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The #1 Cause of Hypoglycemia

Dr Stephen Wangen
|
February 25, 2025

🩺 Understanding Hypoglycemia: How Digestion Plays a Key Role

Hypoglycemia is a fascinating and often misunderstood condition. Many patients recognize it immediately when it occurs, yet it’s frequently overlooked by the medical system.

If you’ve experienced symptoms like irritability, fatigue, or constant hunger, you know exactly what I’m talking about. The good news: there’s a strong connection between hypoglycemia and digestive health—and addressing it can make a big difference.

What Is Hypoglycemia?

Hypoglycemia occurs when your blood sugar drops, causing noticeable changes in energy, mood, and focus.

Key points:

  • You may feel shaky, irritable, or “hangry” when blood sugar dips.
  • It often requires eating very regularly—sometimes every 2 hours—to maintain energy and normal functioning.
  • Hypoglycemia doesn’t always show up on lab tests, but patients often recognize the symptoms intuitively.

“Patients often know hypoglycemia when they feel it—even if standard tests don’t detect it.”

Why Hypoglycemia Happens

From my experience, hypoglycemia is very often linked to poor digestion and nutrient absorption.

How Digestion Impacts Blood Sugar

  • If your digestive system cannot properly break down food, your body cannot absorb the nutrients it needs.
  • This can lead to eating a lot without actually getting enough nutrition, creating frequent low blood sugar episodes.
  • Underlying digestive problems can include diarrhea, constipation, IBS, or even subtle malabsorption.

My Personal Experience

Growing up, I was often told I had a “high metabolism” because I could eat anything without gaining weight.

  • In reality, I had to eat constantly to avoid irritability, fatigue, and energy crashes.
  • Carrying food at all times became essential for maintaining balance.
  • Once I addressed my IBS and healed my gut, I gradually no longer experienced hypoglycemia and could go hours between meals without issue.

Clinical Observations in Patients

  • Diarrhea and constipation: Both can indicate malabsorption, which is a common driver of hypoglycemia.
  • IBS and other digestive conditions: Treating these often improves hypoglycemia significantly.
  • Subtle issues: Some patients, like those with celiac disease, may not have obvious digestive symptoms but still experience low blood sugar due to microscopic intestinal damage.

“Hypoglycemia is rarely the root problem—it’s often a symptom of underlying digestive or absorption issues.”

Takeaway

Hypoglycemia is often a sign that your body isn’t absorbing nutrients efficiently. Addressing digestive health can:

  • Stabilize blood sugar levels naturally
  • Reduce irritability, fatigue, and brain fog
  • Improve overall energy and well-being

If you’re struggling with frequent low blood sugar, know that there is a reason behind it. With proper attention to digestion and gut health, you can find lasting relief.

Don’t give up—there is hope, and solutions exist for everyone experiencing hypoglycemia.

Related Content:

IBS and Eating Disorders

What is A Gastroenterologist? When To See One, and the Problems They Can’t Help You With

Top 7 Questions to Ask Your Gastroenterologist

Why Low Fodmap Doesn’t Work for Everyone

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