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Immediate Adrenaline Stress vs Chronic Cortisol Stress in Diabetes

Immediate stress activates a few different hormones in your body, but chief among them is adrenaline. These chemicals pour into your blood system if you find yourself in instances such as car accidents or other threatening situations. In addition to the hormones, part of your glucose stores from your muscles and liver pour into your blood stream, and your blood sugar measures jump.

Long-term or chronic stress releases different chemicals and affects people in a different way. However, key hormones that the body produces in response to chronic stress also elevate blood glucose levels. Rather than releasing adrenaline for a temporary kick, the body releases a relatively steady flow of cortisol. It may also elect to release hormones that stimulate the thyroid as well as growth hormones. Glucagon, the hormone that tells the liver to release glucose into the blood stream is also more abundant shortly after cortisol is released. Cortisol sends your body signals to convert certain proteins into glucose. Of course this raises a person's blood sugar levels.

So, if you ask anyone living with diabetes about the stress sources in their life, they are likely to list diabetes at or near the top of the list. The day-to-day routines of managing diabetes are challenging. Worrying about consequences down the road can also add to the chronic stress of having diabetes. What is the natural result? Your blood sugar rises because you worry about this darn disease that makes blood sugar rise.

So, if you are having a number of stressful incidents in a day or a week, like a police officer, emergency room physician, or an overtaxed administrative assistant, you are probably elevating your blood sugar. If you consistently worry about living with diabetes, meeting financial obligations, or a close family member who is struggling with an aspect of life, your blood sugar is probably not as controlled as you would wish.

Ways to lower stress:

  • Exercise
  • Lose weight
  • Eat more fiber so your digestive system is not overtaxed and stressed.
  • Sit down with a social worker or psychologist and ask them to help you work through reducing stress in your life

A good resource about stress comes from the Mayo Clinic's website.

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