Normal A1C But Why Do I Have Insulin Resistance? – Dr. Berg [a6b4c7]
Post Time: 2025-07-29
Hypoglycemia, commonly known as low blood sugar, occurs when the level of glucose in your blood drops below what is considered normal. Glucose is the primary source of energy for the body, and when its levels are too low, it can trigger a range of symptoms that can be uncomfortable, and in some cases, dangerous. Understanding these symptoms, as well as knowing when to be concerned and seek medical attention, is crucial for anyone at risk of hypoglycemia. This article provides an in-depth look at the symptoms, causes, and necessary actions to take when experiencing low blood sugar.
Common Symptoms of Low Blood Sugar
The symptoms of hypoglycemia can vary significantly from person to person. They can also be different based on the speed at which your blood sugar drops and how low it goes. These symptoms can be categorized into mild, moderate, and severe stages. Here's an overview of what you might experience:
Early and Mild Symptoms
These are typically the first indicators that your blood sugar might be dropping. Recognizing these early signs allows you to take action promptly and often prevent more serious symptoms from developing. Common mild symptoms include:
- Shakiness or Trembling: A feeling of instability in the hands or body.
- Sweating: Unusually excessive perspiration, often clammy.
- Anxiety or Nervousness: Feeling unusually agitated, worried, or panicky.
- Dizziness or Lightheadedness: A sensation of spinning or feeling faint.
- Irritability or Mood Swings: Feeling unusually frustrated, angry, or emotional.
- Hunger: An intense urge to eat, sometimes feeling like you cannot wait.
- Rapid Heartbeat: Increased heart rate or palpitations.
- Tingling or Numbness: Especially around the mouth or fingertips.
Moderate Symptoms
As blood sugar levels continue to fall, the symptoms can intensify, indicating the need for more immediate action. If early symptoms are ignored, you may start experiencing:
- Confusion or Difficulty Concentrating: Trouble focusing or thinking clearly.
- Blurred Vision: Seeing double or having difficulty focusing your vision.
- Slurred Speech: Difficulty forming words properly.
- Weakness or Fatigue: Feeling unusually tired or drained of energy.
- Headache: Moderate to severe head pain, sometimes pulsating.
- Lack of Coordination: Difficulty with movement, such as walking or picking up objects.
Severe Symptoms
Severe hypoglycemia is a medical emergency and requires immediate intervention. If blood sugar drops too low, you might experience these dangerous symptoms:
- Seizures or Convulsions: Uncontrollable muscle spasms.
- Loss of Consciousness or Fainting: Passing out or losing awareness.
- Inability to Swallow: Difficulty in swallowing food or drink.
Nocturnal Hypoglycemia
Sometimes, low blood sugar can occur while you sleep, making it challenging to notice early warning signs. Symptoms of nocturnal hypoglycemia can include:
- Night Sweats: Waking up damp with sweat, often requiring changing bed linens or clothing.
- Nightmares: Vivid and unsettling dreams.
- Restlessness: Tossing and turning or difficulty falling back to sleep.
- Morning Headache: A headache that is present upon waking up.
| Symptom Category | Common Symptoms |
|---|---|
| Early/Mild | Shakiness, sweating, anxiety, dizziness, hunger, rapid heartbeat |
| Moderate | Confusion, blurred vision, slurred speech, weakness, headache |
| Severe | Seizures, loss of consciousness |
| Nocturnal | Night sweats, nightmares, restlessness, morning headache |
When to Be Concerned: Risk Factors and When to Seek Help
Knowing the symptoms is important, but knowing when to seek help and be concerned is equally important. Here are key factors to keep in mind:
Risk Factors
While anyone can experience hypoglycemia, some individuals are at higher risk. These include:
- People with Diabetes: Particularly those taking insulin or certain oral diabetes medications, like sulfonylureas.
- Individuals with Liver or Kidney Disease: These conditions can interfere with glucose processing and regulation.
- People with Certain Tumors: Pancreatic tumors, for example, can cause excessive insulin production.
- Those with Eating Disorders: Conditions like anorexia nervosa can result in irregular or extremely low blood sugar levels.
- Alcohol Abuse: Especially heavy drinking without adequate food consumption can deplete glycogen stores and cause hypoglycemia.
- Certain Medications: In addition to diabetes medications, some antibiotics, anti-malaria drugs, and medications for heart failure can also lead to hypoglycemia.
- Intense Exercise: Especially when not consuming enough carbohydrates, or when fasting, can deplete glycogen stores.
Situations Requiring Immediate Medical Attention
There are certain instances when experiencing low blood sugar symptoms should be treated with serious concern and will require immediate medical intervention. These scenarios are:
- Severe Symptoms: Any occurrence of seizures, convulsions, loss of consciousness, or fainting related to hypoglycemia.
- Frequent Episodes: Repeated low blood sugar events that are not easily managed with standard treatments.
- Symptoms Worsening Rapidly: If your condition declines very quickly even after initial efforts to stabilize blood sugar.
- No Response to Standard Treatment: If eating or drinking a fast-acting sugar source doesn't improve your condition after 10-15 minutes.
- History of Severe Hypoglycemia: If you have a history of severe or complicated hypoglycemia events.
- Accompanying Conditions: Hypoglycemia occurs in someone who also has symptoms of another serious condition like a stroke, heart attack, or any type of major physical trauma.
When to Seek Guidance from Your Healthcare Provider
It’s also wise to contact your doctor, even if your symptoms haven't progressed to a severe stage, especially if:
- You Are Experiencing Hypoglycemia Frequently: Multiple episodes can indicate underlying issues and can impact your daily life.
- You're Concerned About a New Medication: If you believe a new medication might be causing your symptoms.
- You Have Difficulty Managing Symptoms on Your Own: If you need further guidance for effective home management of hypoglycemia, a healthcare provider can help guide you.
How to Treat Low Blood Sugar: Practical Steps
Prompt treatment is essential to avoid severe complications. Here’s a practical step-by-step approach for how to treat hypoglycemia:
- Check Your Blood Sugar: If possible, use a glucometer to verify low blood glucose levels. If this is not possible and symptoms are present, you should treat for hypoglycemia as if it is confirmed.
- Eat or Drink a Fast-Acting Sugar Source:
- Consume 15 grams of fast-acting carbohydrates (sugars) to raise your blood glucose level rapidly.
- Examples of suitable options include:
- 4-6 Glucose Tablets
- 1/2 cup (4 oz) of Fruit Juice (orange juice, apple juice, etc.)
- 1/2 can of Regular (Non-diet) Soda
- 1 tablespoon of Honey or Sugar (Use sparingly to avoid quick overcorrections.)
- Hard candies, suckers and lollipops, that have significant amounts of sugar.
- Avoid chocolate or foods with added fat, as they will take longer for the sugar to reach the bloodstream.
- Wait 15 Minutes: Allow sufficient time for your blood sugar level to rise.
- Recheck Your Blood Sugar: Once you have waited the 15 minutes, check your blood sugar again with a glucometer, if available.
- If your glucose is still low, repeat the first two steps again.
- If it's within range, or you are starting to feel better, you may proceed to step 5.
- Eat a Longer Acting Carbohydrate Source:
- Once you have recovered your glucose level to at least 70 mg/dL or more, eat a longer-acting carbohydrate along with some protein to stabilize the blood glucose levels longer and prevent a recurrence of the low blood sugar.
- Examples:
- A piece of fruit and a cheese stick
- A serving of peanut butter and crackers
- Half of a sandwich
Table: Treatment Options for Hypoglycemia
| Step | Action | Description |
|---|---|---|
| 1. Check | Measure blood sugar, if possible. If not treat as if low. | A glucometer confirms low blood sugar. However, when symptoms present, treat first if no glucometer available. |
| 2. Fast-Acting | Eat 15g of fast-acting carbs | Glucose tablets, juice, soda, honey, hard candy; do not use foods with fats. |
| 3. Wait | Allow 15 minutes for effects | The sugar source will be digested, absorbed, and raise your blood glucose levels to a normal or stable range. |
| 4. Recheck | Re-measure blood glucose | If still low, repeat steps 2 and 3. If normal or improved, proceed to step 5. |
| 5. Longer-Acting | Consume a snack containing protein and carbohydrates | Stabilizes blood glucose for long periods to prevent recurrence of low blood sugar; such as fruit/cheese, peanut butter/crackers, and a sandwich. |
Using a Glucagon Kit
In cases of severe hypoglycemia, a glucagon injection might be necessary. Glucagon is a hormone that helps raise blood sugar levels and is available in an injectable form. A glucagon emergency kit can be kept with those at risk of severe hypoglycemia, and used in emergencies where the patient cannot self treat. Here are things to know about using it:
- How to Use: Follow instructions within your specific glucagon emergency kit.
- When to Use: In severe cases, when you cannot consume or absorb fast-acting sugars (due to a seizure or being unconscious).
- Educate Others: Ensure that family, close friends, and caregivers understand how to use a glucagon kit.
Conclusion
Understanding the signs and symptoms of low blood sugar is essential for prompt action and preventing severe complications. Recognizing early symptoms and knowing when to seek help is crucial. By being well-informed about your risk factors, the symptoms of hypoglycemia, and treatment strategies, you can ensure that you're prepared and know what to do should this issue occur. Always consult your healthcare provider if you experience symptoms of hypoglycemia regularly or if your symptoms are severe. Managing hypoglycemia effectively can improve your overall health and well-being.
Normal A1C doesn’t mean you don’t have insulin resistance. Here’s why! Take Dr. Berg's Advanced Evaluation Quiz: Timestamps 0:00 Introduction 0:10 What is insulin resistance? 0:57 Normal A1C—why do I have insulin resistance? In this video, we’re going to talk about why you can have insulin resistance even if you have a normal A1C. What is insulin resistance? Insulin resistance is a pre-diabetic state where your body begins to develop a resistance to the hormone insulin. In turn, your body produces more insulin. Over time, this can turn into diabetes. The A1C test is used to detect diabetes. However, it’s common for an A1C test to come back normal and still have insulin resistance. Insulin resistance may go undetected until it turns into type 2 diabetes. In fact, it can take up to ten years before insulin resistance turns into diabetes. A fasting insulin test can help detect insulin resistance before it shows up on an A1C test. In more severe cases, type 2 diabetics may experience symptoms of type 1 diabetes where the body stops making insulin. Talk to a Product Advisor to find the best product for you! Call 1-540-299-1556 with your questions about Dr. Berg's products. Product Advisors are available Monday through Friday 8am-6pm and Saturday 9am-5pm EST. * At this time, we no longer offer Keto Consulting and our Product Advisors will only be advising on which product is best for you and advise on how to take them. Dr. Eric Berg DC Bio: Dr. Berg, age 57, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The 4 hours fasting blood sugar Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media. Follow Me On Social Media: Facebook: Instagram: Anchor: TikTok: ABOUT DR. BERG: Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but blood sugar 193 after eating he no longer practices chiropractic in any state and does not see patients so he can focus on educating people as a full time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose and it is not a substitute for a medical exam, cure, treatment, diagnosis, and prescription or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. is 100 normal blood sugar Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. #keto #ketodiet #weightloss #ketosis Thanks for watching. I hope this helped explain why you can have a normal A1C but still have insulin resistance. I’ll see you in the next video.