The Midnight Alarm: Understanding Reactive Nocturnal Hypoglycemia
Let’s talk about a patient of mine; we’ll call him Carlos. At 58, he was diligent about his health, ending every day with a bowl of fruit and oatmeal, thinking he was doing his heart a favor. And in many ways, he was. But he came to me frustrated. “I wake up at 3:30 AM every single night with an alarm going off in my head and my heart pounding. I can’t get back to sleep afterward.” He thought it was an anxiety problem, but what he was actually experiencing was reactive nocturnal hypoglycemia.
To understand this without getting lost in medical jargon, imagine your body is a sophisticated hybrid car. When you eat a dinner high in simple carbohydrates—that fruit, that sweet yogurt, a piece of white toast—you’re essentially giving your engine a shot of high-octane gasoline. Your blood glucose (sugar) level shoots up rapidly. In response, your pancreas releases a large surge of insulin to quickly bring that glucose level back down.
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