Running-Induced Low Blood Sugar LevelsHave you ever experienced the symptoms of low blood sugar? Symptoms including: shakiness, lack of focus, low energy and brain fog? Low blood sugar levels are quite common BUT, did you know they are known to occur at the outset of running training in susceptible individuals? This condition is known as Transient (or Rebound or Reactive) Hypoglycaemia.  Maybe you have been running with some of these symptoms but never really understood what it was or why it was happening. So…here we are going to:Outline what Transient Hypoglycaemia is and what the current research is say about it regarding athletes and performanceDiscuss nutritional approaches to help prevent, limit or manage the symptomsGive ideas of how to put the nutritional practices into action Show Notes:(05:30)What is Transient Hypoglycaemia?:Transient hyperglycaemia in exercise (also known as reactive or rebound hyperglycaemia) is a condition where carbohydrate foods, which have been ingested approximately 30 minutes to 60 minutes before exercise results in low blood sugar levels at the onset of exercise. For some people this could lead to many different symptoms including:DizzinessSluggish/low energyJittery/shakyPoor focus/foggy brainNauseaHeadacheBlurry visionThe principle cause of this phenomenon in exercise is not completely understood, however, it is thought to be linked to increased insulin levels (known as hyperinsulinaemia). Some studies suggest this hyperinsulinaemia, is a result of high glucose levels (following the consumption of carbohydrate rich foods) but is accompanied by a subsequent rapid fall in blood glucose levels. Overall the research is currently suggesting that athletes who develop transient hypoglycaemia tend to have an enhanced insulin response compared to other athletes following ingestion of the same amount of carbohydrate rich foods pre exercise.So would it be advisable for these athletes to avoid carbohydrate pre exercise?The answer is NO because it is thought that the symptoms experienced don't actually affect performance itself and the data advocating carbohydrates to enhance performance far outweighs any temporary discomfort that may be felt by an athlete as a result of this transient low blood sugar status. (11:48)When does Transient Hypoglycaemia (TH) occur and for how long does it last?TH tends to occur within 30mins of commencing exercise BUT for some runners it may occur straight away whilst for others it might be several minutes into the run before symptoms appear. It will vary from runner to runner, however may also vary between runs within one individual. So you might go out for a run one day and you find that just as you start running, you're starting to feel these symptoms. Regarding how long this condition lasts, again, this varies between individuals and also within the same individual on different runs, but it is not thought to last more than approximately 30 minutes, with the average being around 10 to 20 minutes. BUT….the AMOUNT of carbohydrate digested within the hour pr- exercise is not thought to alter the subsequent fall in blood glucose levels at the onset of exercise. it appears to be the individual’s sensitivity to raised insulin levels that is the trigger for TH.  (17:30)FEMALE FACTORS:Glucose levels tend to decrease more so in women than in men during exercise post-prandial (post food) suggesting that women could possibly be more prone to Rebound Hypoglycaemia than menObese males appear to have a larger exercise-induced insulin drop than obese...

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