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Dr Ignatius O. Onah.

 Monday Morning on the Sikamoretree.

           On Monday, August 12, 2019.


   # " "The low blood sugar of today is the diabetes of tomorrow." - Dr Seal Harris,MD, Professor of Medicine, University of Alabama, publishing in the Journal of American Medical Association(JAMA), in 1934!!

 # "...consuming sugar is no more a solution to reactive hypoglycemia than taking a swig of bourbon is a treatment for alcohol withdrawal...there are indeed times when sugar is necessary to recover from a hypoglycemic episode, but this is virtually NEVER.... NECESSARY in a nondiabetic ..Sugar does not treat the cause; it only SUSTAINS the problem."

   Dr. William Davis,MD, a Cardiologist,; author of "Wheat Belly" and "Undoctored: Why Healthcare Has Failed You and You Can Become Smarter Than Your Doctor",in a paper he titled "The truth about hypoglycemia"

   # " On someone being WRONGLY told that he 'has no sugar in the system' just because of low sugar values observed in his blood, the WORST TREATMENT to give that person is added sugar! Why? Because quick falls in blood sugar levels some hours after food(called Reactive/Post prandial Hypoglycemia) is, actually, a symptom of " Insulin Resistance" now established to be an inevitable forerunner to full-blown Diabetes!. .

..Yes, 'Ancient Medicine' treated it by encouraging the guzzling of sugar,... hereby quickening the onset of Prediabetes, and, ultimately, the dreaded Type 2 Diabetes itself, What a pity!!"

      Dr Ignatius O M Onah(Pharmacist, Nutritionist, and Naturopathic Doctor)

 # "Reactive hypoglycemia or low blood sugar is NOT THE OPPOSITE of diabetes (high blood sugar). It is the SAME CONDITION - just an EARLIER phase.....Many doctors and researchers have understood the progression of blood sugar and insulin dysregulation can ultimately lead to type-2 diabetes, and that adjusting patients to proper levels of carbohydrate restriction can reverse the process." -- Dr Wolfram Alderson, CEO, Hypoglycemia Support Foundation, from his book, "The Do’s and Don’ts of Hypoglycemia: An Everyday Guide to Low Blood Sugar"..

       Two Types of Hypoglycemia.

 I. Hypoglycemia in Diabetics.- caused SOLELY by overuse of insulin injection.

  ii Hypoglycemia in Nondiabetics.

This is properly designated as "Reactive"(sometimes also referred to as "Post - prandial") Hypoglycemia.

   This paper will zero exclusively on this Reactive Hypoglycemia.

  But, what really is the difference?

         Dr. William Davis,MD, the Cardiologist, brings this difference out succinctly in a paper he titled "The truth about hypoglycemia", on July 25, 2015.


     Behold some Excerpts:

  " ...First of all, let’s put aside hypoglycemia –low blood sugars, generally ...that OCCURS IN PEOPLE WITH DIABETES. Put all of that aside...that one is not a DISEASE...

...I’m talking about the common, everyday form of hypoglycemia that plagues NON - DIABETIC people, and is responsible for symptoms such as fatigue, mental “fogginess,” confusion, slurred speech, trembling, rapid heart beat, irritability, and sweating.

.. This form of hypoglycemia–“reactive hypoglycemia typically occurs about 90 minutes to 3 hours after eating (varying depending on the composition of the meal and the vigor of your insulin response).

... The conventional “solution,” ... is to consume some source of sugar, ... Once you understand why hypoglycemia develops, however, you will understand how knuckle headed( Editor: patently wrong?)that solution is...consuming sugar is no more a solution to reactive hypoglycemia than taking a swig of bourbon is a treatment for alcohol withdrawal..."

   But, what really causes this Reactive Hypoglycemia?

   Dr. William Davis,MD, continues: "...

  * Hypoglycemia is most likely to occur in people who have insulin resistance and pre-diabetes who produce three-, four-, or five-fold greater quantities of insulin than normal. So the blood sugar roller coaster ride starts with a meal containing carbohydrates, resulting in a high blood sugar that triggers release of excessive insulin. Blood sugar is cleared from the bloodstream by insulin (and converted to fat) but the effects of insulin persist, dropping blood sugar to low levels, generally below 70 mg/dl.

  ... At this point, consuming sugar DOES INDEED RAISE blood sugar back up and provide immediate relief of the symptom, but the process can start over again, not to mention that it can also add to the insulin resistance/pre-diabetes situation, and even cause weight gain, among yet many other "disorders".

  *.... The solution: Don’t consume foods that raise blood sugar. This keeps the process from ever being triggered....

  ... A person following the awful advice to solve their hypoglycemia symptoms with sugar would sees something like this:

 * blood sugar before meal 100 mg/dl;

  * 30-60 minute after-meal peak 140 mg/dl;

* 2 hour blood sugar 70 mg/dl–shakiness, anxiety, fatigue, etc....

* .Drink 6 ounces of orange juice:

* blood sugar 135 mg/dl and the cycle repeats;

* insulin resistance/pre-diabetes is worsened, .. even full - blown diabetes is just around the corner..."


 Hypoglycemia and Insulin Resistance. What Connection?

  " The primary disorder which creates reactive hypoglycemia is insulin resistance. Other "offsprings" of insulin resistance include obesity, high blood pressure, heart disease, elevated blood fats which could stroke, heart attacks , Prostate "disease", Glaucoma, Oral/dental issues,ect.


      Symptoms of Reactive Hypoglycemia

What are the symptoms of this hypoglycaemia? "Dr. Harry M. Salazer of the University of Cincinnati College of Medicine ...points out three major divisions of illness that are related to hypoglycemia:"

 (1). PSYCHIATRIC symptoms of this syndrome could include "depression, insomnia, anxiety, irritability, lack of concentration, crying spells, phobias, forgetfulness, confusion and asocial and anti-social behaviour and even suicidal tendencies.... 2. NEUROLOGICAL symptoms could include "headaches, dizziness, trembling, numbness, blurred vision, staggering, fainting or blackouts and muscular twitching", tremors, and neurodermatitis. 3. PHYSICAL symptoms could include "exhaustion, fatigue, bloating, abdominal spasms, muscle and joint pains, backaches, muscle cramps, colitis and convulsions", Perspiring and chills, cold sweats, "swollen feet, tightness in chest...pain in various parts of the body (especially the eyes)" can also manifest as symptoms, as well as recurrent seizures and coma; mental aberrations and optical troubles, such as double vision", and digestive disturbances.....”

  * MAJOR /COMMON Symptoms Hypoglycemia in our Nigeria Environment: Tinnitus; Memory /Hearing Loss.; Vivid Dreams, Fibromyalgia; Dry Eye Syndrome; Insomnia; Palpitations; Tingling Fingers/Wrists; ’Internal Heat”/ Movements/ Numbness.Urinal Urgency/Incontinence ,etc. Almost all symptoms of “natural/normal” AGING....The symptoms of hypoglycemia are very subtle to the person..... their actions become so normal to them that they do not realize they are acting in a very negative and unusual way”.

 # A Survey on Hypoglycemia Symptoms.

   "... When we asked those surveyed what kind of symptoms they experienced, the most common were:

Heart Palpitations 80%

Dizziness 79%

Mood Swings 77%

Headaches 74%

Depression 67%

Addiction to Sweets 62%

Extreme Fatigue 52%,etc.

    # What creates these Hypoglycemia Symptoms?

 * Dr Cowan,MD, gives us a clue: "...if your blood sugar drops below 40, you will become disoriented, confused, and if the situation persists, slip into a coma and die. This situation is a true medical emergency. When blood sugar is between 40-60, you feel shaky, jittery, anxious, sweaty, confused and irritable. When blood sugar is between 60-80 these same symptoms occur, but they are less severe.

The body reacts to the emergency situation of low blood sugar in many ways. When blood sugar even begins to drop below 80, the body produces a number of hormones, principally adrenaline and glucagon. The main effect of adrenaline is to make more sugar available to the cells. It is the production of adrenaline that accounts for the familiar shaky, jittery feeling that many have experienced during these hypoglycemic episodes. Glucagon helps raise blood sugar levels by increasing fat breakdown and stimulates the conversion of fat into sugar.

.." Dr Tom Cowan, MD, a holistic physician, is the author of "Human Heart, Cosmic Heart, The Fourfold Path to Healing"...

   * Another expert concurs: : "...Your body perceives that your blood glucose is too low, and starts evasive tactics to get that sugar from somewhere. It pumps out adrenalin (epinephrine) to tell the liver to break down stored glycogen or amino acids into glucose FAST and dump it in the blood stream, while the nervous systems pumps out acetylcholine, a neurotransmitter which acts on the sweat glands, causing profuse sweating.... The adrenalin and acetylcholine cause symptoms that are associated with reactive hypoglycemia: heart palpitations or fibrillation, dizziness, lightheadedness, sweating, headaches, nervousness, irritability, shaking and tremors, flushing, craving for sweets, intense hunger, nausea, vomiting, panic attack, numbness/coldness in the extremities, fatigue and shakiness for hours afterwards...,'"


     Testing for Hypoglycemia.

   “Standard medical testing for hypoglycemia is the Glucose Tolerance Test (GTT). An experienced person is required here. This test usually involves three to six finger -- prick sessions of the standard Glucometer finger picks which is the gold standard for measuring blood sugar levels.

    The first session is the Fasting blood insulinemia, while the rest are taken on an hourly intervals after the patient has drunk 100 mg of pure glucose in a water solution. The first test is fasting insulinemia, the second is a two-hour test and the third is a three-hour test which measures and averages insulin levels every hour. And, so on for the remaining period.

  Accuracy Rating: .."The fasting insulinemia test has been shown to only have an accuracy of 10% for diagnosing hyperinsulinemia. The two-hour test has an accuracy of 89% and the five-hour test has an accuracy of 99% in diagnosing this metabolic disorder....”

    Epilogue: Hypoglycemia and Diabetes.

     So, does uncontrolled/ badly - treated hypoglycemia inevitably results in diabetes? Is there always a linear progression from hypoglycemia to diabetes?

     A chorused "Yes" by almost all experts!

  Hear just two of them here:

  * Dr. Lorna Walker: “Hypoglycemia is a blood management disorder in which the pancreas reacts to a rapid rise in blood glucose levels by secreting too much insulin while in diabetes, when blood sugar gets abnormally high, the damaged pancreas is unable to bring it down by secreting too little... this hyperinsulinism is the precursor to adult onset diabetes (Type II diabetes). The hypothesis is that the overactive pancreas .. finally begins to wear down and the end result is Type 2 Diabetes.”

  * Ms Jacqueline Eberstein RN : " The key is to recognize that you are already on the path to diabetes. Once you have insulin resistance and high insulin levels it is common to get a delayed insulin response causing your blood sugar to drop too fast and /or too low. Know that the body works best when your blood sugar is kept in a narrow range. Your brain especially does not like blood sugars that are too HIGH, too LOW, or DROP TOO FAST..."

     Editor's End Notes : Notice how hundreds of "Diseases" and "Disorders" can, literally, be conjugated from the myriad of SYMPTOMS of reactive hypoglycemia. These symptoms include(but not limited to)shakiness, tremors, sweating, headache, irritability, short temper, mental confusion, decreased coordination, insomnia, mood changes such as depression and anxiety, skipped heart beats, palpitations, blurred vision, fatigue, lightheadedness, hunger, and cravings, migraine headache, atrial fibrillation, panic attacks, seizures, Tinnitus; Memory /Hearing/Vision Loss.; Vivid Dreams, Fibromyalgia; Dry Eye Syndrome; Insomnia;; Tingling Fingers/Wrists; ’Internal Heat”, strange Movements. Urinal Urgency/Incontinence ,etc., etc.

  Are we now ready to see why there are eternally-- recurrent tales of "my chronic" typhoid, "my resistant" malaria, "my dangerous" staph, & other phantom "infections" in our clinical practice these days?

    In a way, even " standard" diseases like glaucoma, Prostate, Ulcers,Gout, Arthritis, heartburn, etc, can also be located among the above symptoms of hypoglycemia.

   Last Line: Treatment for Reactive Hypoglycemia(Insulin Resistance)

."..Treatment Objective: for insulin resistance revolves around DIET, Natural drugs and exercise..

   All these reduce the body's need for insulin.

  An expert in Nutritional Medicine ( aka Naturopathic Doctor!) is needed to dispense these tools! Interested?

 You are welcome!

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