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The Best Diet for Non-Diabetic Hypoglycemia

December 28, 2020
Written by
Team NutriSense
Reviewed by

A lot can happen to your body when your glucose levels are unbalanced. One of the conditions you can develop when they're too low is hypoglycemia. Although this is usually associated with having diabetes, there is also a type that's non-diabetic hypoglycemia. If you have symptoms of this condition (more on that below!), it's a good idea to monitor blood glucose levels. This is especially helpful around mealtime and while you're sleeping. However, it can be tricky if you don't want to do an invasive finger prick test every time you eat a meal or in the middle of the night when you should be sleeping.

So, what's the solution? There are a few, but one that's less invasive, quick, and accurate is continuous glucose monitoring. You can wear the discreet sensor from a continuous glucose monitor (CGM) on the back of your arm, scan it with your phone, and read and store your glucose results. Yes, it is actually that easy. It's an informed way to alter your diet and lifestyle to lower your glucose levels. If you're wondering about the different types of hypoglycemia, how you can change your diet to manage symptoms, and what the advantages of glucose monitoring are, read on. 

Can a Non-diabetic Have Low Blood Sugar?

The simple answer to this question is yes. Low blood glucose (sugar) can affect people who don't have diabetes as well. Before we go into the hows and whys of it all, remember that there are two types of non-diabetic hypoglycemia:

  1. Reactive Hypoglycemia (postprandial hypoglycemia): Blood sugar levels can sometimes drop after eating a meal. This is known as reactive hypoglycemia. It usually occurs within the first few hours following a meal. In some instances, reactive hypoglycemia can be an early sign of diabetes.
  2. Fasting Hypoglycemia (non-reactive hypoglycemia): This is not related to meals and occurs during a fast or while you're sleeping. Some potential causes of fasting hypoglycemia include specific medications (think: insulin, Beta-blockers, ACE/Inhibitors), excess alcohol, hypercortisolism, hypothyroidism, pregnancy, menopause, pancreatic tumors, or anorexia.

How Do You Define Hypoglycemia?

The glucose level that defines hypoglycemia is variable. Among diabetic people, glucose levels below 70 are considered low. However, among those without diabetes, hypoglycemia is more often described as blood sugar drops <55 mg/dL. Someone affected by a blood sugar drop will experience the symptoms we've mentioned below. 

Some people who do not have diabetes and have glucose readings of less than 70 mg/dL will feel fine. Active people who manage their blood sugar, eat low carbohydrate diets, or fast regularly can see low blood sugar readings without clinical symptoms. In this case, where no symptoms are present, the values are likely fine for the individual, and no action is needed.

If you have any of the symptoms below, it's usually your brain signaling that your glucose is too low. When this happens, your body isn't getting the energy it needs. If you have hypoglycemia, you may experience any of the following symptoms:

  • Hunger
  • Irritability
  • Blurred vision
  • Pale skin
  • Weakness
  • Shakiness
  • Excess sweating
  • Lightheadedness/dizziness
  • Anxiety
  • Confusion
  • Difficulty speaking
  • Headaches
  • Inability to concentrate

If you experience symptoms of hypoglycemia, it is vital to discuss them with your doctor. They will be able to help you find the underlying cause and discuss treatment options.

Who Is at Risk of Non-diabetic Hypoglycemia?

Non-diabetic hypoglycemia can affect people for several reasons. However, you are more at risk if you:

  • Have a genetic/family history of diabetes.
  • Have pre-diabetes.
  • Are obese.
  • Have other health problems (particularly issues with anorexia, your kidneys, adrenal glands or pituitary glands, or pancreas).
  • Have had a specific type of stomach surgery, including some bariatric surgeries like gastric bypass surgery.
  • Take medication for kidney disease.
  • Drink excessive amounts of alcohol.

What Is the Treatment for Non-diabetic Hypoglycemia?

When diagnosing non-diabetic hypoglycemia, a doctor will look through your medical history and conduct several blood tests. If they suspect reactive hypoglycemia, they may recommend a mixed-meal tolerance test or MMTT. During an MMTT, you will have to consume a drink that contains protein, fats, and sugar. You'll also undergo blood glucose level checks several times over the following two to five hours.

If your doctor suspects non-reactive hypoglycemia due to a medical condition or medication, they'll address this root cause. For example, if it is medication-related, your doctor might make changes to your prescription. Medical treatment is not usually required for reactive hypoglycemia, and dietary or lifestyle changes are recommended to lessen the symptoms. If you have severe hypoglycemia or hypoglycemia related to diabetes, you may need medication to manage your blood glucose. And if you have severe symptoms, your doctor may also advise you to carry glucose tablets or injectable glucose (glucagon).

What Is the Hypoglycemic Diet?

Now that you know what hypoglycemia is and how to check for symptoms let's go over what you can change in your daily life to manage it. While you may sometimes get recommendations for a high-protein, low-carbohydrate diet, this type of diet has not been proven to help hypoglycemia. While there's no one size fits all when it comes to diets, some of these dietary changes may be able to help:

  • Eat small meals and snacks throughout the day: It's a good idea to space these out to a meal or snack approximately every three hours. This helps to regulate the amount of glucose in your bloodstream. However, this is not suitable for everyone. It's worth trying it to see how it affects you. For some people, limiting carbohydrates is a more successful method, allowing you to go longer between eating without having symptoms of hypoglycemia.
  • Make sure your diet consists of various foods: This should include protein (meat and non-meat), dairy, and high fiber but low carbohydrate foods, like non-starchy vegetables. Whole grain and high-fiber foods take longer to break down, keeping your blood glucose levels more consistent.
  • Limit high-sugar foods: Sugar usually doesn't do anyone too many favors. To avoid blood sugar spikes, limit the amount you consume. You don't have to cut it out altogether, but remember that if you have something sweet, it's a good idea to eat it with a meal.
  • Limit or avoid alcohol: Excess drinking can cause hypoglycemic symptoms. When you drink alcohol, avoid mixing it with sugary drinks, and remember to drink it with food since that will help your stomach absorb it slowly. 
  • Limit your caffeine intake: Caffeine can cause an increase in adrenaline, which can mimic the symptoms of hypoglycemia. It's a good idea to wean yourself off the dependency so you can enjoy a little caffeine once in a while without too many glucose spikes.
  • Choose the right carbohydrates: This is essential to managing your blood glucose levels. Carbohydrates can have a low or high glycemic index. If you don't already know, the glycemic index measures how much the carbohydrate raises your blood glucose levels and how quickly it does this. Eating foods with a low glycemic index may help control blood sugar levels. So, when you're picking the carbohydrates you want to eat, choose low glycemic index options. Aim for two to four servings at each meal (30-60 grams) and one to two servings (15-30 grams) as a snack. Of course, none of this is written in stone. Everyone has a unique response to carbohydrates, but you can find out what yours is with the help of a CGM
  • Include protein, fat, and fiber in all your meals: All these components reduce the possibility of steep spikes in blood glucose after a meal.

What to Eat When You Have a Hypoglycemic Event

If you have a hypoglycemic event and can monitor blood glucose levels, you can follow something known as the 15:15 rule. Here's how to do it in four easy steps:

  1. Consume 15 grams of glucose/carbohydrates. This can be in the form of a glucose tablet, glucose gel tube, 1 tablespoon of sugar or honey, or a few hard candies‍. 
  2. Wait for 15 minutes.
  3. Measure your blood glucose levels. 
  4. Repeat this treatment until your blood glucose levels reach at least 70 mg/dL.

If you're experiencing symptoms and can't measure blood glucose, it's a good idea to consume fast-acting carbohydrates. These are simple sugars with little to no fiber, like the suggestions above. Other options include fruits like bananas, grapes, apple sauce, dates, or raisins.

When experiencing a hypoglycemic event, it's best to avoid high-fat foods like chocolate or cookies. They don't raise blood sugar quickly enough, as the fat can delay how quickly your body absorbs the required sugar. 

Remember, these are just band-aids and provide a short-term fix for hypoglycemia. If you're looking for a way to address the root cause, and prevent further attacks, consider using a CGM.

What Is the Best Food to Eat When Your Blood Sugar Is Low?

If you suffer from frequent hypoglycemia, it's best to try and avoid low blood sugar by carrying a snack with you at all times. Make sure you don't go long periods without eating. Snacks such as granola bars with protein or nuts, trail mix, and dried fruits are good portable snacks to carry with you.

A Hypoglycemia Food List

Choosing low glycemic index foods can help you control your blood glucose levels. Something to remember when you're planning your meals: meat and fish don't have a glycemic index. This is because they do not contain carbohydrates. 

Foods containing carbohydrates have low, moderate, and high glycemic index options. Here's a breakdown of a few of these, just to give you an idea of the best types of foods to choose from:

Bread

Low GI: Spelt bread, sourdough bread, whole grain tortilla, heavy-mix grain bread. 

Moderate GI: Chapati, linseed bread, flaxseed bread, pita bread, pumpernickel bread, roti, rye bread, whole-grain wheat bread.

High GI: White and whole wheat bread, naan bread.

Cereals

Low GI: All-bran, oat-bran, steel-cut oats.

Moderate GI: Instant, quick, or large-flake oats.

High GI: Cornflakes, Rice Krispies, Puffed Wheat, Cream of Wheat, Special K.

Grains

Low GI: Barley, bulgur, firm/al dente pasta, quinoa, pulse flours, mung bean noodles.

Moderate GI: Basmati rice, brown rice, cornmeal, couscous, rice noodles, wild rice, short/long-grain white rice.

High GI: Jasmine rice, millet, sticky rice, instant white rice.

Other starches

Low GI: Peas, popcorn, sweet potato, winter squash. 

Moderate GI: Beets, corn, parsnip, potato, rye crackers.

High GI: Carrots, instant mash potato, pretzels, rice cakes, soda crackers.

Fruits

Low GI: Apple, apricot, unripe/green banana, berries, cantaloupe, grapefruit, honeydew melon, mango, orange, peach, pear, plum, pomegranate, prunes.

Moderate GI: Ripe banana, cherries, cranberries, figs, grapes, kiwi, lychee, pineapple, raisins.

High GI: Brown/overripe banana, watermelon.

Milk and yogurt

Low GI: Almond milk, 1% and 2% cow's milk, frozen yogurt, Greek yogurt, soy milk, yogurt.

Moderate GI: N/A

High GI: Rice milk.

Beans, peas, and lentils

Low GI: Baked beans, chickpeas, kidney beans, lentils, mung beans, romano beans, soybeans/edamame, split peas

Moderate GI: Ready-made lentil or split pea soup

High GI: N/A

Alongside low glycemic index foods, you can also consider:

  • High-quality protein (meat, fish, or eggs).
  • Alternative sweeteners such as Stevia instead of sugar.
  • Fresh vegetables, especially dark leafy greens

Does Exercise Help Reactive Hypoglycemia?

Exercise is always a good thing, so a broad answer to that question is yes, it can help. However, it's important to remember that if you frequently experience hypoglycemia, you may need to adjust your diet slightly depending on your exercise regime. For some people, strenuous or sustained physical activity can cause blood glucose levels to drop. 

The best way to manage this is to eat a small snack containing carbohydrates and protein before exercising. Keep the snack small, and remember to stay hydrated with plenty of water throughout your physical activity. Examples of pre-exercises snacks include:

  • Greek yogurt and berries.
  • A small amount of mixed dried fruits and nuts.
  • An apple and some peanut butter.

Monitoring Blood Glucose Levels Can Help Manage Hypoglycemia

Diet, exercise, lifestyle choices, medication, and medical conditions can affect blood glucose levels. So, it's a good idea to track all of these, rather than just one or the other. An easy way to do this is to get a CGM, an efficient and effective way to monitor and control blood glucose levels for people with or without diabetes. Wearing a CGM may be especially helpful when you're trying to reduce the risk of hypoglycemia

Want to take the next step and see what it can do for your health? Try the NutriSense Continuous Glucose Monitoring Health Program to get a continuous glucose monitor (CGM) that gives you real-time feedback. The program also has an innovative app to manage and store the data and connects you with a registered dietitian to help you understand it all.   

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The Best Diet for Non-Diabetic Hypoglycemia
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Catherine is a Registered Dietitian Nutritionist with NutriSense. On this episode, she discusses what a continuous glucose monitor is, why it's important for women's health and what the data can show midlife women.

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12
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Breaking Down CGMs, How They Work, and Their Accuracy
Breaking Down CGMs, How They Work, and Their Accuracy

If you want to make the most of your CGM, it's helpful to know how to use it correctly. This involves learning more about what the device is, how to calibrate it if you ever need to, and what precision and accuracy mean in regards to it. Read on to learn more. 

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6
min
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​​Springtime Sniffles: Causes and Prevention Tips for Your Seasonal Allergies
​​Springtime Sniffles: Causes and Prevention Tips for Your Seasonal Allergies

If you're one of the millions of Americans who suffer from seasonal allergies, you know how important it is to find ways to make yourself feel more comfortable during this time of year. Read more about springtime allergies and what you can do to manage them.

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6
min
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Preparing for a Healthy Ramadan
Preparing for a Healthy Ramadan

From April 2 to May 2, people worldwide observe Ramadan, a time of fasting and spiritual reflection. Learn more about the traditions, and how to healthily break a fast during this holy month with tips from one of our dietitians.

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6
min
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Obesogens: What Are They and Do They Affect Blood Glucose and Weight Gain?
Obesogens: What Are They and Do They Affect Blood Glucose and Weight Gain?

Obesogens are in everything, from the products we use and the food we eat, to the air we breathe! Learn more about what these endocrine-disrupting chemicals are and how you can avoid exposure to them.

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11
min
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Pairing Your Food: Are there Good and Bad Combinations?
Pairing Your Food: Are there Good and Bad Combinations?

Are eggs and beans bad for you? Should you forgo the fruit juice with your cereal at breakfast? The NutriSense Nutrition Team tells you more about how healthy some common food pairings are for you.

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8
min
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Eating for Endurance
Eating for Endurance

Learn everything you need to know about eating if you are an endurance athlete.

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12
min
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A Closer Look at Heart Rate Variability
A Closer Look at Heart Rate Variability

Heart rate variability is the variation in time between your heartbeats. Learn more about it, why tracking your trends matters and how it can give you insights into your fitness, stress, diet, and overall health.

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8
min
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Living with Autoimmune Conditions: Multiple Sclerosis
Living with Autoimmune Conditions: Multiple Sclerosis

Living with an autoimmune condition can be challenging. Continuing our series on these conditions, learn more about detecting, treating, and managing Multiple Sclerosis.

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6
min
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Reading Nutrition Facts Labels Like a Pro: Dietitian Tips and Tricks
Reading Nutrition Facts Labels Like a Pro: Dietitian Tips and Tricks

When you're looking to buy a specific food product, the nutrition facts label can help you make informed choices about the foods you eat. Our dietitians put some tips together on what to look for on nutrition labels to make the best choices for your health.

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46
min
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FUELED | Wellness + Nutrition with Molly Kimball
FUELED | Wellness + Nutrition with Molly Kimball

Molly Downey, RDN, LDN, nutrition manager at NutriSense, delves into all things glucose and wellness, and how devices like these can inform us about our health, on this episode of FUELED with Molly Kimball.

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8
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Are Sardines Good for Your Health?
Are Sardines Good for Your Health?

Sardines are small, but they pack a big nutritional punch! Learn more about the health benefits associated with eating them and check out some fun facts about this flavorful, nutrient-dense food.

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9
min
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9 Essential Ways to Track Your Fitness (That Don’t Involve a Scale)
9 Essential Ways to Track Your Fitness (That Don’t Involve a Scale)

Most fitness tracking metrics involve stepping on the scale, but they don't always have to! Here are nine other ways to track your fitness.

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14
min
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Foods You Should Avoid Eating If You Have Prediabetes
Foods You Should Avoid Eating If You Have Prediabetes

There are many food items that can worsen the effects of prediabetes. Here are some foods you should avoid or limit your intake of throughout your day.

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11
min
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How Many Meals Should You Eat in a Day?
How Many Meals Should You Eat in a Day?

What's the perfect time to eat, and how many meals should you eat in a day? Explore how eating at different times and frequencies each day impacts your body and blood glucose.

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6
min
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NutriSense Dietitians Recommend: Glucose-Friendly Apple Cider Vinegar Drinks
NutriSense Dietitians Recommend: Glucose-Friendly Apple Cider Vinegar Drinks

Looking for a way to add apple cider vinegar into your diet? Start with some of these delicious glucose-friendly ACV drinks, recommended by our Nutrition Team.

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8
min
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Benefits of Walking After Eating: From Regulating Blood Sugar To Lowering Blood Pressure 
Benefits of Walking After Eating: From Regulating Blood Sugar To Lowering Blood Pressure 

Find out how taking a walk after your next meal can benefit various aspects of your health, including your blood glucose levels.

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55
min
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I Think, I Can—Using Technology as a Window Into Your Physiology
I Think, I Can—Using Technology as a Window Into Your Physiology

Molly explains how using a continuous glucose monitor is what personalized health care means. If you want to fine-tune your health, tune in to this special episode of I Think, I Can.

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10
min
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My Day | My Life: Nutritionist Carlee Hayes' Canine Cuddles
My Day | My Life: Nutritionist Carlee Hayes' Canine Cuddles

My Day | My Life explores the lives of people who have, in one way or another, mastered the art of aging. In this episode, meet Carlee Hayes, dietitian and Nutrition Manager at NutriSense.

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9
min
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Common Workout Injuries and How to Prevent Them
Common Workout Injuries and How to Prevent Them

Worried about getting injured during your next workout? Learn about the most common workout injuries, how they can affect blood glucose levels, and some tips to help you prevent them.

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6
min
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Eat with NutriSense This St. Patrick's Day
Eat with NutriSense This St. Patrick's Day

Would eating the same meal, at the same time, have the same blood glucose response for three different people? See what our team found out after sampling a delicious corned beef and cabbage dish in preparation for St. Patrick's Day!

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7
min
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Build Healthy Habits During Lent
Build Healthy Habits During Lent

Do you know what you're giving up for Lent this year? For those who observe it, this can be a good time to give up bad habits, and add healthy ones into your routine! Read on to find out more about how to build healthy habits this season.

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11
min
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Do You Know How Healthy Your Breakfast Cereal Is?
Do You Know How Healthy Your Breakfast Cereal Is?

Cereal is one of the most popular breakfast foods out there—but how healthy is it, really? Review the nutritional content of some popular breakfast cereals, and learn how to choose a healthy option for your individual needs.

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9
min
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Obesity: What You Should Know and Some New Research on the Condition
Obesity: What You Should Know and Some New Research on the Condition

Did you know that more than two in five adults have obesity? Find out more about the pressing public health issue, review some new research that is shedding light on the condition, and learn how to diagnose and treat it.

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7
min
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Tips for a Healthy, Happy Purim
Tips for a Healthy, Happy Purim

Purim, a joyous occasion celebrated around March or April every year, is just around the corner! Read on to learn more about the holiday and the delicious foods that accompany it.

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9
min
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Vinegar and Blood Sugar: Does It Lower It?
Vinegar and Blood Sugar: Does It Lower It?

Read on to find out what impact, if any, vinegar really has on our body’s ability to balance blood sugar.

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8
min
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Meal Frequency and Insulin Sensitivity: How Many Times Should You be Eating in a Day?
Meal Frequency and Insulin Sensitivity: How Many Times Should You be Eating in a Day?

If you have insulin sensitivity, is eating two large meals a day or three to five smaller meals better? Find out more about the relationship between meal frequency and insulin sensitivity, and how many times you should be eating in a day.

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9
min
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Understanding the Causes and Symptoms of Endometriosis
Understanding the Causes and Symptoms of Endometriosis

Endometriosis is a common yet often ignored condition. Learn more about the symptoms to watch out for, how you can seek treatment, and read first-hand accounts from two women who have dealt with endometriosis.

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8
min
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The Benefits and Risks of Popular Ayurvedic Herbs and Spices
The Benefits and Risks of Popular Ayurvedic Herbs and Spices

Ayurveda is an ancient Indian holistic healing system that dates back over 5,000 years. In the second installment of our series on the practice, review the benefits and risks associated with popular Ayurvedic herbs and spices.

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7
min
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Can Eating Pizza Raise Your Blood Glucose Levels?
Can Eating Pizza Raise Your Blood Glucose Levels?

Pizza can be challenging to enjoy eating without worrying about how it affects your health. But while it may be indulgent, it is possible to prepare or order it in a way that won’t wreak havoc on your health or blood sugar levels. Read on to find out more!

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8
min
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Do Artificial Sweeteners Raise Insulin Levels?
Do Artificial Sweeteners Raise Insulin Levels?

Review our post on the impacts artificial sweeteners have on blood glucose, insulin, and other areas of your personal health.

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8
min
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What Research Says About Sleep and Blood Sugar Levels
What Research Says About Sleep and Blood Sugar Levels

Recent research has shown that sleep and blood glucose are intricately connected. Read on to learn more about what this means for your blood sugar levels and overall health.

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8
min
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Understanding the Relationship Between Menopause and Metabolic Health
Understanding the Relationship Between Menopause and Metabolic Health

Did you know that menopause can affect your metabolic health, and vice versa? Read on to understand the relationship between metabolic health and menopause, and how to manage metabolic health during your menopausal journey. 

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57
min
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How a Continuous Blood Sugar Monitor Can Help You Find Your Perfect Diet
How a Continuous Blood Sugar Monitor Can Help You Find Your Perfect Diet

In this episode learn the truth about how we react to certain foods in regards to our blood sugar response and how you can tailor your diet according to your CGM results.

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66
min
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All About Blood Sugar With Molly Downey, RDN
All About Blood Sugar With Molly Downey, RDN

This week, dive into how to eat your carbs and manage your blood sugar, too with Molly Downey, RDN, LDN.

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8
min
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A NutriSense Dietitian's Favorite Kitchen Staples
A NutriSense Dietitian's Favorite Kitchen Staples

Food can be fun, pleasurable, and nutritious all at the same time. Read on to learn more about the two nutrient-dense kitchen staples one of our dietitians swears by to help optimize her health!

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10
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10 Tastiest Nutrient-Dense Foods From Around the World
10 Tastiest Nutrient-Dense Foods From Around the World

Instead of the type or amount of food you eat, you should focus on the amount of nutrients you're adding to every meal. Here are some of our favorite nutrient-dense foods from around the world to help you get started.

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7
min
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Do Pineapples Raise Blood Sugar Levels?
Do Pineapples Raise Blood Sugar Levels?

Learn everything you need to know about pineapples, your health, and your blood glucose levels, and see how our dietitians like to eat the sweet, tropical fruit. 

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14
min
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Setting Up The Right Diet Plan For Prediabetes [+Sample Diet Plan Included]
Setting Up The Right Diet Plan For Prediabetes [+Sample Diet Plan Included]

Learn more about the relationship between prediabetes and your diet, and see how to build a diet plan that works for you with some great tips, tricks and recipes from our nutrition team!

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9
min
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What You Should Know About Acupuncture
What You Should Know About Acupuncture

Learn more about the research on, as well as the benefits and risks of acupuncture, a form of alternative medicine that involves inserting needles into your body for pain and stress relief.

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6
min
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Triglycerides and Blood Glucose [+Tips to Lower Triglyceride Levels]
Triglycerides and Blood Glucose [+Tips to Lower Triglyceride Levels]

Learn everything you need to know about the relationship between triglycerides levels and blood glucose.


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5
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A Guide to Ayurveda
A Guide to Ayurveda

From acupuncture to chiropractic treatments and homeopathy to holistic healing, complementary and alternative medicine is increasing in popularity. Read on to learn more about Ayurveda, a healing system that originated in India thousands of years ago.  

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7
min
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Sugar and Cholesterol: Does Sugar Raise Your Cholesterol Levels?
Sugar and Cholesterol: Does Sugar Raise Your Cholesterol Levels?

Learn about the impact sugar has on your cholesterol levels and ways to manage your sugar intake.