Mood Swings and Blood Sugar Chaos: A Commonly Overlooked Connection
It masquerades as a mood disorder but comes from your gut. Behind a “bad case” of anxiety or depression, a blood sugar rollercoaster might be to blame.
If you know that foggy “food coma” slump after a meal, you are probably familiar with the agitation and “hanger” that follows. If you haven’t felt these, chances are you have been on the receiving end of a family member or co-worker who really just needed to eat something. Am I right?
These are just some of the cues our body gives us when our blood sugar is too low.
BLOOD SUGAR CHAOS: WHAT IS IT?
Reactive hypoglycemia describes when your blood sugar crashes. It is more common in those who push through long hours without food, eat at irregular hours (like night shift work), are on a restrictive diet (all of them), have disordered eating cycles of starvation/binging, or whose diet is high in refined, processed carbs. Sound familiar? Given the nature of our food industry, this process affects Americans in epic proportions.
WHAT’S The BIG DEAL?
Although appetite signals wax and wane during the day, reactive hypoglycemia is not your average hunger pang. It is a more intense and often overlooked sign of chronically imbalanced blood sugar. When paired with prolonged insulin resistance (which develops as a result), it can lead to Type 2 Diabetes, heart disease, and even increase the likelihood of developing Alzheimer’s disease down the road since high-sugar diets have been found to damage the hippocampus, a small region of the brain which needs to makes new neurons for memory and learning.
However, it’s also the ongoing fluctuations leading-up to these conditions you want to pay attention to, especially if you consider yourself to be someone who struggles with their mental health. Here is why you want to be weary of making reactive hypoglycemia a habit:
Blood sugar chaos creates psychiatric-like symptoms including: mood swings, irritability, “hanger,” anxiety, depression, bipolar, and those associated with ADHD. It also masks itself as pain and cognitive symptoms like: headaches, chronic fatigue, brain fog, dizzy spells, and fainting.
This is why reactive hypoglycemia is more than just an annoying reminder to eat. Sugar crashes that become a pattern are problematic. They will puppeteer your mood, cravings, hormones, and behaviors in the background without you even realizing it. Understandably, you might become convinced that you have severe depression or anxiety when potentially, unchecked blood sugar might just be creating chaos for you.
Because reactive hypoglycemia often goes under the radar as underlying cause and so many of its symptoms masquerade as mental health concerns, many people go on psychiatric medications without even considering how their diet or lifestyle contributed to their mood changes in the first place—or how changing them can make a world of difference chemical-free.
IF IMBALANCED BLOOD SUGAR IS AN ISSUE, you might have:
Major dips in energy during the day
Feel hungry all of the time
Need a steady stream of snacks to get through the day
Become shaky, lightheaded, or get headaches when you don’t eat
Problems falling asleep or waking in the middle of the night
Have health conditions linked to insulin resistance, like Polycystic Ovarian Syndrome (PCOS)
This is why when I work with patients coming in for the above symptoms (and more) I consider if imbalanced blood sugar needs to be ruled out.
But first, let’s look at how the body and brain responds to blood sugar crashes.
Here is a common scenario that sets the stage for reactive hypoglycemia:
Even in Chinese Medicine, the Spleen is the a key digestive organ who functions like the Pancreas. The Spleen is easily weakened by too many sweets, not eating enough, overeating, eating at irregular times—all factors in blood sugar chaos. It also rules the emotions of Thought and Worry, ie. anxiety. You see, the gut-brain connection is nothing new. It’s all connected.
No matter which medical lens you look through, moderating the highs and lows is key to regulating your body, brain, and mental health.
HOW TO STEP OFF THE ROLLER-COASTER
Here are some small tips I share with patients that can make a big impact:
Add more high-quality natural fats and proteins into each snack and meals, especially at breakfast.
Aim to add in more of these fat sources like avocados, olive oil, coconut oil, ghee, butter, nut butters, and coconut milk. If you are weary of fats, know that not all are created equal. Limit foods with inflammatory oils such as vegetable, canola, and safflower.
Eat more whole-food sources for carbs like rice, oats, grains, cruciferous and root vegetables, potatoes, etc.
If the bulk of your fuel during the day comes from processed foods made with refined (white) flours and sugar, try this: pick one meal to use a different whole-food fuel source from the list above. Find what works and if you feel called to, keep adding in more to other meals.
Tune into your hunger cues and aim to eat a little something every 2.5 to 3 hours.
What is your eating schedule like? Do you get hungry but push through long hours until you are starving? Do you have a low appetite to begin with so you don’t eat much? Do you struggle with disordered eating? Context is important which is why I ask a lot of questions when it comes to lifestyle, diet, and appetite to figure out how to best approach guiding patients on supporting their digestive + emotional health.
There you have it! If you made it to the end, thank you for reading. It is possible to start re-balancing your blood sugar while reclaiming your mood and sense of self. Just give yourself permission to start and ask for help if you need it.
Sources
This blog was inspired by Dr. Kelly Brogan, MD and information shared in her books:
…both of which I highly recommend!
Behind the Blog
HI, I’M LAUREN DYER.
I am the Co-Founder and Doctor of Acupuncture here at Empower in New Gloucester, Maine.
I specialize in supporting those with Chronic Pain, Emotional + Mental Wellness, and GI health.
In Traditional Chinese Medicine, these are areas that not only relate to and reflect one another, but are also close to my heart. I consider myself lucky because I truly love Acupuncture and what I do. Getting to connect with others while empowering them to live with a renewed sense of relief, inner peace, and vitality are some of my greatest joys.
So if you are struggling with chronic pain, anxiety, depression, sleep issues, the residual effects of trauma, a difficult transition, or other symptoms, I am here to help you navigate and own your healing process.
Please note, the information presented in this article is for educational purposes only and is not meant to replace the diagnosis or treatment for ANY medical condition mentioned above. Please seek out appropriate care as needed.