| BLOOD SUGAR QUESTIONNAIRE
|
|
|
|
How are your blood sugar levels?
|
|
Do you suffer from symptoms of fatigue, dizziness, mood swings and a craving for sweets? There may be many causes for this, but one common reason is that one is suffering from hypoglycemia.
|
|
Hypoglycemia, or low blood sugar, is a condition in which there is an abnormally low level of glucose in the blood. If you blood sugar drops too low you can have a blood sugar reaction called hypoglycemia. A low blood sugar can come on fast. A level below 3% = 60mg is called low blood sugar. It is believed that most cases of hypoglycemia occur between midnight and 8am.
|
|
Hyperglycemia on the other hand is an excess of glucose in the blood. This can also be an indication of diabetes or the first stages of somebody leading up to diabetes. In people with diabetes, glucose builds up in the blood stream instead of being taken into and used by the cells, leading to hyperglycemia. Diabetics can have periods of hypoglycemia and hyperglycemia. The symptoms of hyperglycemia (too much sugar in the blood) often include fatigue, a constant need to urinate, extreme thirst, constantly feeling hungry, loss of weight and problems with eyesight. The initial symptoms of hypoglycemia are hunger, dizziness, sweating, confusion, palpitations, and a numbness or tingling of the lips.
|
|
If you suffer a few of the above symptoms you may wish to undertake our blood sugar questionnaire. If your results show a likely problem with blood sugar levels we suggest that you undertake a fasting blood glucose test with your doctor, herbalist or naturopath for diagnosis and then treatment if necessary
|
|
Blood Sugar Questionnaire
|
|
Instructions: Check off each one of the symptoms in one of the columns to indicate the degree of severity which best applies to your case. Zero (0) column checked means you don't have the symptoms on that line, One (1) means MILD. Two (2) means MODERATE and three (3) means SEVERE. At the bottom of each column add up the score using the number of symptoms checked in that column add up the score using the number of symptoms checked in that column and multiplied by the number printed at the top of that column. Your total score equals the sum of all columns. A total score of less than twenty (20) is within the normal limits. A higher score is presumptive evidence of possible carbohydrate intolerance.This could manifest as hypoglycemia or hyperglycemia - high blood glucose levels. We would suggest at this stage that you undertake a fasting glucose test with your doctor or naturopath. If there are blood glucose problems we suggest you undertake dietary changes with the use of natural treatments and remedies to correct any imbalances.
|
|
|
|
Name _________________________ Score _____________________________ |
|
|
|
SEVERITY INDEX |
SYMPTOMS |
|
0 |
1 |
2 |
3 |
|
|
|
|
|
Abnormal craving for sweets.
|
|
|
|
|
|
Afternoon headaches.
|
|
|
|
|
|
Consume alcohol.
|
|
|
|
|
|
Allergies : tendency to asthma, hay fever, skin rash etc.
|
|
|
|
|
|
Awake after a few hours sleep-hard to get back to sleep.
|
|
|
|
|
|
Aware of breathing heavily.
|
|
|
|
|
|
Bad dreams.
|
|
|
|
|
|
Bleeding gums.
|
|
|
|
|
|
Blurred vision.
|
|
|
|
|
|
Brown spots or bronzing of skin.
|
|
|
|
|
|
Bruise easily. “black and blue spots”
|
|
|
|
|
|
“Butterfly stomach” cramps
|
|
|
|
|
|
Can't decide easily
|
|
|
|
|
|
Can't start in morning before coffee.
|
|
|
|
|
|
Can't work under pressure.
|
|
|
|
|
|
Chronic fatigue.
|
|
|
|
|
|
Chronic nervous exhaustion.
|
|
|
|
|
|
Convulsions
|
|
|
|
|
|
Crave candy or coffee in afternoons
|
|
|
|
|
|
Depressed
|
|
|
|
|
SEVERITY INDEX |
SYMPTOMS |
|
0 |
1 |
2 |
3 |
|
|
|
|
|
Dizziness or giddiness or light-headedness
|
|
|
|
|
|
Drink more than 3 cups of coffee or Cola drinks daily
|
|
|
|
|
|
Get hungry or feel faintness unless eat frequently
|
|
|
|
|
|
Eat when nervous
|
|
|
|
|
|
Fatigue, relieved by eating
|
|
|
|
|
|
Fearful
|
|
|
|
|
|
Get “shaky” if hungry
|
|
|
|
|
|
Hallucinations
|
|
|
|
|
|
Hand tremor (or trembles)
|
|
|
|
|
|
Heart palpitates (heats fast) if meals missed or delayed
|
|
|
|
|
|
Highly emotional
|
|
|
|
|
|
Nibble between meals because of hunger
|
|
|
|
|
|
Insomnia
|
|
|
|
|
|
Irritable before meals
|
|
|
|
|
|
Lack of energy
|
|
|
|
|
|
Magnify insignificant events
|
|
|
|
|
|
Moods of depression “blues” or melancholy.
|
|
|
|
|
|
Convulsions
|
|
|
|
|
|
Poor memory or ability to concentrate
|
|
|
|
|
|
Reduced initiative
|
|
|
|
|
|
Sleepy after meals
|
|
|
|
|
|
Sleepy during day
|
|
|
|
|
|
Weakness, dizziness
|
|
|
|
|
|
Worrier, feel insecure
|
|
|
|
|
|
Feel better after 10 a.m. snack than before
|
|
|
|
|
|
Symptoms come before breakfast
|
|
|
|
|
|
Total Score in each Column
|
|
|
|