{"id":11452,"date":"2024-02-09T14:00:04","date_gmt":"2024-02-09T22:00:04","guid":{"rendered":"https:\/\/www.everywomanover29.com\/blog\/?p=11452"},"modified":"2024-02-09T08:59:36","modified_gmt":"2024-02-09T16:59:36","slug":"reactive-hypoglycemia-in-binge-eating-disorder-food-addiction-and-intense-sugar-cravings-and-how-glutamine-stops-the-cravings","status":"publish","type":"post","link":"https:\/\/www.everywomanover29.com\/blog\/reactive-hypoglycemia-in-binge-eating-disorder-food-addiction-and-intense-sugar-cravings-and-how-glutamine-stops-the-cravings\/","title":{"rendered":"Reactive hypoglycemia in binge eating disorder, food addiction and intense sugar cravings, and how glutamine stops the cravings"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-11453\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/reactive-hypoglycemia.jpg\" alt=\"reactive hypoglycemia\" width=\"940\" height=\"492\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/reactive-hypoglycemia.jpg 940w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/reactive-hypoglycemia-300x157.jpg 300w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/reactive-hypoglycemia-768x402.jpg 768w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/reactive-hypoglycemia-610x319.jpg 610w\" sizes=\"(max-width: 940px) 100vw, 940px\" \/><\/p>\n<p>A number of years ago a woman came to see me looking for help for her anxiety, insomnia and out of control sugar cravings which she described as an \u201c<em>almost demonic urge\u00a0 to eat sugar and all things sweet.<\/em>\u201d<\/p>\n<p>Before working with me she had been trying to control her low blood sugar levels (or hypoglycemia) by eating the right foods at the right times i.e. healthy fats and quality protein especially at breakfast. But this wasn\u2019t enough to eliminate her intense sweet cravings. She would make and eat sweet treats all day long, using \u201chealthier\u201d sweeteners like monk fruit and maple syrup.<\/p>\n<p>I had her complete the brain chemistry symptoms questionnaire and she scored high on all the low blood sugar symptoms as well as low GABA and low serotonin. We focused on low blood sugar first and the solution for her cravings was using 500 mg of glutamine opened onto her tongue.<\/p>\n<p>Initially she was sure this would NOT work &#8211; how would she possibly be able to use glutamine in the midst of experiencing reactive hypoglycemia or low blood sugar?<\/p>\n<p>I had the same conversation\u00a0 that\u00a0 I have with all my clients who would obviously rather eat something sweet than open a glutamine capsule onto\u00a0 their tongue: <em>\u201cIf you have an intense craving for something sweet, tell yourself that\u00a0 you\u2019re\u00a0 going to\u00a0 indulge, but also humor your nutritionist and take the glutamine anyway. You may be surprised to find your urge completely disappears.\u201d<\/em><\/p>\n<p>She did that and it worked time and time again, ending her demonic urge to eat something sweet every time and very quickly. And it helped her with all her low blood sugar symptoms.<\/p>\n<p>This blog addresses the role of low blood sugar or reactive hypoglycemia in intense sugar cravings, binge eating disorder and food addiction, and how glutamine helps.<\/p>\n<h2>Research: Reactive hypoglycemia in binge eating disorder and food addiction<\/h2>\n<p>The 2023 paper, <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10507855\/\" target=\"_blank\" rel=\"noopener\">Reactive hypoglycemia in binge eating disorder, food addiction, and the comorbid phenotype: unravelling the metabolic drive to disordered eating behaviours<\/a>, highlights the fact that \u201c<em>impaired metabolic response<\/em>\u201d such as fasting blood glucose fluctuations are a factor in binge eating and food addiction, driving out of control and \u201c<em>repetitive consumption of highly processed food.<\/em>\u201d<\/p>\n<p>The researchers \u201c<em>investigated hypoglycemia events during a 5-hour-long oral glucose tolerance test\u201d <\/em>in 200 participants and \u201c<em>the association between the severity of eating psychopathology and the variability in hypoglycemia events was explored.\u201d<\/em><\/p>\n<p>The authors conclude as follows:<\/p>\n<p><em>People with binge eating disorder\/BED or food addiction\/FA are prone to experiencing reactive hypoglycemia; food addiction severity may predict early and symptomatic hypoglycemia events. This can further reinforce disordered eating behaviours by promoting addictive responses, both biologically and behaviourally. <\/em><\/p>\n<p>You can <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10507855\/\" target=\"_blank\" rel=\"noopener\">read the study here<\/a>.<\/p>\n<p>It\u2019s worth noting that the participants did not have diabetes. I mention this because most of the reactive hypoglycemia research looks at diabetic patients. Reactive hypoglycemia in the non-diabetic population is considered controversial even amongst functional medicine and\/or integrative practitioners. This paper stands out for this reason.<\/p>\n<p>It\u2019s also recently published which makes me excited. This research is confirming what we see clinically.<\/p>\n<p>This research is very much in line with the demonic urge my client described, and directly tied to her low blood sugar and blood sugar swings. My client did not do a 5 hour oral glucose tolerance test. Instead we used the low blood sugar symptoms questionnaire (see below) and a trial of glutamine.<\/p>\n<p>My client was also not diagnosed with binge eating disorder or food addiction but didn\u2019t have to be for us to recognize the issue and have her benefit from nutritional support in the way of glutamine and learning to eat for blood sugar stability.<\/p>\n<p>Unfortunately the authors do not discuss glutamine as a solution in this particular paper or in any other research on human participants who are non-diabetic. There are a few animal diabetes studies, with <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24062772\/\" target=\"_blank\" rel=\"noopener\">this 2013 study<\/a> reporting that \u201c<em>glutamine was more effective in promoting glycemia recovery if compared with glucose, lactate, glycerol, or alanine.<\/em>\u201d\u00a0 The authors call for further investigations which I look forward to reading.<\/p>\n<h2>Low blood sugar symptoms and a glutamine trial<\/h2>\n<p>As a reminder here are the <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-mood-questionnaire-from-the-antianxiety-food-solution\/\" target=\"_blank\" rel=\"noopener\">signs of low blood sugar<\/a>:<\/p>\n<p>Sugar cravings, binge eating and addiction symptoms:<\/p>\n<ul>\n<li>Crave sugar, starch or alcohol any time during the day<\/li>\n<li>Very intense cravings for sweets\/sugar<\/li>\n<li>Binge eating and\/or food addiction (updated with this based on this research)<\/li>\n<\/ul>\n<p>There are also anxiety, mood, sleep and energy symptoms when you have low blood sugar:<\/p>\n<ul>\n<li>Nervous, anxious, panic attacks<\/li>\n<li>Irritable, shaky, headachey \u2013 especially if you go too long between meals<\/li>\n<li>Lightheaded if meals are missed<\/li>\n<li>Agitated, easily upset<\/li>\n<li>Eating relieves fatigue<\/li>\n<li>Waking in the night or early hours with a jolt of anxiety\/shakiness (I <a href=\"https:\/\/www.everywomanover29.com\/blog\/waking-with-a-jolt-feeling-shaky-and-anxious-low-blood-sugar-hypoglycemia-glutamine-and-eating-for-blood-sugar-stability\/\" target=\"_blank\" rel=\"noopener\">blogged about this here<\/a>)<\/li>\n<\/ul>\n<p>As I mention in the <a href=\"https:\/\/www.everywomanover29.com\/blog\/waking-with-a-jolt-feeling-shaky-and-anxious-low-blood-sugar-hypoglycemia-glutamine-and-eating-for-blood-sugar-stability\/\" target=\"_blank\" rel=\"noopener\">waking with a jolt\/low blood sugar blog<\/a>\u00a0the good news is it\u2019s relatively easy to figure out if low blood sugar is causing your symptoms. First I have clients rate their symptoms on the low blood sugar questionnaire and do a trial of glutamine. Next is figuring out the dosing and timing of glutamine, looking at a current food log and making dietary changes as needed.<\/p>\n<p>Glutamine is always best opened on to the tongue but it must be used this way for stopping the intense sugar cravings quickly &#8211; as in immediately. It\u2019s also used away from meals like all the amino acids.<\/p>\n<p>If you notice improvements it\u2019s very likely that reactive hypoglycemia or low blood sugar is a factor.<\/p>\n<h2>Glutamine for low blood sugar cravings: dosing and timing<\/h2>\n<p>As I share in my book and other blog posts, typically 500 mg glutamine is a good starting dose for intense cravings for sugary foods. We may increase based on individual needs and you may find you do need to use 500 mg -1000 mg two to three times a day when the intense desire for something sweet strikes &#8211; as blood sugar dips. Using a glutamine powder is a great way to use it especially if you find you do need more than 500 mg each time.<\/p>\n<p>As I mentioned above when you use glutamine powder directly on the tongue (rather than mixed in water), the benefits are seen almost immediately and even if you don\u2019t believe it could possibly work &#8211; like my client &#8211; your desire for sugar disappears.<\/p>\n<h2>GABA and serotonin support too<\/h2>\n<p>My client also needed GABA and serotonin support for her anxiety and sleep issues. Again, we used the <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-mood-questionnaire-from-the-antianxiety-food-solution\/\" target=\"_blank\" rel=\"noopener\">low GABA and low serotonin symptoms questionnaire<\/a>\u00a0and did trials of GABA and tryptophan for her which helped further.<\/p>\n<h2>Sugar cravings and binge eating with other neurotransmitter imbalances too<\/h2>\n<p>Keep in mind that there is a sugar cravings aspect to all the neurotransmitter imbalances. The type of craving can be found on the above symptoms questionnaire. It\u2019s not uncommon to need support more than one area:<\/p>\n<ul>\n<li>Low blood sugar \/hypoglycemia &#8211; glutamine for intense cravings at any time of the day<\/li>\n<li>Low serotonin &#8211; tryptophan or 5-HTP for afternoon\/evening cravings<\/li>\n<li>Low endorphins &#8211; DPA for comfort\/reward eating<\/li>\n<li>Low catecholamines &#8211; tyrosine for low energy sugar cravings<\/li>\n<li>Low GABA &#8211; GABA for stress eating<\/li>\n<\/ul>\n<p>You can read more about this here: <a href=\"https:\/\/www.everywomanover29.com\/blog\/the-individual-amino-acids-glutamine-gaba-tryptophan-or-5-htp-dpa-and-tyrosine-are-powerful-for-eliminating-sugar-cravings-often-within-5-minutes\/\" target=\"_blank\" rel=\"noopener\">The individual amino acids glutamine, GABA, tryptophan (or 5-HTP), DPA and tyrosine are powerful for eliminating sugar cravings, often within 5 minutes\u00a0<\/a><\/p>\n<h2>Glutamine product options &#8211; capsule vs powder<\/h2>\n<div style=\"display: flex;\">\n<div style=\"width: 50%; padding: 1rem;\"><img decoding=\"async\" class=\"aligncenter wp-image-11443\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-pure.jpg\" alt=\"l-glutamine\" width=\"197\" height=\"280\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-pure.jpg 282w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-pure-212x300.jpg 212w\" sizes=\"(max-width: 197px) 100vw, 197px\" \/><\/div>\n<div style=\"width: 50%; padding: 1rem;\"><img decoding=\"async\" class=\"aligncenter wp-image-11444\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-powder.jpg\" alt=\"l-glutamine\" width=\"274\" height=\"280\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-powder.jpg 391w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-powder-293x300.jpg 293w\" sizes=\"(max-width: 274px) 100vw, 274px\" \/><\/div>\n<\/div>\n<p>Products I recommend include Pure Encapsulations 500 mg l-glutamine (capsules opened on to your tongue) and Designs for Health l-glutamine powder as you find you need higher amounts.\u00a0 You can purchase these from my online store (Fullscript \u2013 only available to US customers \u2013 <a href=\"https:\/\/us.fullscript.com\/welcome\/trudyscott\" target=\"_blank\" rel=\"noopener\">use this link to set up an account<\/a>).<\/p>\n<div style=\"display: flex;\">\n<div style=\"width: 50%; padding: 1rem;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11445\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-now.jpg\" alt=\"l-glutamine\" width=\"178\" height=\"280\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-now.jpg 254w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-now-191x300.jpg 191w\" sizes=\"(max-width: 178px) 100vw, 178px\" \/><\/div>\n<div style=\"width: 50%; padding: 1rem;\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-11446\" src=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-doctors-best.jpg\" alt=\"l-glutamine\" width=\"221\" height=\"280\" srcset=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-doctors-best.jpg 316w, https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/l-glutamine-doctors-best-237x300.jpg 237w\" sizes=\"(max-width: 221px) 100vw, 221px\" \/><\/div>\n<\/div>\n<p>If you\u2019re not in the US, Now l-glutamine 500 mg and Doctor\u2019s best l-glutamine powder are products I recommend on iherb (<a href=\"https:\/\/www.iherb.com\/?rcode=BAN2021\" target=\"_blank\" rel=\"noopener\">use this link to save 5%<\/a>).<\/p>\n<h2>Additional resources when you are new to using glutamine and other amino acids as supplements<\/h2>\n<p>We use <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-mood-questionnaire-from-the-antianxiety-food-solution\/\" target=\"_blank\" rel=\"noopener\">the symptoms questionnaire<\/a>\u00a0to figure out if low blood sugar and\/or low serotonin and\/or low GABA and other neurotransmitter imbalances may be an issue for you.<\/p>\n<p>If you suspect low levels of any of the neurotransmitters and do not yet have my book, <a href=\"https:\/\/www.everywomanover29.com\/blog\/the-antianxiety-food-solution-by-trudy-scott\/\" target=\"_blank\" rel=\"noopener\">The Antianxiety Food Solution \u2013 How the Foods You Eat Can Help You Calm Your Anxious Mind, Improve Your Mood, and End Cravings<\/a>, I highly recommend getting it and reading it before jumping in and using amino acids on your own so you are knowledgeable. And be sure to share it with the practitioner\/health team you or your loved one is working with.<\/p>\n<p>There is an entire chapter on the amino acids and they are discussed throughout the book in the sections on gut health, gluten, blood sugar control (this is covered in an entire chapter too), sugar cravings, anxiety and mood issues. The importance of quality animal protein and healthy fats is also covered.<\/p>\n<p>The book doesn\u2019t include product names (per the publisher\u2019s request) so this blog, <a href=\"https:\/\/www.everywomanover29.com\/blog\/amino-acids-pyroluria-supplements\/\" target=\"_blank\" rel=\"noopener\">The Antianxiety Food Solution Amino Acid and Pyroluria Supplements<\/a>, lists the amino acids that I use with my individual clients and those in my group programs.<\/p>\n<p>If, after reading this blog and my book, you don\u2019t feel comfortable figuring things out on your own (i.e. doing the symptoms questionnaire and respective amino acids trials), a good place to get help is the <a href=\"https:\/\/www.anxietynutritioninstitute.com\/gabaquickstart\/\" target=\"_blank\" rel=\"noopener\">GABA QuickStart Program<\/a> (if you have low GABA symptoms too). This is a paid online\/virtual group program where you get my guidance and community support.<\/p>\n<p>If you are a practitioner, join us in <a href=\"https:\/\/www.anxietynutritioninstitute.com\/balancingneurotransmitters\/\" target=\"_blank\" rel=\"noopener\">The Balancing Neurotransmitters: the Fundamentals<\/a> program. This is also a paid online\/virtual program with an opportunity to interact with me and other practitioners who are also using the amino acids.<\/p>\n<p>Have you had success with glutamine for blood sugar stability and binge eating, food addiction and intense cravings for sugar and carbs?<\/p>\n<p>Have you also found it helps with sleep, leaky gut and anxiety during the day?<\/p>\n<p>If yes, how much helps you? And how often do you use it? And what sugary foods have you been able to stop eating?<\/p>\n<p>If you\u2019re a practitioner do you use glutamine and with clients\/patients with these low blood sugar cravings? Do you recognize reactive hypoglycemia as a very real issue in non-diabetics?<\/p>\n<p>And please let me know if it\u2019s helpful that I\u2019m now including product recommendations and where to get them?<\/p>\n<p>Feel free to share and ask your questions below.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A number of years ago a woman came to see me looking for help for her anxiety, insomnia and out of control sugar cravings which she described as an \u201calmost demonic urge\u00a0 to eat sugar and all things sweet.\u201d Before working with me she had been trying to control her low blood sugar levels (or [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":11453,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[311,7,1892,1205,2990],"tags":[243,46,3045,2246,3046,3039,2994,201,874,152,202,1217,3044,58,2260],"class_list":["post-11452","post","type-post","status-publish","format-standard","has-post-thumbnail","category-addiction-2","category-anxiety-and-panic","category-cravings","category-glutamine","category-hypoglycemia","tag-addiction","tag-anxiety","tag-binge","tag-binge-eating","tag-carb-craving","tag-dosage","tag-gaba-quickstart-balancing-neurotransmitters-the-fundamentals-program-for-practitioners","tag-glutamine","tag-hypoglycemia","tag-insomnia","tag-low-blood-sugar","tag-neurotransmitters","tag-reactive-hypoglycemia","tag-sugar-craving","tag-timing","entry"],"yoast_head":"<!-- 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looking for help for her anxiety, insomnia and out of control sugar cravings which she described as an \u201calmost demonic urge\u00a0 to eat sugar and all things sweet.\u201d Before working with me she had been trying to control her low blood sugar levels (or [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.everywomanover29.com\/blog\/reactive-hypoglycemia-in-binge-eating-disorder-food-addiction-and-intense-sugar-cravings-and-how-glutamine-stops-the-cravings\/\" \/>\n<meta property=\"og:site_name\" content=\"everywomanover29 blog\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/TrudyScottAntianxietyFoodSolution\" \/>\n<meta property=\"article:published_time\" content=\"2024-02-09T22:00:04+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.everywomanover29.com\/blog\/wp-content\/uploads\/2024\/02\/reactive-hypoglycemia.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"940\" \/>\n\t<meta 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