Why a blood sugar crash may be to blame for that dreaded mid-afternoon slump
July 7, 2020
What is a ‘blood sugar crash’? Why do they happen? And how can you eat to avoid them?
Many of us will have experienced those mid-afternoon funks that leave you feeling tired, sluggish and desperately craving chocolate and caffeine. The cause? A classic blood sugar crash.
In this post, we explore the science behind the blood sugar crashes. We find out why they happen, why they make you feel so bad, why some people seem to suffer from them more than others, and how to eat in the way that best maintains your energy and health.
In this post we will look at:
- What happens to our blood sugar levels throughout the course of a day.
- How to recognize a blood sugar crash.
- The long-term impact of poor blood sugar control.
- A key strategy to maintaining energy levels, achieving a healthy weight and long-term health.
What is a blood sugar crash?
Before we dive into the science behind a blood sugar crash, here’s a quick recap of what happens when you eat something containing carbohydrates.
Your body breaks down the carbohydrates in your food into its glucose (sugar) building blocks, which pass into your bloodstream. Your blood sugar levels begin to rise, prompting your body to release insulin. In turn, this triggers your cells to take up the glucose to use for generating energy, swiftly returning your blood sugar levels to normal.
This is a perfectly normal process that happens in all of us, whatever we eat, and protects your body from the harmful effects of high blood sugar (hyperglycaemia).
But when your blood sugar increases very steeply after eating, your body can release too much insulin, making your blood sugar plummet below normal levels. This is technically referred to as postprandial hypoglycemia or reactive hypoglycemia, but it’s commonly called a blood sugar ‘crash’.
Are blood sugar crashes bad for you?
A blood sugar crash is medically defined as a blood glucose level below 70 mg/dL (3.9 mmol/L). But even if you don’t have a way of monitoring your blood glucose, you can recognize when you are experiencing a blood sugar crash by simply observing how you feel.
The glucose in our blood is the primary source of energy for our body and brain. So when you have low blood sugar, the cells in your body aren’t receiving enough energy. This causes tell-tale symptoms including hunger, irritability, fatigue, anxiety, headaches, difficulty concentrating, shakiness, and dizziness.
A blood sugar crash leaves you hungry - even if it wasn’t that long since you ate. Our PREDICT study showed that blood sugar dips after eating were linked to increased hunger, suggesting that curbing sugar crashes might be a good weight control strategy but cutting the urge to snack.
Besides making you feel lousy and hungry, unhealthy blood sugar responses after eating, such as spikes and crashes, have been linked to a myriad of health problems, including chronic diseases like obesity, diabetes, and heart disease. Repeated reactive hypoglycemia (frequent blood sugar crashes) can lead to prediabetes and eventually type 2 diabetes if left untreated.
Are some people more susceptible to blood sugar crashes than others?
Have you ever noticed that you’re suffering from a terrible afternoon slump, when your lunch companion who ate exactly the same meal seems just fine?
We saw blood sugar crashes in plenty of our PREDICT participants, who underwent continuous glucose monitoring for two weeks. But they were more common in some people than others. And even identical twins, who share all their genes, could have different glucose responses after eating the same foods.
The mechanism behind blood sugar crashes isn’t fully understood, and it may vary between people. One theory is that if your blood sugar levels are not well controlled, the insulin-secreting cells in your pancreas can become damaged and don't produce enough insulin as your blood sugar begins to rise after eating. In response, your body ‘panics’ and releases excessive insulin later on, causing a crash.
Another idea is that your blood sugar responses depend on the microbes that live in your gut. We all have a unique set of microbes, so we all process our food differently, causing unique responses to food, even when we've eaten precisely the same thing.
Avoiding the blood sugar slump
While giving in to your craving for a Snickers might seem like the right thing to do when you’re in the midst of a blood sugar crash, your sugary snack will only give you a temporary fix before leaving you feeling low again. The best way to dodge a sugar slump is to avoid the foods that cause them. Instead, pick foods that keep your blood sugar relatively steady.
Avoiding sugary drinks and snacks is probably sound advice for everyone seeking better control over their blood sugar. But some experts advise highly restrictive diets that limit all carbohydrates. However, studies have shown that diets high in carbohydrates from plants can improve blood sugar control after eating by increasing the activity of gut microbes, which protect against unhealthy blood sugar reactions.
Rather than avoiding certain food groups, like carbohydrates, we advise eating a varied diet tailored to your unique biology. After all, our PREDICT-1 study has shown us that the same foods can cause different blood sugar responses in different people, so there is no one-size-fits-all advice for maintaining healthy blood sugar levels.
To understand what causes your sugar crashes, and how you can avoid them and maintain your energy levels, you need to know how YOUR body responds to food. You are unique, and your diet should be too.
But how can you know what foods are best for your body? That's where the ZOE program comes in.
Find out more:
- What happens when you eat carbs? – ZOE
- Low blood sugar (hypoglycaemia) – NHS
- Low Blood Glucose (Hypoglycemia) – National Institute of Diabetes and Digestive and Kidney Diseases
- Non Diabetic Hypoglycemia – Hormone Health Network
- Impact of postprandial glycaemia on health and prevention of disease – Obesity Reviews
- Postprandial Reactive Hypoglycemia – The Medical Bulletin of Sisli Etfal Hospital
- Impact of Gut Microbiota on Host Glycemic Control – Frontiers in Endocrinology
- Treatment of reactive hypoglycemia with the macrobiotic Ma-pi 2 diet as assessed by continuous glucose monitoring: The MAHYP randomized crossover trial – Metabolism Clinical and Experimental
- Gut Microbiome Response to Short-Term Dietary Interventions in Reactive Hypoglycemia Subjects – Diabetes Metabolism Research and Reviews
- Human postprandial responses to food and potential for precision nutrition – Nature Medicine