My latest nutrition appointment lit up a new lightbulb for me, and I wanted to share it with anybody who might find it useful.
We were discussing my latest ER visit, and she decided to pull up my labs. There was all sorts of interesting stuff in there, but what really stuck with me was that my glucose level–no matter what time of day, usually in the evening–was almost always in the 70s, sometimes 80s. Translation: of course I feel like I’m going to pass out in choir. And of course my body is urging me to eat shit that will make me feel guilty. It needs sugar; it demands I eat carbs. (http://diabetes.webmd.com/blood-glucose?page=3)
My labs from my last inpatient stay at somehow are online in MyChart, and my glucose there–first thing in the morning–was 102, after four days of meal plan compliance.
I know we all talk about how staying on a meal plan prevents binges, etc., but I’ve never actually talked to anybody about it in terms of glucose/blood sugar.
Long story short, we make it physiologically nearly impossible for ourselves to stop the binge/purge cycle when we don’t recover from purging with by eating something to stabilize our blood sugar immediately afterwards. We do the “start over tomorrow” shit, but this is exactly why that barely ever works. We need those nutrients ASAP.
The following pieced together some of my questions and observations about my own bingeing/eating/purging pattern. It explains why sometimes, I feel extremely shaky after purging, and sometimes, I don’t; it depends on what I binge on and how hard my blood sugar crashes after purging. It explains why, when I binge on protein-dense foods like greek yogurt and cottage cheese, I feel differently during and after, compared to when I binge on the stereotypical binge foods society places in all those lovely textbook photos.
If you have access to online databases of studies, super. But even the end of the abstract sort of gets to the point: http://www.ncbi.nlm.nih.gov/pubmed/8032348
It’s basically the science behind this: http://christablack.tumblr.com/post/5897433922/the-science-behind-bulimia-anorexia-overeating
Anyway, it makes me really curious about managing binge urges during recovery via heavy monitoring of glucose levels throughout the day. Now that I know where my blood sugar is personally supposed to be (Rogers level or higher). I’m tempted to buy a glucose monitor and see where it’s at when I want to binge, and see if I can “suspend” the urge for an hour or so by eating something in accordance with what the reading would tell me to (low: carbs, normal: protein/fat), ultimately stopping the binge.
Has anybody else ventured into this concept before? I can’t seem to find much about the specifics of glucose levels in bulimics, especially in the midst of the binge/purge cycle.
Disclaimer: I am absolutely not claiming to have the education to be very confident about anything I just wrote, so don’t take my word for it; it’s just a hypothesis.