry, Shanny, I did mean SKB, but the OP said he/she was on Metformin, not on other oral drugs or insulin. Absent other classes of oral drugs or insulin, diet is the most likely culprit.

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Old 08-26-2014, 05:11   #9
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Hello Jan,

A little disagreement is always healthy for learning curves. I did not mean any offence to you, and I hope that you will not take any. I therefore "liked" your post, before making the comment. Actually, my "disagreement" was more in line with what Shanny stated about SUs & Insulin, but a lot has been said after that & now the "discussion" seems to be headed the reactive hypoglycemia way. My intention was to keep it simple & not digress from the OP.

I accept your contention that OP might not actually be experiencing lows. In the same vein, do accept the possibility that he/she might be on a combo pill. However, even if we were to accept reactive hypoglycemia as the likely cause, I would still think that it is not simply a "reaction" to the carbs in diet per se. That might be true but oversimplified. It has a lot to do with signalling defect more than the macronutrient ratios itself. Do we blame cholesterol for heart disease, though cholesterol is found in plaques ?

Wikipedia says " The causes of most cases of reactive hypoglycemia are still open to debate. Some researchers suggest that certain people may be more sensitive to the body’s normal release of the hormone epinephrine, which causes many of the symptoms of hypoglycemia. Others believe deficiencies in glucagon secretion might lead to reactive hypoglycemia ".

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Last edited by skb; 08-26-2014 at 09:24.
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Old 08-26-2014, 21:38   #10
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I agree. My BH has suffered from hypos in the past. She eats a very high carb diet. She ate nothing differently when she had a hypo than other times that she did not. I think its just a signaling thing that gets the timing out of whack. Maybe insulin didn't start soon or strong enough, or too much glucogon released calling for more insulin not necessarily needed.

I'm assuming OP measured BG and determined from the results that they had low BG. But low is subjective, depending upon the source of the information which defined low BG that OP used to determine that. I don't think 55-60 is too low. Others may think 80's are low.

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