2

votes

Reactive Hypoglycemia and Insomnia. Please Help !

Answered on August 19, 2014
Created March 16, 2013 at 10:48 AM

I have reactive hypoglycemia. In order to fix it, I'm now following a paleo zone diet. My hypoglycemia has improved a lot. Although my basal (fasting) glycemia is 109 and I'm very skinny. Maybe too high considering how and what I eat (doctors say it's ok but I read controversial information).

My last GTT at 2 hours was 138 (ok according to Docs, worries start over 140, right?).

But the insomnia is still there. Although the gut pain has improved, I still have much gas and bloating. And this only and always happens at 5 AM.

After my last little snack (midnight) I go to sleep and can rest until 5.

After 5, I start to wake up, the bloating and urge to pee begin (although when I go to the bathroom the urge vanishes).

And this goes on and on until I stand up. Once I'm up and running these symptoms disappear in about 15 minutes. The only problem is that I'm dead tired. And if I try to sprawl again, all symptoms come back.

Doctors cannot find what it is. And after 20 years I've been trying literally everything (any kind of supplement, fasting, diet, etc..).

Is anybody experiencing something similar or have suggestions? Do you have any idea about my basal glycemia or any further tests I should do?

Thanks. Marko.

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 17, 2013
at 08:01 PM

months to start feeling energy though. I eat about three meals a day and try to keep my fats high, proteins low to moderate. too much protein and I get a spike.

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 17, 2013
at 08:01 PM

marko have you tried taking a good probiotic? I would suggest garden of lifes "primal defense" dose up on that stuff. you might also want to age some meat in your fridge for a week to get some good bacteria in your belly, see if you cant find a some good fresh grass fed meat, get a large cut and place it on a rack in the fridge so it has air circulation, itll dry out a bit and start to age, really good amount of enzymes and probiotics on this stuff, perfect for digesting meats. what are your macros like on your keto diet? we have the exact same diet, my hypo is healing, took about three

429568b7dacbf903d65d5efde52852bd

(10)

on March 17, 2013
at 06:45 PM

Paleo ketogenic. Eggs, meat, fish, ghee, coconut oil, avocado and lettuce. No fruit. Avocado and lettuce (in moderation) are the only things I can tolerate (not perfectly but..). Some macadamia nuts. Plenty of water. When I eat fruit I start to feel too bloated. Same happens with veggies. Even worse than fruit (if possible). I suspect SIBO and will do the breath test this week. I tried IF for a while but hypoglcyemia got worse. So now I'm doing 6-7 small meals per day, mainly fat, moderate protein and very low carb.

048dd52752c45129c1212bfffb37ca72

(3150)

on March 17, 2013
at 05:57 AM

... eating grains. Felt the same way. 4 to 5 years ago I think I got the worse, feeling super bloeated and having to take clanzoflat to avoid airs. Also very bad poops, food almost undigessted. Pretty gross. Then I started to became obsesses with getting more ripped and stated lowering general carbs. Being vegetarian could not go very low on them (few more options) but started having more greens over grains. Then one day I read some bad thingd about grains and not even knowing Paleo I started to connect things, and realized that I felt my best when low grains. Tried to get rid and got perfect.

048dd52752c45129c1212bfffb37ca72

(3150)

on March 17, 2013
at 05:54 AM

You're welcome! Well... you seem to have tried everything, I'm sorry I'm no doc so difficult to tell, just based on most commont advice on the paleosphere and my personal findings. I can't tell exactly how long It took me to get rid of gut issues. Since child I was eating a "normal" diet with plenty of grains (I loved them) and also prety junk food, and was when feeling worse. Then I became a recreational bodybuilder and started eating "clean" with noticeable effects on body weight but not in the gut. Then I became a vegetarian for personal beliefs and ditched all meat and still...

429568b7dacbf903d65d5efde52852bd

(10)

on March 16, 2013
at 06:53 PM

Thanks for this. How long did it take for you to fix your gut and sleep? I've been Paleo since 8 months. And for the last 3 months I followed a paleo ketogenic diet (the onlu vegetable I ate was avocado). In that case, my bloating stopped. But still bad insomnia and somehow, although i had no more gas, I was severely constipated so I had to reintroduce some veggies with very bad effects. So, I really don't know what to do. Regarding my sleeping I tried everything. No light before sleeping, no computer from 6 pm onwards etc.. no devices in my bedroom and so on. Checked my adrenals and were ok.

782d92f4127823bdfb2ddfcbcf961d0e

(5231)

on March 16, 2013
at 05:27 PM

I am having a similar problem waking up about 2 a.m.-ish every night and find it difficult to sleep through until morning. Cortisol spike perhaps? IDK if I'm hypoglycemic or not. But I'm tired throughout most of the day until evening. Looking forward to reading responses to this question.

Medium avatar

(39831)

on March 16, 2013
at 05:26 PM

Magnesium glycinate should largely correct both.

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4 Answers

1
1f83546ea1d503575f562e7146fe7709

(78)

on March 16, 2013
at 01:46 PM

The best thing I've found for sleep - and it felt like I tried everything - is severely limiting light for the last few hours before bed. It worked overnight for me. Literally. It seems to be the blue wavelength in light that stops the sleep hormone melatonin from being produce in normal amounts. I read about it online. The science seems to be good.

I ended up getting some orange glasses on Amazon because it's easier than fitting dimmers all over the place (search for UVEX SCT Orange for the ones I used at first, they are cheap). They look ridiculous etc but they worked more effectively than anything else, including hypnotic drugs like Zopiclone from the doctor which had nasty side effects and melatonin tablets. If you use a computer screen at night you can get a free program called F.lux that helps a bit but not enough in my experience.

No negative side effects from limiting (blue) light at night either - I wake up a couple of hours earlier in the morning and feel much better than when I don't use the glasses. But it's a daily routine - don't use them, don't sleep as well. I'm sure most people could benefit actually because it's mimicking pre-electric times.

Also - I read the other day that melatonin can reduce insulin while not affecting glucose which may be helpful for you overnight.

0
32652cb696b75182cb121009ee4edea3

(5802)

on April 14, 2013
at 09:43 PM

Marko - Man, I feel for you! I spent years waking up in pain. One of the things that pops on my radar is FODMAPs. Have you looked into them? When I finally understood which fruits and veggies would cause me problems, I was able to get a lot better handle on the abdominal pain. Adding enzymes and probiotics has also helped. (I tried a lot of different ones, with no results. I finally found Standard Process, and the supplements I take from them, plus watching my FODMAPs, has finally taken away my ab pain.)

http://www.eat-real-food-paleodietitian.com/paleo-diet-and-fodmap.html

Another note ... and this may sound a little out there to you, depending on your personality and background. In traditional chinese medicine (TCM), they have a "body clock" which tells you which organ "dominates" at certain times of the day (google "chinese medicine body clock."). According to this clock, the time of the large intestine is 5 am. So it makes sense if you are having issues with bowel health that you would wake up at this time. Although I am still a little hesitant about TCM, I do have a good friend who practices it and has many good things to say about it - it may be an option if all others have failed. (I found this info when I was having gallbladder issues. Sure enough, I was waking up every night during the "gallbladder" time.)

0
Cc69a51b427eaad36251cce9dcca4d3a

(1074)

on March 17, 2013
at 05:23 PM

tell me what your diet is!

429568b7dacbf903d65d5efde52852bd

(10)

on March 17, 2013
at 06:45 PM

Paleo ketogenic. Eggs, meat, fish, ghee, coconut oil, avocado and lettuce. No fruit. Avocado and lettuce (in moderation) are the only things I can tolerate (not perfectly but..). Some macadamia nuts. Plenty of water. When I eat fruit I start to feel too bloated. Same happens with veggies. Even worse than fruit (if possible). I suspect SIBO and will do the breath test this week. I tried IF for a while but hypoglcyemia got worse. So now I'm doing 6-7 small meals per day, mainly fat, moderate protein and very low carb.

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 17, 2013
at 08:01 PM

months to start feeling energy though. I eat about three meals a day and try to keep my fats high, proteins low to moderate. too much protein and I get a spike.

2006ccb2b60f9cc5ba5e8eff8a7abc46

(1533)

on March 17, 2013
at 08:01 PM

marko have you tried taking a good probiotic? I would suggest garden of lifes "primal defense" dose up on that stuff. you might also want to age some meat in your fridge for a week to get some good bacteria in your belly, see if you cant find a some good fresh grass fed meat, get a large cut and place it on a rack in the fridge so it has air circulation, itll dry out a bit and start to age, really good amount of enzymes and probiotics on this stuff, perfect for digesting meats. what are your macros like on your keto diet? we have the exact same diet, my hypo is healing, took about three

0
048dd52752c45129c1212bfffb37ca72

on March 16, 2013
at 05:01 PM

I suspected that I also had some reactive hypoglucemia because there has been times when eating some fruit (specially juice) in good amounts gave me instant weird feelings. That was when ovo-lacto-vegetarian and experimenting with higher fruit intake. Now I eat less and very based on berries, so far so good. Some banana and oranges once in a while, specially when approaching high intense training or after competition. But the thing is that going only 1-serving a day of fruit, usually post noon, and low carb types has been doing well with me.

As for the gut, I had been many years that I felt like crap with the same feelings of fullness and bloating, also some noticeable weird feeling as if I were in high inflamation. Been tested for celiac desease but found nothing. That was when following typical bodybuidling advice: high pasta/rice and carbs for bulking and building muscle. I do not longer take that approach, even now that I'm in endurance running. Around 100 gr of carbs a day with no grains and based mostly on greens has done best for me and It has been pretty long time since I don't feel bad at the gut, even when I go to the bathroom I can notice it :)

Healing gut health is pretty important for this, and if you have been Paleo and got rid of sugars and grains, you're half way there, just keep it a little bit longer and see but it should pay back in the long run. Also some fermented foods like sauerkraut, vitamin D3, probiotics and fermented dairy can help, I eat them and noticed good improvements in this, but as I said, going grain free I think I did the best for me.

And finally, for sleep. I also have a hard time to sleep, not for the total hours which I can more or less manage to get between 6 and 8, but I feel very difficult to fall asleep before 12AM. Trying to get up sooner and go to the street immediately for a morning walk and trying to seek the sunlight and see people faces has done a little good work for me, and as adviced in the other response, trying to get in the dark 2-3 hours before planned sleep usually works well. Reading a book helps me a lot also, and a relax infusion with some incese helps me with relax which is pretty important.

You could also get checked with a salivary cortisol test. Cortisol and melatonin are the most important hormones regarding sleep and circadian rythms, if they are not working well will be difficult to improve with sleep.

429568b7dacbf903d65d5efde52852bd

(10)

on March 16, 2013
at 06:53 PM

Thanks for this. How long did it take for you to fix your gut and sleep? I've been Paleo since 8 months. And for the last 3 months I followed a paleo ketogenic diet (the onlu vegetable I ate was avocado). In that case, my bloating stopped. But still bad insomnia and somehow, although i had no more gas, I was severely constipated so I had to reintroduce some veggies with very bad effects. So, I really don't know what to do. Regarding my sleeping I tried everything. No light before sleeping, no computer from 6 pm onwards etc.. no devices in my bedroom and so on. Checked my adrenals and were ok.

048dd52752c45129c1212bfffb37ca72

(3150)

on March 17, 2013
at 05:57 AM

... eating grains. Felt the same way. 4 to 5 years ago I think I got the worse, feeling super bloeated and having to take clanzoflat to avoid airs. Also very bad poops, food almost undigessted. Pretty gross. Then I started to became obsesses with getting more ripped and stated lowering general carbs. Being vegetarian could not go very low on them (few more options) but started having more greens over grains. Then one day I read some bad thingd about grains and not even knowing Paleo I started to connect things, and realized that I felt my best when low grains. Tried to get rid and got perfect.

048dd52752c45129c1212bfffb37ca72

(3150)

on March 17, 2013
at 05:54 AM

You're welcome! Well... you seem to have tried everything, I'm sorry I'm no doc so difficult to tell, just based on most commont advice on the paleosphere and my personal findings. I can't tell exactly how long It took me to get rid of gut issues. Since child I was eating a "normal" diet with plenty of grains (I loved them) and also prety junk food, and was when feeling worse. Then I became a recreational bodybuilder and started eating "clean" with noticeable effects on body weight but not in the gut. Then I became a vegetarian for personal beliefs and ditched all meat and still...

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