Stress In People With Type 1 Diabetes
Stress can affect those with type 1 diabetes by both increasing and decreasing blood sugar. In the case where it lowers blood sugar levels, chronic stress can lead to a syndrome known as adrenal fatigue. Adrenal fatigue is where prolonged exposure to stress drains the adrenal glands, leading to a low cortisol state. In those with type 1 diabetes, the underproduction of hormones such as cortisol can cause an imbalance in hormones that are meant to regulate blood sugar levels.
Research has also looked at whether stress can cause diabetes. Many studies have postulated that chronic stress especially can contribute to the onset of type 1 diabetes in those who are already susceptible to developing it.
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Can Stress Cause High Blood Sugar Levels In Non Diabetics
As weve discussed, anxiety and diabetes might be associated. Stress might also be a risk factor for high sugar in the blood in those who are non-diabetics.
In people who are non-diabetics, stress hormones such as cortisol and adrenaline may cause a temporary increase in blood sugar.
This transient increase in blood sugar levels occurs as a response to stressful conditions either physical or emotional stress. Stress hormones have a big role in this phenomenon.
Insulin Resistance In The Making How Does Insulin Resistance Occur
Your liver cells and muscle cells take up over three-quarters of the glucose produced by your meal. When your beta cells release insulin, the insulin drives the sugar from the blood circulation into the cells.
It is anticipated that the liver and muscle cells should be very responsive to the prompt by insulin to allow glucose inside those cells under normal circumstances.
The more responsive the cells are the more insulin sensitive you are.
However, there is a situation where even though your beta cells show a good first phase response, the amount of insulin released will not be enough to clear the circulating glucose from the blood.
This is because of what is happening peripherally in the receiving target organs the liver and muscles.
The cells of the liver and muscles become stubborn. They become unresponsive to the insulin released. The liver and muscle cells are resistant to the signals from the insulin to allow the glucose into them.
What happens next is that the second phase insulin release is prolonged. The second phase response is prolonged because the beta cells have to make and release lots more insulin to force a response by the resistant liver and muscle cells.
This lack of response by the liver and muscle cells to allow glucose inside their cells despite a persistent prompt by insulin is described as insulin resistance and is indeed how insulin resistance occurs.
This is called hyperinsulinemia.
Meaning theyve become resistant!
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Arm Yourself With Quick Fixes
The toll stress takes on your health largely depends on how you react to it, Campbell says. Identify things that help you cool off, and keep them ready-to-go in your back pocket. Maybe you treat yourself to a massage or a manicure, she says. Or maybe you just talk to someone. Okay, a professional massage might not be possible at the moment, but maybe you have a significant other who can lend a hand. Focusing on your breath is another simple way to calm your mind and body, wherever you are. If you have an Apple device, open the free Breathe app, and let it help you slow and deepen your breath.
Why Low Blood Sugar Makes You Anxious
Adrenaline also makes your heart race and your palms sweat. And it can make you feel cranky and anxious. These are warning signs that your blood sugar is too low. If it stays there, your body puts out more hormones, including one called cortisol, also known as “the stress hormone,” partially because it helps control things like your mood and fear.
Put adrenaline and cortisol together, and you’ve got a recipe for anxiety.
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Option : Use A Brief Questionnaire
Alternatively, you can use a brief questionnaire to ask about elevated anxiety symptoms in a systematic way. Collectively, the following two questions are referred to as the Generalized Anxiety Disorder Two questionnaire. They are the core symptoms required for a diagnosis of generalised anxiety disorder.
You can find the GAD-2 on the full PDF version of this guide
Instead of administering this as a questionnaire, you could integrate these questions into your conversation.
Sum the responses to the two questions to form a total score. A total score of 3 or more indicates elevated anxiety symptoms, further assessment is warranted.
At this stage, it is advisable to ask whether they have a current diagnosis of an anxiety disorder and, if so, whether and how it is being treated.
If the total score is 3 or more, and the person is not currently receiving treatment for an anxiety disorder, you might say something like, You seem to be experiencing some anxiety symptoms, which can be a normal reaction to . There are several effective treatment options for anxiety, but first we need to find out more about your symptoms. So, Id like to ask you some more questions, if thats okay with you.
You may then decide to assess for an anxiety disorder using a more comprehensive questionnaire.
If the total score is less than 3 but you suspect a problem, consider whether the person may be experiencing , , or another mental health problem.
Are Some People More Prone To Anxiety Than Others
Thats a difficult question, and theres no one correct answer.
Generally, both physical and psychological factors cause everyone to react to stress differently.
For example, genetics can play a role. Some genes that control the stress response may go into overdrive while for other people, they are under reactive.
Those who experience traumatic life events or are survivors of abuse may be more vulnerable to stress.
Still others may have a combination of factors.
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Strategies To Keep Blood Glucose From Rising During Workouts
Now that you know what causes a blood glucose rise after or during exercise, you may expect and accept it during your next workout session because you know the benefits of exercise outweigh the rise in glucose. But if youd rather avoid it altogether, here are some strategies that might help:
Remove Or Minimize The Source Of Stress
Time management and organizational techniques may reduce small stressorsthat often compound until a crescendo is reached. Self-helpbooks,may be useful for patients to find successful ways to put structure in theirlives and manage their time and life stressors. Minimizing the source ofstress is helpful. For example, if repetitive noise at work is causing stress,one solution could be substituting white noise for the repetitive noise bysoftly playing relaxing classical music. Setting up a meeting with theemployer or coworkers to get help with ones workload may also alleviatestress. Often, the most difficult challenge is actually identifying the sourceof stress and separating that source from the responses to stress. Effectiveproblem-solving strategies are important for minimizing the source ofstress.
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Stress And Diabetes: Can Stress Raise Blood Sugar Levels
Were not going to tell you how to live a stress-free life. After all, thats impossible. And if youre newly diagnosed with prediabetes or type 2 diabetes, it makes sense that you might be feeling on edge, tense and stressed. According to The Centers for Disease Control , people with diabetes are 20% more likely to suffer from anxiety. But is stress and blood sugar related?
What we are going to tell you is how to better manage the stress thats in your life so that its negative impact upon your health is minimized.
How To Deal With Stress As A Person With Diabetes
In general, theres only so much you can do to prevent the blood sugar spikes from different types of stress hormones because we cant always predict stress.
However, if youre dealing with predictable stress or ongoing stress, definitely talk to your healthcare team about an adjustment in your insulin doses that can help tamper those stubborn high blood sugars.
For those unexpected bursts of stress and rapid spikes in your blood sugar:
You should use your established correction factor to determine an appropriate dose of insulin to bring the blood sugar down.
But keep in mind: its very likely your blood sugar will sit at that higher level until your body has recovered from the stressful state. When those stress hormones are pumping and adrenaline is causing your liver to produce more glucose, it can be very difficult to get ahead of it.
For ongoing stress during a period of your life:
If you know the next few months are going to be stressful because of a promotion at work, a divorce, the death of a loved one for example then a simple increase by a few units in your background insulin dose can have a big impact on staying in your goal blood sugar range.
Dont underestimate how much ongoing stress can affect your daily insulin needs. Even on the normal days during a stressful period of your life, your body is still coping with that ongoing stressor.
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Drugs That Can Affect Blood Glucose Levels
Knowing the drugs that can affect blood glucose levels is essential in properly caring for your diabetes patients. Some medicines raise blood sugar in patients while others might lower their levels. However, not all drugs affect patients the same way. 390 Drugs that Can Affect Blood Glucose Levels is also available for purchase in ebook format. 390 Drugs that can affect blood glucose Level Table of Contents: Drugs that May Cause Hyper- or Hypoglycemia Drugs That May Cause Hyperglycemia Abacavir | Abacavir + lamivudine,zidovudine | Abacavir + dolutegravir + lamivudine | Abiraterone | Acetazolamide | Acitretin | Aletinib | Albuterol | Albuterol + ipratropium | Aliskiren + amlodipine + hydrochlorothiazide | Aliskiren + amlodipine | Ammonium chloride Amphotericin B | Amphotericin B lipid formulations IV | Amprenavir | Anidulafungin | Aripiprazole | Arsenic trioxide | Asparaginase | Atazanavir | Atazanavir + cobistat | Atenolol + chlorthalidone | Atorvastatin | Atovaquone | Baclofen | Belatacept | Benazepril + hydrochlorothiazide | Drugs That May Cause Hyperglycemia Continued Betamethasone topical | Betamethasone +clotrimazole | Betaxolol Betoptic® eyedrops, | Bexarotene | (TargContinue reading > >
What Are The Symptoms Of Stress
Sometimes, the symptoms of stress are subtle and you may not notice them. Stress can take a toll on your mental and emotional well-being, and it can also impact your physical health. Recognizing the symptoms can help you identify stress and take steps to manage it.
If youre stressed, you may experience:
Its possible to lessen or limit the stressors in your life. Here are a few things that you can do to manage the effects of different forms of stress.
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Can Some Medications Raise Blood Glucose
Q: Can certain non-diabetes medicines cause blood glucose to rise? My fasting blood glucose at the doctor’s office was 190. At home, it was 130. I didn’t eat anything before my visit, and I only took aspirin and my blood pressure medicine. My fasting numbers at home average 120. A: Aspirin doesn’t cause blood glucose levels to rise, and neither do most blood pressure medicines. One category of blood pressure medicines, thiazide diuretics, may cause a small rise in blood glucose. Reasons for the variations in your blood glucose readings at home and at your doctor’s office could be: Feeling stressed prior to and when visiting your doctor. Stress can make blood glucose levels rise. The reading done in your doctor’s office might have been taken from your arm and analyzed by the lab. Laboratory blood glucose readings are the most accurate. Results from your blood glucose meter may not match the value obtained by the lab. Next time, check your meter reading against the lab’s or the doctor’s office meter. When the technician takes your blood, check with your meter. Madhu Gadia, M.S., R.D., CDE, is a dietitian and certified diabetes educator. Answer reviewed July 2010Continue reading > >
Natural Treatment For High Blood Pressure
Preventing high blood pressure is key, however, there are natural treatment options available that could help to reduce your blood pressure.
? Managing stress with meditation or deep-breathing exercises? Quit smoking? Eating more food rich in calcium and magnesium
Eating foods rich in potassium can help
In Addition to the options listed above, there are several natural supplements that may also help to lower blood pressure or prevent it from elevating, to begin with.
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Your Diet And Anxiety
Many health professionals have said that contemporary Western diets are often overloaded with unhealthy sugars and fats. But anxiety disorders are not likely to be caused by diet alone. Rather, it is believed that a poor diet can trigger or make anxiety symptoms worse by changing the bodys functioning and making it harder for the body and mind to cope with stress.
Thats why those that genuinely want to fight their anxiety may need to look beyond mere dietary changes in order to effectively reduce their anxiety.
Is It Only Negative Stress That Affects Blood Sugar
Even positive life changes can cause blood sugar to swing, says Amy Campbell, RD, a certified diabetes care and education specialist, and a contributor to DiabetesSelfManagement.com. Planning a wedding, moving to a new city, getting a job promotion such happy stressors can also send your fight-or-flight hormones into overdrive.
A past review cited the definition of stress as the physiological or psychological response to an external stimulus, regardless of whether that stimulus is good or bad. That means that if you experience a significant change in your life whether its positive or negative its a good idea to keep an extra-close watch on your blood sugar.
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Dopamine And The Glucose Effect
Glucose, or blood sugar, is the simplest of the carbohydrates. It is also essential for human survival. Glucose acts as the primary source of energy for every cell in the body, and the brain depends on it. An even supply of glucose keeps the brain functioning in a balanced way.
However, consuming too much added sugar may lead to increased irritability and peaks and drops in energy levels. Although the initial intake of sugar may feel positive, it will cause blood glucose levels to drop. It is this that affects the mind and body so dramatically.
For some people, however, sugar can be incredibly addictive. When a person consumes sugar, the mesolimbic dopamine system in the brain offers a reward, thereby increasing mood. The dopamine system starts working when feelings of pleasure approach.
Because these are added sugars, however, they are not beneficial to the body in any way. A high intake of these will mean chemical changes in the body. These occur to prevent overstimulation, so the body may crave more sugar on future occasions to achieve the same high mood.
Can Diabetes Cause Anxiety And Depression
If youre diabetic and having an anxiety attack or going through depression, your high sugar levels could possibly be the culprit behind it. Diabetes and anxiety may have different aetiologies, however, they are interconnected somehow.
Diabetic people may become worried or anxious over various things. From waking up in the morning and monitoring your glucose levels, to weight changes and diet, diabetes can really stress you out.
Since diabetes is a chronic disease and managing can become a hassle, one can get anxious about short-term as well as long-term health complications.
A diabetic person is more prone to infections, kidney diseases, stroke, and many other debilitating conditions, he/she can develop severe anxiety. This can eventually make monitoring and managing his/ her symptoms more challenging.
To manage stress due to struggling with diabetes, you need to follow healthy lifestyle options such as diet, physical exercise, and other stress-relieving activities.
This chronic disease, diabetes could also be a risk factor for developing depression, found out in some studies. Its still not completely understood why this happens.
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Can Stress And Anxiety Raise Blood Sugar Levels
Everyone experiences anxiety. In fact, studies show Americans are more stressed out than ever.
But can stress and anxiety actually raise the level of your blood sugar? And what does this mean for those who have diabetes?