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Old 04-01-2005, 06:39 PM   #1 (permalink)
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Default blood sugar and stress/anxiety

Hi all!...Okay, I'm being treated for gestational diabetes, and I've posted a question on the pg board that might be more easily answered here...so I thought I'd post it here as well...

tia!

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Just wondering if you've noticed how stress impacts your blood sugar? I ate dinner last night, then my husband and I got in a huge, screaming, sobbing fight...and when I went to do my two hour post-meal check, my blood sugar (which has been running consistantly high) was 78. It's NEVER been that low, even fasting in the morning. A subsequent check put it at 87.

Then I thought about something. Whenever I'm under extreme stress, before long I am very sleepy. And every time I get in a fight with my husband, I need a nap afterward. It's something I noticed, but never put much thought into.

I wonder if I always respond to stress with a drop in blood sugar?

How 'bout you?

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Old 04-01-2005, 06:46 PM   #2 (permalink)
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I have to say the when I am under a fair amount of stress I get low BS all the time. I was off of work for 6 weeks and my BS where great went back and they started to drop in the 70's after eating a good breakfast and lunch. I have asked my PCP about this and she has told me the stress can play a HUGE roll in my BS. Just thought I would tell you what I experience. I don't know if this will help you are not.
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Old 04-03-2005, 05:17 PM   #3 (permalink)
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A blood sugar drop after a stressful event is unusual. Typically stress, either physical or mental, raises blood sugar. That's because adrenalin is released when under stress, and its the adrenalin that causes the blood sugar rise. Feeling tired after a stressful event is common because stress places a lot of energy demands on the body.

Here is some info from Dr. Bernstein's diabetes website/book about stress and blood sugar:

Adrenaline Surges

Many patients have reported sudden blood sugar spurts after brief episodes of severe stress. Examples have included an automobile accident without physical injury; speaking in front of a large audience; taking very important exams in school; and having arguments that nearly become violent. I am occasionally interviewed on television, and I always check—and, if necessary, adjust—my blood sugar immediately before and after such appearances. Until I eventually became accustomed to such appearances, my blood sugar would inevitably increase 75-100 mg/dl, even though on the surface I might have appeared relaxed. As a rule of thumb, from personal experience and from observing my patients, I would say that if an acute event is stressful enough to start your epinephrine (adrenaline) flowing, as indicated by rapid heart rate and tremors, it is likely to raise your blood sugar. Epinephrine is one of the counterregulatory hormones that cause the liver to convert stored glycogen to glucose. This is part of what is often called the “fight or flight” response, your body’s attempt to provide you with enough extra energy either to overcome an enemy or run like heck to get away. Type 2 diabetics who make a lot of insulin are less likely to have their blood sugar reflect acute stress than are those who make little or none.

An occasional blood sugar increase after a very stressful event may well have been brought on by the event. On the other hand, unexplained blood sugar increases extending for days or weeks can rarely be properly attributed to stress. I know of no instances where prolonged emotional stress caused abnormal blood sugars in diabetic or nondiabetic individuals. Therefore, if you experience a prolonged unexplained change in your blood sugar levels after extended periods of normal blood sugars, it is wise to seek out a cause other than emotional
stress.

http://www.diabetesincontrol.com/issue205/bernstein.shtml
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