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Blood Sugar Disorders

Blood Sugar Disorders

We primarily work with diabetics. Have other functional medicine patients frequently found significantly increasing BUN on serial blood tests when they were normal before intervention? Many times creatinine and EGFR will not change significantly, and other kidney markers, urine protein, for instance, stay normal as well. We’re concerned that perhaps we’re driving these patients into sarcopenia. I’m curious how to address this.

Chris Kresser: Are they eating more protein, Anthony? Because a high-protein diet is one of the most common causes of...

A patient is using a glucometer for the first time. She has Hashimoto’s and hypoglycemia. She has some anxiety around the fasting that is required to get started but is set to give it a try next week. How important is this fasting, and with hypoglycemia, do you adapt it? Her question is what time of night does she need to start, and how long does she need to fast? Since the birth of her son five years ago, which triggered her thyroid, night eating has been a regular part of her life. Eating AIP has her feeling more satiated, and this is why she feels up to the challenge.

Chris Kresser: Well, if you already know she is hypoglycemic in a fasted state, then you don’t necessarily need to...

What percent of calories from carbs do you recommend for a patient with hypoglycemic episodes? I know you said lower percentages for people tending toward higher blood sugars. Also you commented in the case of how increasing patient’s carbohydrate you think could help hypoglycemic episodes to decrease, so I wondered about the amount you would typically recommend? The patient in the case study you put at 25 percent to 30 percent, but said it was because of a family history of heart disease.

Chris Kresser: So we’re going to have a whole unit on hypoglycemia and the blood chemistry section so I’ll keep...

Can you talk about helping to regulate blood sugar in athletic, type A ladies who have HPA axis dysregulation? Do you use supplements if they are struggling with meal timing?”

Laura Schoenfeld: So Edie, can you give me a little bit more information about what you mean by supplements and...

Do some of the supplements for blood sugar regulation help to address the HPA axis, or do I just need some better ideas for her about snacks and diet timing?

Laura Schoenfeld: I mean, honestly, it sounds like she is probably just not eating enough, if she is skipping meals....

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