Are you:

• Frustrated with your lack of energy during the day?
• Struggling to lose weight?
• Finding yourself desperately wanting a nap after a meal?
• Having problems with focus and short-term memory?
• Craving sugar, foods and beverages you know are not good for you?

If these problems describe you, you most likely have DYSGLYCEMIA (blood sugar regulation problems).  And as it turns out, how you start your day largely determines how your blood sugar and insulin levels will respond over the next 24 hours.  Follow my 3 simple tips every morning, and you will set yourself up with a fat-burning, brain-optimizing, energy-to-spare advantage.

AND these same tips will help you lower your cholesterol and triglycerides, and prevent you from developing Type II Diabetes.  Read on.

Let’s take a brief moment to review how blood sugar (glucose) and insulin work.  Your body converts the carbohydrates you eat into glucose, which is one of the main sources of fuel for the cells in your body and brain (oxygen being the other critical fuel component).  The pancreas excretes a hormone called insulin, which transports the glucose from the bloodstream into the cell where it can be used to make energy.

When you eat complex carbohydrates, proteins and fats, your blood sugar levels rise gradually, and your pancreas has an easier time balancing how much insulin is needed to keep it stable.  But if you flood your body with simple carbohydrates (sugars, breads, pastas, and even fruits), the pancreas goes into high gear and excretes a surge of insulin.  This causes your blood sugar levels to abruptly fall, and can leave you feeling fuzzy-headed, irritable, and exhausted (typical symptoms of reactive hypoglycemia, or low blood sugar).

There are other problems with these insulin surges.  For one, they are a signal to the cell that there is plenty of glucose for energy, so it’s time to start storing.  In other words, insulin surges trigger the body to start storing fat.

The other problem is that an insulin surge will drop your blood sugar to a low level, causing you to feel hungry again, and triggering a craving for something that is high in simple sugars.  And then the process starts all over again.

After many episodes of this vicious cycle, your cells stop responding to insulin altogether.  This causes your blood pressure to rise, and your triglyceride and cholesterol levels to soar.  This is what is known as Insulin Resistance, or “Syndrome X”.

If you refuse to do something to stop all this madness at this phase, you are sure to develop Type II Diabetes.

So what should you do to stop the fat storage, stop feeling crummy, and get your energy back?  It’s simple, really:  Start your day by balancing your blood sugar.

If the vicious cycle never starts, you won’t have to fight an uphill battle the rest of the day (or the rest of your life).

Here’s what you do:

1. Make sure you eat within 1 hour of waking up (even if you don’t feel like it)
2. Your breakfast should contain mainly high quality protein sources
3. Don’t have caffeine on an empty stomach

If you suffer from hypoglycemia (low blood sugar) or insulin resistance, it’s likely that you don’t feel like eating anything when you wake up.  Most of my patients tell me that eating first thing in the morning is the last thing they want to do.  They’d rather just have a cup of coffee or a glass of juice (or even worse, soda), and wait a couple of hours until they feel hungry.

This is one of the worst things you can do.  Juices, sodas, and even coffee will spike your blood sugar levels, requiring an exaggerated insulin response.  As your blood sugar plummets, your brain is sapped of the fuel it needs to do its many jobs for you (paying attention, remembering where you put your keys, staying awake, etc.).

So eat something within an hour of awakening to stave off that blood sugar crash.  But you can’t eat just anything.  A breakfast high in carbohydrates (cereals, toast, bagel, juices, fruit, etc.) will also send your blood sugar to the sky, and insulin has to come to the rescue again.

Make sure you have a high-quality protein meal to start your day right. You don’t have to eat a large portion, but you do need to eat some protein within 1 hour of awakening to set your blood sugar and insulin on the right track.  Some good options are:

• egg(s) or egg whites
• turkey bacon
• cheese (preferably raw)
• yogurt supplemented with branch chain amino acids (BCAAs) or protein powder
• protein shake

Even a spoonful of natural peanut butter is better than nothing.

Of course I always recommend foods that are organic, minimally processed, and as fresh as you can find.

Another important note:  these recommendations are JUST AS IMPORTANT FOR CHILDREN AS THEY ARE FOR ADULTS, especially if your child has developmental delays, learning disorders, ADD/ADHD, or struggles with childhood obesity.  Many of the habits that we battle as adults start when we are young.

And remember that your brain needs a steady source of glucose–not wildly fluctuating sugar levels–in order for it to do its job.  So these recommendations are critical for anyone struggling with depression, anxiety, insomnia and any other neurological disorder.

There you have it:  3 simple tips to help you lose weight, have more energy, and have better brain function. While this certainly is not an exhaustive list on how to balance your blood sugar, it’s a great way to start.

I can’t wait to hear from those of you who put this into practice and reap the rewards!

Caution:  Lack of Sleep Has Been Proven to be Hazardous to Your Health

 You’re tired.  Exhausted, in fact.  All you can think about is the time when you can crawl into your bed after a long day and wait for the blissful slumber to overtake you.  But for millions of us, this process is not as easy as it should be.  30-40% of adults suffer from insomnia, and find it difficult to get to sleep, stay asleep, or both.

Sleep is a complex function.  Rather than being a time when your brain simply shuts down, it is a time of active regeneration for both brain and body.  It is a time when our memories consolidate, when our cells regenerate, and when our brain makes sense of what it experienced during our wake hours.

Sleep deprivation should not be taken lightly.  It has been used throughout history as an effective method of torture and punishment, and research has shown that prolonged sleep deprivation can literally drive a person crazy.

Lack of sleep doesn’t just lead to fatigue.  It has been linked to weight gain, inability to cope with stress, delayed healing, increased risk of cardiovascular disease and diabetes, compromised immune system function, and neurotransmitter imbalances which can cause depression and altered perception. 

Now that you understand that insomnia isn’t just annoying and inconvenient, but actually dangerous, I think it’s time to review some important tips on how to get a good night’s sleep.

The Magic of 90 Minutes

 Researchers refer to “sleep architecture” as the pattern of sleep cycles that one completes during the night (or during a nap).  Each cycle lasts 90 minutes, and consists of rapid eye movement (REM) sleep, when we do our active dreaming, and 4 stages of non-rapid eye movement sleep, where we experience deep sleep.  In order to enjoy restorative sleep, each 90 minute cycle must be completed.  If a 90 minute cycle is interrupted for any reason, you will not feel adequately rested.

For this reason, many sage individuals conclude that if they get 6 hours of non-interrupted sleep, they feel better, more rested, and more awake than if they get 7 hours of sleep.  There are even people who sleep 3 hours each night and then take a 1.5 hour nap during the day, and claim they feel fantastic, energetic, and extremely well-rested.

My goal here isn’t to get you to try the 3 hour/night thing, but I am advising that you set your wake/ sleep clock to a 90 minute interval (7.5 hours seem to be the most popular with my patients).  Research shows that even if you get less sleep overall, if you complete the 90 minute cycle, you will feel better, heal better, consolidate memories more efficiently, cope with stress better, regulate blood sugar better…you get the idea.

Get Into a Routine

Doing the same things at the same time each night before you go to bed literally trains your brain to predict that sleep time is approaching, and helps you to fall asleep fast.  If you want to move from insomniac to sleep aficionado, here’s what your goals should be:

• Go to bed at the same time every night and wake up at the same time every morning.  Make sure your sleep time allows you to complete a 90 minute sleep cycle.
• About an hour before bedtime, go through a systematic routine that you repeat every night.  It might look something like this:
  • 9:30 pm :  Sip a cup of SleepyTime tea (warm or cold) while you take your nighttime supplements (there are a vast degree of options here, and best to have your functional doctor customize a program for you, like I do for my patients)
  • 9:40 pm:  Change into jammies, wash face, brush teeth
  • 9:50 pm:  Journal
  • 10:05 pm:  Read a book or magazine
  • 10:30pm:  Lights out

 Pretty simple, right?  The key is to KEEP it simple, and repeat it every night, until it becomes habit.  This can take up to 90 days, so be patient and consistent.

Here is what should NOT be in your nightly routine:

• Caffeine and other stimulant consumption

 I shouldn’t have to expound on this very much, as it should be quite clear that stimulants will interrupt your sleep.  Even if you don’t think you are susceptible to caffeine’s stimulant effects, if you suffer from insomnia, you should leave it out of your nightly  routine.  In fact, I recommend you stay away from caffeine in all forms (coffee, caffeinated teas, chocolate) and other stimulants such as B vitamins, and herbal stimulants (such as ginseng) for 6 hours before your bedtime.  Your stimulant consumption should be exclusively in the daytime hours when you are trying to stay awake.

• Exercise

While exercise has been shown to help with insomnia and should absolutely be a part of your DAYtime routine, if you exercise in the evening or nighttime hours, you are messing with your circadian rhythm (i.e. your natural wake-sleep cycle).  The adrenal hormone cortisol seems to be the main player involved.

Our cortisol levels should be highest first thing in the morning, and then gradually decrease throughout the day, and be lowest at nighttime to allow us to fall asleep easily.  During and immediately after exercise, cortisol is released (this is one of the ways exercise revs our metabolism).  Several hours after exercise, cortisol levels decrease significantly.  So exercising at nighttime can cause a cortisol spike that has a high probability of  interrupting your sleep.  But exercising earlier in the day regulates cortisol levels appropriately, draining you of excess stress hormone, and allowing you to sleep like a baby.  Your workout routine should end a minimum of 3 hours before your bedtime.

• Alcohol

Even though alcohol is commonly used as a sedative to help many get to sleep, it can greatly degrade your quality of your sleep and mess up your sleep cycle, especially in the second half of the night.  Alcohol is a brain depressant, meaning it decreases the function of specific parts of the brain, altering neurotransmitters that are involved in sleep regulation (namely serotonin and norepinephrine).  Scientists confirm that alcohol interferes with our sleep architecture, or the balance of our sleep patterns and brain waves.

Alcohol also impacts our blood sugar levels.  Unstable blood sugar is a common cause of insomnia, and in turn, lack of good quality sleep affects our blood sugar regulation—a vicious cycle, to be sure.  So lay off the sauce if you want to sleep better.

• Sugar

As I just mentioned above, blood sugar plays an enormous role in our wake-sleep cycles.  Many times people feel sleepy after eating a high carbohydrate meal, so they think if they have a big bowl of ice cream right before bed, it will help them sleep better.

First of all, if you are getting sleepy after eating (day or night), this is your Blood Sugar Dummy Light going on, telling you that you had too many carbohydrates in the meal you just ate.  Concentrate on getting more high-quality protein in, and cut down on the carbs, such as sugar, corn syrup, pastas and grains, alcohol, and even fruit.

Secondly, if your blood sugar is unstable, I can almost guarantee that you will be waking up at least once in the middle of the night, as you slip into hypoglycemia and your brain starts screaming for some fuel.  One simple tip for this is to eat a low-carbohydrate snack before bed to help stabilize your blood sugar.  This may be a handful of almonds, a little bit of cheese, or some apple slices with natural peanut or almond butter.  This can decrease the fasting time and regulate your blood sugar during the night, giving you a better night’s sleep.

PS:  If you are concerned about a low-carb, healthy snack before bed causing you to gain weight, don’t be.  You are far more likely to pack on the fat pounds by losing sleep (which causes your hormonal and metabolism systems to derail) than you are from getting a few calories (in the right form) in before bed.

• TV, Gaming, Internet Surfing, Texting, Tweeting, Facebooking, Google +ing, etc.

The main area involved in regulating sleep is in the brainstem.  Here we find the Reticular Activating Center (RAC), and just like the name says, its job is to keep us activated and awake.  It shouldn’t be active all the time, however.  It is designed to chill out in the evening and nighttime hours so that we can get good, restful sleep.

Guess what keeps the RAC active:  LIGHT and SOUND.  If you are bombarding your senses with light and sound you will keep your RAC stimulated, and send powerful signals to your brain that it is not time to go to sleep.  So as you wind down for the evening, wind the visual and auditory stimulation down also.  Your bedroom should be dark and free from anything blinking, flashing, or bright.  If you suffer from insomnia, consider cutting off the electronics and wireless gadgets 3 hours before your lights-out time.  Use “white noise” devices, or even ear plugs if you have to while you sleep, to keep spontaneous noises to a dull roar (pun intended).  Consider an eye mask to keep excess light from waking you up too early.

In addition to the constant electronics and digital gadgets revving up your brainstem and contributing to insomnia (and anxiety, incidentally…unless you suffer from anxiety, then it’s not incidental at all), there is a lot discussion and research these days about the dangers of sleeping too close to your phone, computer, and other electronics, even when they are in the “sleep” mode (ironic, isn’t it?).  The review of the research deserves an entire post of its own, so for now I will simply say it would do us all a world of good to unplug a bit more these days, especially before bed.  Don’t use your phone as your alarm clock or sleep with it next to your head.  Shut down your electronic devices, or keep them in a different room while you sleep.

Keep it Simple and Functional

There are so many pills and devices out there these days designed to help us sleep, and some of you will need more help than what is in this article.  Many of my patients certainly do.  But these tips should be part of your sleep rehabilitation even if you are needing medication or additional help.

What is clear to me after 13 years of practice is that people jump to the medications (natural, over the counter, and prescriptive) before trying the simple things first.  What I have found is that getting back to the basics as discussed here can help to restore your sleep pattern so you don’t have as much of a reliance on sleep aids, which many times have side-effects of their own.  So give this a shot.  You have nothing to lose and a good night’s sleep to gain.

As I mentioned in the intro, sleep is an extremely complex function.  Many other systems have to be working correctly in order to enjoy proper sleep.  These include our adrenal glands, thyroid, blood sugar, and inhibitory neurotransmitters, just to name a few.  These will be addressed in later blog posts, and of course in the book I am currently working on.  If you have questions or suggestions on what you’d like to hear more about, please leave a comment.

Here’s to a good night’s sleep!

What is gluten?

Gluten is a term used to describe the highly complex protein found in wheat (including whole grain, spelt, wheat bran), rye and barley.  Most oats contain gluten due to cross contamination, and some studies suggest that the gluten-like characteristics in oats, corn and some types of rice could also cause problems in people who have this particular sensitivity.

What symptoms could you experience if you were Gluten Intolerant?

Common symptoms and conditions associated with Gluten Intolerance include:

• Stomach upset, bloating, gastric reflux, diarrhea, constipation, and/or nausea
• Weight gain
• Joint and/or bone pain  
• Headaches
• Skin conditions
• Fatigue
• Hyperactivity
• Inability to focus or concentrate
• Insomnia
• Depression, anxiety and/or mind racing
• Progressive muscle weakness
• Numbness and tingling
• Balance and coordination problems
• Autism and other learning/developmental disorders
• Autoimmune diseases such as Hashimoto’s
• Hormonal imbalances 

Can you tell if you are Gluten Intolerant based on symptoms alone?

Gluten Intolerance is difficult to discover based upon symptoms, because symptoms tend to wax and wane.  Also, there could be a time delay of hours or days between ingesting gluten and experiencing symptoms.  Symptoms tend to be cumulative, meaning that if you have gluten on a regular basis, you may not be able to relate how you feel to what you have just eaten.  Also, because Gluten Intolerance involves an immune system reaction, anything that affects your immune system may aggravate your symptoms.

Is Gluten Intolerance the same thing as Celiac Disease?

No.  Celiac patients are gluten intolerant, but not all gluten intolerant patients have Celiac Disease.  Gluten intolerance is a broad term which includes all sensitivity to gluten.  A small percentage of gluten intolerant people will also test positive for Celiac Disease, or intestinal damage caused by the gluten molecule.  Symptoms will typically include very severe digestional disturbances.  However, Gluten Intolerant patients may have many other symptoms because the gluten molecule can illicit an immune response to virtually any tissue in the body.  The thyroid and nervous system are particularly susceptible.  Patients with Gluten Intolerance may experience no stomach upset or digestional disturbance at all.  It is estimated that 1 in 200 people have Celiac Disease.  Current estimates of Gluten Intolerance are about 35% of the general population, and some experts estimate it as high as 70% among people of European descent.

How effective are challenge tests and elimination diets?

Removing gluten from your diet for a period of time and then adding it back in is called a “challenge test” or “elimination diet”.  While there is some merit to this method, please realize that it is not conclusive for a couple of reasons.  Elimination diets are difficult to accomplish because of all the different sources of gluten and cross contamination.  Also, it could take months, or in some cases years for the symptoms of Gluten Intolerance to completely go away, so doing a challenge test for a couple of weeks won’t necessarily tell you what is wrong.  In addition, as mentioned before, anything that affects your immune system during your elimination diet could mask or complicate your symptoms.  So the best thing to do is a conclusive test.

What is the best way to test?

Blood testing and skin testing have been shown to be less accurate for Gluten Intolerance testing, as the antibodies that the body produces may or may not be present in the blood or skin.  The most accurate testing for Gluten Intolerance is via a stool test that looks for the antibodies produced by your body against gluten directly from the digestional tract, and to determine if you are currently experiencing an autoimmune reaction and malabsorption.  A gene test will assess your risk based upon your genetic predisposition.  These tests are run by a state of the art lab called Enterolab.  The best way is to test all of these factors together.  If you are deciding between the stool panel and the gene test alone, the stool panel better determines whether you are actively reacting to gluten while the gene test assesses the probability that you are or will have a reaction.

In addition, I recommend testing for, yeast, dairy, soy and egg antibodies at the same time, to save time and money on further testing.  Research has shown that people who have Gluten Intolerance have a higher than average chance of being sensitive to other dietary proteins, especially to those in milk, eggs and soy, and coexisting yeast sensitivity is in at least 75% of those found to be Gluten Intolerant.

For more information, please visit Enterolab.com, or call 972.686.6869.