insulin response

anonymous asked:

Hi doc i recently watched okada nana's documentary in the documentary they showed she has functional​ hypoglycemia symptoms are mental illness fatigue and more since i have zero knowledge about it please enlighten me and can this be the cause why she has a very low self esteem? Thank you!

She mentioned having the condition during last year’s Sounsenkyo, right? And that she also developed an eating disorder (Bulimia, I believe) as a result.

Functional hypoglycemia (more commonly called Reactive Hypoglycemia in Western medical literature) is a condition in which individuals experience symptomatic hypoglycemia (low blood sugar levels) after meals in the absence of diabetes or any other underlying possible causes of low blood sugar. It is believed to be a result of excess insulin production in response to a meal heavy in carbohydrates. Insulin is one of the major hormones responsible for controlling blood sugar levels, and it prevent sugar levels from getting too high by promoting absorption of glucose from the blood into fat, liver and muscle cells.

However, excess insulin results in blood sugar levels becoming too low. This is bad because this means the body does not have enough sugar to create the energy needed to function properly. This results in symptoms such as an increased appetite, palpitations and tremors as the body works harder to try and compensate.

What makes this potentially dangerous is that sugar is the only form of stored energy that the brain is able to make use of (unlike other cells which can also use fats and proteins to create energy). This means that when blood sugar levels are too low, the brain starts to “slow down” and is unable to function properly. This starts off as symptoms of fatigue, irritability, inability to think clearly and lightheadedness, and progresses to disorientation, confusion and impaired cognition, and eventually (in its most dangerous form) seizures, stroke-like symptoms and coma.

In Okada’s case, she also developed certain psychiatric phenomena along the way, that may or may not have been caused by the condition of functional hypoglycemia itself. She developed an eating disorder consistent with bulimia, in which she binge-ate, and then purged immediately after; this could be due to the hypoglycemia, as nausea and vomiting are symptoms of low blood sugar. However, but this could also have been a dysfunctional coping mechanism in a misguided attempt to avoid the symptoms of her disease (which, unfortunately, would only have made her condition even worse). Her low self-esteem, in turn, would have been a result of all this; having to deal with a chronic, symptomatic medical condition on top of the pressures she faces from working in an environment as intense as that of the entertainment industry is not something that most teens are able to deal with effectively.