The previous post discussed a three-legged stool approach to dealing with reactive hypoglycemia. The three legs of the stool are critical for lowering blood insulin and restoring insulin responsiveness. They are:
-Eating moderate protein
-Waiting 5-6 hours between meals
Overall, these three appear to be the most important strategies for lowering blood insulin and restoring insulin responsiveness. However, a scan of low-carb websites suggests some additional ideas for improving insulin control.
For 18 days Jimmy Moore did a "Sweet"-Free Challenge. He avoided all artificial sweeteners, including those in diet soda. The taste of sweet, even if it comes in a zero-calorie product, can be enough to trigger an insulin release from the pancreas.
-Be careful with alcohol
Dr. Mike Eades discusses alcohol consumption in the comments section of a recent post at his blog. In response to a commenter, Lowcarb convert, Dr. Mike says Studies have shown that a glass of wine per day helps with weight loss, but if you can’t stop with just one - and I’m one of those who has difficulty in doing so - cold turkey may be the better strategy. In response to that, another poster, Tom, says For me, wine is a gateway drug…to carbs! Alcohol lowers inhibitions, including inhibitions against eating carbs, and eating carbs leads to the release of insulin. A word to the wise is sufficient.
-When you eat carbs, make them low-glycemic carbs
Dr. William Davis discusses Quieting the insulin storm in a recent post at his blog. He points out that some foods, like wheat and cornstarch, have a higher glycemic index than table sugar. The higher the glycemic index, the more rapidly blood sugar will rise, and the more insulin will be released by the pancreas in response.
-Eat healthy fats at every meal
Healthy fats make up the caloric difference between an individual's daily caloric need and the calories provided by low carbs plus moderate protein. Fats provide energy, promote satiety and can be consumed with no insulin required whatsoever.
-Avoid eating a large volume of food at one sitting
In his book The Diabetes Solution, Dr. Richard Bernstein discusses the fact that simply overstretching the stomach causes the release of insulin. This effect happens without reference to what type of food is consumed. It occurs whenever the stomach has been distended--by overeating or by eating large servings of high fiber foods. (According to Dr. Bernstein, it even happens when the stomach is distended with air.) To avoid oversecreting insulin, it is preferable to avoid eating one large meal and two small ones, but instead keep all three meals at a similar volume of food.