FAQ About Dieting for Hypoglycemia

Contents

How does the diet for Hypoglycemia work?
What is the difference between a strict and liberal diet for hypoglycemia?

I heard low carb diets are bad for you because you burn muscle tissue instead of fat.  True?

How about the Zone diet?
When I try the HG diet, I get shaky. Eating something with sugar relieves the symptoms. Am I taking my blood sugar too low with the diet?

Does a Low-carb diet help fibro and guai, too?
On a 'strict' low-carb diet, is cholesterol a problem with all the cream, meat, eggs, and other supposedly high-cholesterol foods?

If I've been on the hypoglycemia diet for awhile and don't notice any changes, what do I do?

If I don't keep my carbs between 20-30 grams, the brain fog and irritability come back with a vengeance. If I don't want to lose weight, how do I increase my carbs without the symptoms returning?

I decided to go on a low-carb diet to see if it would help with nasty GI symptoms I've been having, e.g., bloating, urgency, IBS. It seems more expensive buying meat products than say, whole grains. I also fare better avoiding dairy.  Any suggestions

I noticed maltodextrin is an ingredient in Crystal Light.  Is that sugar?

Are there any carbs that will NOT invoke an insulin response?
How do Polyol calories compare with sugar?

Can I take sublingual Serotonin for Hypoglycemia?

I Have Recurrent Yeast Infections If I Cheat On My Low-Carb Diet. Can you help?

I've had one gallstone since starting a low carb diet and got a lecture from my doc who says the food is too rich for my gall bladder. How do I modify the diet so I don't get another gall stone? I have been feeling so much better while I was on it.

I have a lot of food intolerances, even with the common foods, milk, soy, corn, and eggs. The strict HG diet has helped, but I'm worried I'll develop intolerances again.

Where can I find more info?

 

Also see these links:
FAQ: Hypoglycemia (HG)
Insulin Resistance  

 

Insulin Resistance and Cardiovascular Disease
 

The Insulin-Resistance Diet : How to Turn Off Your Body's Fat-Making Machine

 

Blood Sugar Control   Reactive Hypoglycemia (RHG) Insulin Resistance: FMS & CMP Perpetuating Factor (by Devin J Starlynal)   Low-GI   LowCarbCooking-Products-Recipes-Forums   Bonny's Low-carb Helpful Links, Tips & Recipes   Members' Book Reviews   Low Carb, Low Fat Cook Books    Which Diet Is Best For You?   About Coconut   Low-carb Diets  Low Carb Cook Books
Eradication of H. Pylori shown to improve hypoglycemia   Both obesity and type II diabetes may be associated with an increased incidence of H. pylori-colonization

 

 

 

Xylitol looks, feels, and tastes exactly like sugar While sugar wreaks havoc on the body, xylitol heals and repairs While sugar is acid-forming, xylitol is alkaline enhancing In its crystalline form, it can replace sugar in cooking and baking Unlike many artif  

 

How does the diet for hypoglycemia  work?
The diet is called the Hypoglycemia Diet or Low-carb diet but it is not a low blood sugar diet.  It is a diet which stabilizes blood sugar and takes away both the highs and lows.

Eating sugars and complex carbohydrates causes repeated releases of insulin. The diet, perfectly followed, removes most sugars and complex carbohydrates from our diet, and as a result, eliminates the insulin releases. The blood sugar doesn't bounce up and down, and the endocrine glands have time to recover. However, it doesn't happen the first day. Most people feel an energy dip in the first few days of the HG diet, as they change their energy sources. However, most begin to feel an energy surge by the end of the first week or two. If your hypoglycemia is severe, you'll find you'll recover more slowly. 

Without addressing hypoglycemia by cutting down carbs and sugars appropriately it could progress to Insulin Resistance.

When you cheat with a forbidden food, you write a check on the energy account. If you have enough to cover the indiscretion, all is well, but the account is lower and may not tolerate the next cheat. Cheating is tolerated only when there is surplus energy to cover.

The safe way to approach the diet is to adhere to it perfectly for the first two months to eliminate symptoms. At that point, judicious cheating will certainly write a check against the energy bank but, by going back to a perfect diet for a few days after each cheat, you can slowly find how strict you have to be to stay asymptomatic.

It helps to note the very first symptom you experience when you have cheated too much. Then, the next time you cheat and note that symptom, go back to your "perfect" diet immediately for "damage control" instead of waiting for the full slate of symptoms to hit.

With guaifenesin, fibro will clear, and much of the pain will ease even without control of the hypoglycemia. However, you will still notice other symptoms that seem like fibro because the symptoms of the two illnesses overlap so much.

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What's the difference between a strict and liberal diet for Hypoglycemia (HG)?
For controlling HG, either a strict or liberal diet will do.  Liberal diets are based based on the glycemic index of foods and will not allow your sugar to jump up and fall down. The liberal diets will keep your weight stable (maintain status quo) and a stricter diet is for weight loss.  It will control your low blood sugar (and high blood sugar) and you will also lose weight.  Generally speaking, most people need to stay under about 30 grams of carbs to lose weight.  Some even lower.  Quite a lot of people follow a Low GI diet for Insulin Resistance and others a No Amylose diet.

 Lose the Weight You Hate

By Ritchie C. Shoemaker

Dr Shoemaker's book contains original recipes, case studies and lots of new material. It imparts the facts about the genetic basis of weight loss, maintenance, cholesterol, exercise, fiber, gout and other topics. Read it if you want to lose weight and keep it off- while reducing your odds of many illnesses.

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I heard low carb diets are bad, because you burn muscle tissue instead of fat. True?
No. On a low carb diet your body uses fat for fuel.  It does not burn muscle tissue.  This is why you lose inches faster than weight.

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How about the ZONE diet?
The Zone diet will help those of us who are carbohydrate intolerant, especially the milder cases, but it will not eliminate hypoglycemia if you are truly hypoglycemic.  If you are doing well on a low carb diet, and you move over to the Zone and start having HG symptoms again, you will know it is too liberal for you. 

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When I try the HG diet, I get shaky.  Eating something with sugar relieves the symptoms.  Am I taking my blood sugar too low with the diet?
No.  If you are on a reputable low-carb, low GI or Richie Shoemaker's No Amylose diet, the LAST thing you want to do is eat a sugar (fructose, lactose, glucose, honey, etc.) to "bring up your blood sugar." Bringing it up causes it to fall back down again. The purpose of the diet is to stabilize the blood sugar, to keep it from going up, because with hypoglycemia what goes up not only must come down, but comes down too far and too fast. If you feel shaky, eat protein. This will not bring up your blood sugar as quickly as sugars, but it will also not allow it to fall as the sugars do.  Eating sugars to feel better on the diet just negates the diet.

Please recall that you should feel worse (sometimes much, much worse) when you start a low carb diet. This will start to ease up at various times and should be almost gone for everyone after two weeks, reaching correction only at a month to six weeks. Your energy IS much lower when you begin a low carb diet, because your body is learning to use a different energy source.

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Does a Low-carb diet help fibro and guai, too?
Insulin helps move phosphates into cells.  Guaifenesin helps move phosphates out of cells, which, according the the theory behind the Guai protocol is what we want to do.  On a low-carb diet you are not releasing large amounts of insulin, the whole point of the diet, and so in that sense it helps fibro and guai.

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On a 'strict' low-carb diet, is cholesterol a problem with all the cream, meat, eggs, and other supposedly high-cholesterol foods?
The diet should not raise your cholesterol.  After about three weeks on the diet, your triglycerides should drop dramatically, which will raise the HDL (unless your triglycerides are low anyway).  When your triglycerides drop, your cholesterol will come down by 20 percent.  If you are losing weight you should not do blood tests for cholesterol until you have lost all the weight you want, because losing weight temporarily raises cholesterol.  Once you are at the weight you want, then do your blood tests and make the necessary dietary adjustments.  If you want to measure the changes remember to get tested before starting a low-carb diet.

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If I've been on the hypoglycemia diet for awhile and don't notice any changes, what do I do?
First, check your food list.  Many people who think they are on a perfect diet for controlling HG, are not.  Second, think about your stress level.  Stress of any kind, including the stress of reverse cycling on the guai protocol, will place greater strain on the chemical processes that can induce hypoglycemia.  Third, think about how long you've been on the diet perfectly.  It is suggested that you adhere to a strict hypoglycemic diet without any "cheating" for at least two months.  Only then can you begin judicious cheating.  The good news is, when guai has cleared more of the fibro, you'll be able to cheat a little more. 

Also check that your condition hasn't progressed (regressed?) to Insulin Resistance (Diabetes Type 2, Adult onset Diabetes) and that you are not taking any medications which interfere with weight loss. 

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If I don't keep my carbs between 20-30 grams, the brain fog and irritability come back with a vengeance.  If I don't want to lose weight, how do I increase my carbs without the symptoms returning?
Keep to the level of carbs that clear your symptoms.  Probably about two months will be needed then begin to be more liberal with your carbs, adding items such as sugar-free, low GI  bread, perhaps a little rice, and more vegetables.  Or even test with Low GI diet for Insulin Resistance or the Low Amylose diet.  Most people will be able to handle more carbs in time.

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I decided to go on a low-carb diet to see if it would help with nasty GI symptoms I've been having, e.g., bloating, urgency, IBS. It seems more expensive buying meat products than say, whole grains. I also fare better avoiding dairy.  Any suggestions?

Meat is more expensive than grains and that is a big complaint on low-carb.  Many who eat low-carb think it is about meat, eggs and dairy with a few leaves of iceberg lettuce tossed on the side for garnish.  Not !!!  Those people will often find their nutritional intake to be very lopsided, and will be embarrassed to read the correct versions and intents of authors of low-carb diets, including Atkins.  This is also the bad habit that leads many healing professionals to totally recoil from low-carb because of this risky lifestyle, and enables newer dieters to commit the same errors. 

On a grim note, research deep enough and you will find major complaints and associated health risks with just about every food except some very expensive pristine-grown and protected versions of organic or imported fruits and vegetables.  Even then, look deeper and the concerns will be there. Are they true?  I don't know. 

I have made the best judgments I can for myself, and here are some that may help your situation:

Lower carb diets are very likely better and more healthy in both the long and short term than high carb diets, for numerous reasons.  Some people, including me, eat small portions of mindfully selected grains for various health goals - but I keep the carb count per portion and day down and use these grains as treats or fillers to augment newer versions of comfort foods and things I really miss.  My biggie is uncooked oatmeal, and occasionally bran flakes or shredded wheat.  Eating grains will usually add water weight overnight, which will worry weight loss dieters on low-carb until they realize the water will go away a day or two after not eating grains.  Many studies indicate the close connections of sinus / allergy / congestion with the eating of both grains and dairy.  Many nutritionists and healers strongly advocate removing all grains-dairy-sugars from your diet anyway, so that is something to think about and maybe study if you seem to have unwanted reactions to them. 

Grains-dairy-sugars are also great annoyances when living with IBS and digestive issues, and together they can shut me down very quickly.  I can usually eat from one category, and in some instances small portions of two, but if I make something including all three or eat individual things that end up together in my stomach and are digested as all three... I am quite often crippled in pain and IBS. 

I am very reactive to bananas too, which are high in sugars, and onions and peppers.  Be aware.

Lacto-fermented dairy products such as kefir and cultured yogurt (not the junky mainstream stuff at normal grocers) can often be eaten by those with "dairy issues" and bad reactions to lactose, since this process removes the offending ingredients.  Kefir often helps my IBS and digestive ailments, so you might try sipping on a bottle and keeping one in your fridge to experiment with.  If you shop in whole foods stores, you can buy flavored or plain versions easily.

I started a liberal Hypoglycemic diet years ago and ate a stricter version, with very few fruits or grains - my IBS vanished in several days and only returns when I goof off and "deserve it".  Others on a low-carb diet for hypoglycemia say it takes a while to clear the symptoms, and some also have gluten intolerance issues to contend with so you might consider removing gluten completely for several weeks to see what help that may also provide.

I do not do a dairyless version of a low-carb diet, but maybe I should down the road.  A good start would be to thumb through some raw diet recipe books, because those who eat raw foods are said to be vegetarians and do not eat dairy or "anything that once had eyes" because of that affinity.  Raw diets as I refer to them do not include raw meat or flesh of any kind, so do not be confused!  Raw dieters greatly benefit from the living foods because enzymes remain alive and intact instead of killed off by typical cooking / heating processes.  Yes, that is correct... No cooking / boiling / broiling / frying / baking so this may appeal to some! 
The enzymes help digestion and better nutritional assimilation and many other functions too.  I used to think raw dieters live on loads of salads and fruit, which many of them do - but there is more to life for them than I ever imagined.  (Eating too much fruit is very dangerous and raw foodists will warn you of this, by the way.)  Many raw food recipes are not low-carb but they always include "good carbs", which are carbs considered to be the best bang for the healthy eating buck and carb count.  There is frequent heavy use of dates, bananas,
maple syrup, honey, and nuts... so those of you who react strongly to these foods should make sure that other recipes are included in any raw foods books you acquire.  I suspect some of these foods can usually be swapped out, and agave syrup is probably an incredibly smart healthy swap for those of us on low-carb
who cringe at the thought of honey or maple syrup.  Dates are used for "stickiness" and sweetness, so a mixture of agave syrup and a bland fruit or vegetable may be acceptable subs.    

Just today I bought a big book of 350+ raw foods recipes, all donated "by 50 of the world's top raw food chefs and authors" - and I was very impressed with the names because I recognized some of my favorite authors of this diet style!  Yes, oh yes, there are recipes for "no cook / bake" cakes, pies and crusts, cookies, puddings, candies, and other yummies too... Just so you know up front!  Only $17.95, you can get good discounts if you shop at borders books with the emailed coupons and your (free) discount card.  Many will require a food
processor or blender and some will require a food dehydrator and sheets, so be mindful before you jump right in.  Almonds are popular in these recipes and some recipes can not be just whipped together because their processes are not typical to standard american home cooks.  I think the learning curve is no biggie and the effort to get going is a wise investment in overall health.  I just acquired a food processor at a good price from a shopping channel, so I am ready to taste test :) 

The complete book of raw food edited by Lori Baird & Julie Rodwell
isbn # 781578261949, $17.95

I do not eat totally raw, but I am benefiting from increased amounts.  I am a high protein body type, so I am very hesitant to remove all flesh and dairy.  Yeah, I know, vegetables have protein and several nutritionists were very righteous with me about this concept.  My stomach and metabolism are not quite that ready to jump, so I am creeping up on the plants and decreasing the frequency and quantity of animal products.  I limit most dairy to lacto-fermented versions including cheese, butter and cottage cheese from whole foods style markets - and I eat very lean skinless chicken breasts, turkey, tuna and white fish.  I wish I could afford free range flesh but I cannot yet, so I invest my "clean foods" budget in other important categories for now.

Bonny

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I noticed maltodextrin is an ingredient in Crystal Light. Is that sugar?
Crystal Light is fine on both strict (weight loss) and more liberal (Insulin Resistance, Hypoglycemia, etc.) diets. Maltodextrin is not on a foods to avoid strictly list.

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Are there any carbs that will NOT invoke an insulin response?
Richie Shoemaker claims that only carbs that contain amylose will cause weight gain so that is something to consider.  Corn doesn't contain amylose for instance.

Generally, Polyols do not impact on blood sugar and thus are fine on all low carbohydrate diets for weight loss, including liberal diets to address hypoglycemia (diabetics should always discuss any product with their health care professional): erythritol, hydrogenated starch hydrolysates (including maltitol syrups), isomalt, lactitol, maltitol, mannitol, sorbitol and xylitol are also ok.  For further information see page on this site for Insulin Resistance.

Do NOT have sugar, glucose, dextrose, corn syrup, honey, maltose, starch, etc., because these WILL invoke the insulin response.  Without insulin being released you cannot;

a) gain weight because it is the storage hormone
b) have your blood sugar drop rapidly which invokes the cascade of hormones which cause hypoglycemia.

Our bodies release insulin when sugar rises, less if the sugar rises slowly.  Fructose and lactose are sugars with a low glycemic index, which is why on a liberal diet (just for HG not weight loss) these are ok.  There are exceptions where some people report that the insulin response is triggered on the above low GI sugars.

You need to know both the glycemic index and the carb count.

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How do Polyol calories compare with sugar?
Sugar provides approximately 4.0 calories per gram. The FDA allows the use of the following caloric values:

3.0 calories per gram hydrogenated starch hydrolysates
2.6 calories per gram sorbitol
2.4 calories per gram xylitol
2.1 calories per gram maltitol
2.0 calories per gram isomalt
2.0 calories per gram lactitol
1.6 calories per gram mannitol
0.2 calories per gram erythritol "

For further information

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Can I take sublingual serotonin for hypoglycemia?
Yes, but it is no substitute for a perfect diet.

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I have recurrent yeast infections, particularly if I cheat on my low carb diet.  Can you help?
Be sure to eat yoghurt, probiotics/acidophilus daily.  Excerpts from, The Yoghurt Exception: "One natural way to combat this problem is to use an ancient remedy that is natural and well tolerated by anyone. This remedy is to restore healthy bacteria to your body in the form of cultured milk products such as kefir, yogurt, and buttermilk."  and:
"....to make yogurt, buttermilk and kefir, the milk is inoculated with the lactic acid bacteria. These bacteria use up almost all the milk sugar called "lactose" and convert it into lactic acid. It is this lactic acid which curds the milk and gives the taste to the product. Since these bacteria have "eaten" most of the milk sugar by the time you buy it (or make it yourself.) at the time you eat it, how can there be much carbohydrate left?  It is the lactic acid which is counted as carbohydrate.  Therefore, you can eat up to a half cup of plain yogurt, buttermilk, or kefir and only count 2 grams of carbohydrates (Dr. Goldberg has measured this in his own laboratory.) One cup will contain about 4 grams of carbohydrates.  Daily consumption colonizes the intestine with these bacteria to handle small amounts of lactose in yogurt (or even sugar-free ice cream later.)."

Here's a recipe for Boric Acid capsules. Buy size 0 gelatin capsules and fill with white boric acid powder (found in any pharmacy in the generic aisle or ask your pharmacist to make up the caps for you).  Insert one vaginally once a day for a week and then twice a week for three more weeks if you have an infection.  If you have recurrent problems, you might want to use the capsules when you are ovulating, using antibiotics or showing any sign of recurrence.

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I've had one gallstone since starting a low carb diet and got a lecture from my doc who says the food is too rich for my gall bladder.  How do I modify the diet so I don't get another gall stone?  I have been feeling so much better while I was on it.
Simply use a liberal diet, low GI or a diet containing no amylose and simultaneously cut down on fats wherever you can.  In other words: no sugar or heavy starches.

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I have a lot of food intolerances, even with the common foods, milk, soy, corn, and eggs.  The strict HG diet has helped, but I'm worried I'll develop intolerances again.
Many people have been told they had food intolerances, chemical sensitivities and allergies and have cleared in whole or in part after correcting hypoglycemia and/or fibromyalgia.

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Where can I find more info?
See pages under the heading: Hypoglycemia, Syndrome X, Insulin Resistance, Type 2 Diabetes in the link panel to the right and write to the GG mailing list with questions.

Not a member yet?  Click here to join the Guai-Support Group.

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