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Re: What does low blood glucose mean, in the absence of meds - running out of fat?

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Andrew B. Chung, MD/PhD

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Aug 12, 2007, 7:37:38 AM8/12/07
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Good Night Moon wrote:
>
> Hi all,
>
> I have my ups and downs of bg (mostly ups), but my fasting usually
> is a nice 85. Recently I've had fastings around 70. Does this mean
> you're running out of body fat, is the body struggling to
> produce glucose? I don't lack energy, I feel fine (some trouble
> with circulation), just hungry sometimes. Does it mean anything,
> in particular? My BMI is probably 20 or thereabouts. As I say
> in the subject, I'm not taking any medication.

The liver is unable to make much glucose from fat.

It can make some from amino acids from the breakdown of muscle.

If you have been following a low-carb diet, you may be running out of
muscle.

This would explain the lack of hunger.

We do become less hungry when we are breaking down muscle because of
running out of stored glycogen (aka body starch).

Be hungry... be healthy... be blessed:

http://TheWellnessFoundation.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist

rob

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Aug 12, 2007, 1:50:58 PM8/12/07
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Hi All,
I am director of Diabetes Education in my local hospital.
You raise a very important question.Getting low blood sugars when we
are noton Diabetic meds can be caused by a number of mechanisms.
The number one sourse of quick balancing of blood glucose is through
our Livers.The glucose is stored as
Glycogen...Low carb diets will tend to reduce the amount of available
glucose from Glycogen and as the body has a difficult time converting
fat and protein into glucose there would be a tendency to low blood
sugar.
The second mechanism is through the STRESS response.The condition
hypoglycaemia is frequently associated with the Adrenergic fight
flight responce.This elevates the levels of epinephrine,
norepinephrine and dopamine which stimulate the uptake of glucose by
our cells ...leading to low glucose.
Finally ...There is a condition called glucagonoma...where the hormone
glucagon is secreted excessively by the Pancreas leading to low sugar
levels.
Dr Robert O'Dwyer MB FRCP(C)
Specialist in Internal Medicine/ICU
www.doctorodwyer.com


On Aug 12, 4:37 am, "Andrew B. Chung, MD/PhD"

Andrew B. Chung, MD/PhD

unread,
Aug 12, 2007, 2:09:49 PM8/12/07
to
friend rob wrote:

> Andrew, in the Holy Spirit, boldly wrote:
> > Good Night Moon wrote:
> >
> > > Hi all,
> >
> > > I have my ups and downs of bg (mostly ups), but my fasting usually
> > > is a nice 85. Recently I've had fastings around 70. Does this mean
> > > you're running out of body fat, is the body struggling to
> > > produce glucose? I don't lack energy, I feel fine (some trouble
> > > with circulation), just hungry sometimes. Does it mean anything,
> > > in particular? My BMI is probably 20 or thereabouts. As I say
> > > in the subject, I'm not taking any medication.
> >
> > The liver is unable to make much glucose from fat.
> >
> > It can make some from amino acids from the breakdown of muscle.
> >
> > If you have been following a low-carb diet, you may be running out of
> > muscle.
> >
> > This would explain the lack of hunger.
> >
> > We do become less hungry when we are breaking down muscle because of
> > running out of stored glycogen (aka body starch).
> >
> > Be hungry... be healthy... be blessed:
> >
> > http://TheWellnessFoundation.com/PressRelease
>
> Hi All,
> I am director of Diabetes Education in my local hospital.
> You raise a very important question.Getting low blood sugars when we
> are noton Diabetic meds can be caused by a number of mechanisms.
> The number one sourse of quick balancing of blood glucose is through
> our Livers.The glucose is stored as
> Glycogen...Low carb diets will tend to reduce the amount of available
> glucose from Glycogen and as the body has a difficult time converting
> fat and protein into glucose there would be a tendency to low blood
> sugar.

Indeed, very little glucose can come from fat (specifically from only
the released glycerol). Moreover, only a subset of amino acids from
proteins can be used to produce glucose.

> The second mechanism is through the STRESS response.The condition
> hypoglycaemia is frequently associated with the Adrenergic fight
> flight responce.This elevates the levels of epinephrine,
> norepinephrine and dopamine which stimulate the uptake of glucose by
> our cells ...leading to low glucose.

This would ordinarily be more than offset by the production of glucose
by glycogenolysis when there are adequate glycogen stores so that
there is typically hyperglycemia during the adrenergic "fight or
flight" response in someone with insulin resistance (IR/MetS).

> Finally ...There is a condition called glucagonoma...where the hormone
> glucagon is secreted excessively by the Pancreas leading to low sugar
> levels.

Very rare in a type-2 diabetic.

> Dr Robert O'Dwyer MB FRCP(C)
> Specialist in Internal Medicine/ICU
> www.doctorodwyer.com

Many thanks, much praise, and all the glory to GOD for your
participation in this discussion.

May HE bless you in HIS mighty way making you healthier (hungrier)
than ever:

http://HeartMDPhD.com/PressRelease

Message has been deleted

Andrew B. Chung, MD/PhD

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Aug 12, 2007, 3:50:45 PM8/12/07
to
convicted neighbor Susan wrote:
> friend rob wrote:
> > Andrew, in the Holy Spirit, boldly wrote:
>
> >> http://groups.google.com/group/sci.med.cardiology/msg/90a6a608d5204078?

>
> > Hi All,
> > I am director of Diabetes Education in my local hospital.
> > You raise a very important question.Getting low blood sugars when we
> > are noton Diabetic meds can be caused by a number of mechanisms.
> > The number one sourse of quick balancing of blood glucose is through
> > our Livers.The glucose is stored as
> > Glycogen...Low carb diets will tend to reduce the amount of available
> > glucose from Glycogen and as the body has a difficult time converting
> > fat and protein into glucose there would be a tendency to low blood
> > sugar.
>
> Except that it's very rare for a type 2 on low carb to have hypoglycemic
> episodes.

We are not discussing reactive hypoglycemic episodes but rather a
person reporting overall trends of FBG decreasing with low-carb
dieting.

Andrew B. Chung, MD/PhD

unread,
Aug 12, 2007, 3:39:16 PM8/12/07
to
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Aug 12, 2007, 12:32:46 PM8/12/07
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Andrew B. Chung, MD/PhD

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Aug 12, 2007, 12:31:07 PM8/12/07
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Aug 12, 2007, 12:48:03 PM8/12/07
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