7. Blood Sugar Swings – The Glycemic Rollercoaster
Blood sugar regulation becomes a wild ride for those with Addison’s, with unexpected drops that can leave them shaky, weak, and anxious. These aren’t the normal fluctuations one might feel after missing a meal; these are sudden, jarring lows that can disrupt the entire day. The body’s usual mechanisms for maintaining stable blood sugar levels falter without the guiding hand of cortisol.
Cortisol plays a pivotal role in managing how the body uses carbohydrates and fats for energy. When its levels are deficient, the body can’t mobilize glucose as effectively, leading to hypoglycemia. The brain, which relies on glucose for fuel, sends out distress signals, manifesting as intense hunger, confusion, or even fainting spells.
Individuals with Addison’s have to monitor their blood sugar levels meticulously, sometimes akin to the vigilance required by diabetes patients. They may need to carry snacks or glucose tablets, ensuring they have a quick source of sugar at all times. It requires constant awareness and planning, transforming eating from a routine into a critical task.
Low blood sugar episodes aren’t merely inconvenient; they can be dangerous if not addressed promptly. They can impair cognitive function, making it unsafe to drive or operate machinery and can progress to severe hypoglycemia, requiring emergency intervention. Those with Addison’s must educate those around them about the potential for such episodes and the appropriate responses. (7)
