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Old 10-19-2017, 02:24 AM
 
92 posts, read 73,378 times
Reputation: 60

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Having weak adrenals (not yet insufficiency) means I should not eat too ketogenic. And I know I feel terrible if I go too low carb with more and more crashes.

However, on the other hand fast carbs make me feel a sugar crash. Sometimes even rice does it. Should I eat Paleo-like? But I can't eat the huge amounts of veggies required in order to have enought carbs and sometimes I get a sugar crash even after some fruits.

Not only that but I'm severely underweight and I need to gain weight asap to avoid even more catabolism (I was malnourished due to trying to cure adrenal/thyroid issues). I know I sometimes go slightly hyperthyroid, yet often I have hypothyroid symptoms (most likely adrenal-related) like cold hands and feet, tiredness, etc.

I was diagnosed with hyperinsulinemia (after drinking a glucose solution my pancreas produces too much insulin than needed and I think this taxes my adrenals), yet my adrenals require carbs to function... Cach 22. Yet when I load too many carbs I gain only fat and see low T/high estrogen symptoms. Why is my HPA axis so dumb? Help, please!

 
Old 10-19-2017, 07:09 AM
 
Location: Tampa (by way of Omaha)
14,561 posts, read 23,067,590 times
Reputation: 10356
This is really beyond our scope. You should speak to a clinical dietician.
 
Old 10-19-2017, 07:50 AM
 
92 posts, read 73,378 times
Reputation: 60
^No such thing exists in Europe where I live.
 
Old 10-19-2017, 09:22 AM
 
Location: Wine Country
6,102 posts, read 8,820,647 times
Reputation: 12324
Quote:
Originally Posted by eriko88 View Post
Having weak adrenals (not yet insufficiency) means I should not eat too ketogenic. And I know I feel terrible if I go too low carb with more and more crashes.

However, on the other hand fast carbs make me feel a sugar crash. Sometimes even rice does it. Should I eat Paleo-like? But I can't eat the huge amounts of veggies required in order to have enought carbs and sometimes I get a sugar crash even after some fruits.

Not only that but I'm severely underweight and I need to gain weight asap to avoid even more catabolism (I was malnourished due to trying to cure adrenal/thyroid issues). I know I sometimes go slightly hyperthyroid, yet often I have hypothyroid symptoms (most likely adrenal-related) like cold hands and feet, tiredness, etc.

I was diagnosed with hyperinsulinemia (after drinking a glucose solution my pancreas produces too much insulin than needed and I think this taxes my adrenals), yet my adrenals require carbs to function... Cach 22. Yet when I load too many carbs I gain only fat and see low T/high estrogen symptoms. Why is my HPA axis so dumb? Help, please!
You should consult a nutritionist or your doctor. You will get conflicting and possibility damaging advice from this message board.
 
Old 10-19-2017, 02:01 PM
 
12,905 posts, read 15,660,053 times
Reputation: 9394
Can you tell me how you know if your adrenals are weak? I've heard this term here and there, look it up before and read that it's not a real thing. But I read so many people saying they have problems.
 
Old 10-20-2017, 05:12 PM
 
Location: The Driftless Area, WI
7,260 posts, read 5,135,660 times
Reputation: 17759
Quote:
Originally Posted by ChristineVA View Post
Can you tell me how you know if your adrenals are weak? I've heard this term here and there, look it up before and read that it's not a real thing. But I read so many people saying they have problems.
Most endocrine problems are defined in their complete state of malfuncton. It seems logical, tho, that subclinical states must exist. But we don't have tests sophisticated or accurate enough to differentiate those borderline states.

Pt's with Addison's Disease do tend to be thin and subject to hypoglycemia (due to cortisol deficiency, not hyperinsulinemia). Nausea is a frequent complaint. Measurement of insulin levels are poorly standardized and has little clinical application at this time except in outright insulinoma. They often have salt craving due to mineralocorticoid deficiency.

Pts with functional hypoglycemia are best advised to avoid large carb loads; maybe even best best to nibble all day long rather than sit for 2 or 3 large, separate meals. People who experience frequent hypoglycemia when young are more likely to develop hyperglycemia (DM Type II) as they age.
 
Old 10-20-2017, 07:46 PM
 
92 posts, read 73,378 times
Reputation: 60
I was dx as cortisol deficient and prescribed cortisol pills. They helped with carbs and blood sugar. But after that I started getting too wired on them and weaned off. Then I was dx as high afternoon cortisol (might be the high carb diet I adopted?). Now I am showing similar low cortisol symptoms like cold hands and feet, low body T, blood sugar issues.

So how can one person go into high and low cortisol stages like a yo-yo? I would like to eat Paleo as most of it agrees with me, but it's so hard to eat clean out of home and at work where everything is laden in sugar, grease or carbs. It's very hard to put on weight on mostly meat and veggies though. It's like a roller-coaster where whatever I do fails - low carb high fat eating failed so I think Paleo, cooked with almost no processed food and moderate amounts of (slow) carbs is best. But good luck finding this in Central Europe where everything is high in both fat and carbs.

I know it's the adrenals because by numbers state it's not real hypoglycemia, but rather that terrible feeling is just a shock/load on my adrenals after being taxed by the rapid drop of blood sugar to normal levels (from high after eating a high carb meal).
 
Old 10-21-2017, 05:34 AM
 
Location: The Driftless Area, WI
7,260 posts, read 5,135,660 times
Reputation: 17759
The diagnosis of Addison's Disease is pretty straight forward: A high ACTH & low cortisol level at 6AM is suggestive and the dx is proved by an ACTH stimulation test: a flattened cortisol response is found. (A low cortisol with low ACTH suggests a pituitary problem.) Treatment is easy: Hydrocortisone is given twice a day. Y9u shouldn't get "wired" by proper treatment.

If you had "high afternoon coitisol," then you can't have adrenal failure. You need testing by someone who knows what they're doing. Cortisol levels should be suppressed by a hi carb diet, not increased.

The most common cause of adrenal failure is taking glucocorticoids as treatment for some condition: that suppresses the adrenals-- often permanently. Even a short course of steroids can be shown to slow down adrenal response for many months.
 
Old 10-21-2017, 09:32 AM
 
Location: Pittsburgh
29,746 posts, read 34,396,829 times
Reputation: 77104
Quote:
Originally Posted by eriko88 View Post
But good luck finding this in Central Europe where everything is high in both fat and carbs.
Have you tried? If you're under a doctor's care, I don't believe that they're unable to make any sort of recommendations or suggest a specialist. Europe is not a backwards wasteland.
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