Anxiety / Stress and Dose Adjustment

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Deadly DAFNE Graduate
King's College Hospital, Camberwell
11 posts

Hi All, my job changed just a couple of weeks ago so that I regularly find myself in positions where I am suffering from anxiety, and I notice that at the times of high anxiety my BG rises. What is the best way to deal with this? Does adrenaline cause your BG to fall sharply a bit later as much as it causes it to rise? Should I increase my quick acting insulin to cover it or my background nasal?

If you have nay ideas please let me know.

Thanks, David

Deadly DAFNE Graduate
King's College Hospital, Camberwell
11 posts

Hi All, my job changed just a couple of weeks ago so that I regularly find myself in positions where I am suffering from anxiety, and I notice that at the times of high anxiety my BG rises. What is the best way to deal with this? Does adrenaline cause your BG to fall sharply a bit later as much as it causes it to rise? Should I increase my quick acting insulin to cover it or my background nasal?

If you have any ideas please let me know.

Thanks, David

Deadly DAFNE Graduate
King's College Hospital, Camberwell
11 posts

Hi All, my job changed just a couple of weeks ago so that I regularly find myself in positions where I am suffering from anxiety, and I notice that at the times of high anxiety my BG rises. What is the best way to deal with this? Does adrenaline cause your BG to fall sharply a bit later as much as it causes it to rise? Should I increase my quick acting insulin to cover it or my background nasal?

If you have any ideas please let me know.

Thanks, David

Deadly DAFNE Graduate
King's College Hospital, Camberwell
11 posts

Hi All, my job changed just a couple of weeks ago so that I regularly find myself in positions where I am suffering from anxiety, and I notice that at the times of high anxiety my BG rises. What is the best way to deal with this? Does adrenaline cause your BG to fall sharply a bit later as much as it causes it to rise? Should I increase my quick acting insulin to cover it or my background nasal?

If you have any ideas please let me know.

Thanks, David

Alan Constable DAFNE Graduate
Maidstone General Hospital
284 posts

From my limited knowledge I have heard tha when adrenaline is released, your system assumes that additional energy is about to be needed and triggers the release of glucagon from the liver - so your BG rises.

wigworld DAFNE Graduate
Hull and East Riding Diabetes Network
19 posts

Stress can cause BG to rise - I experience this myself. However I personally find it requires less insulin to get BG down again than if the rise was caused by carbs. e.g. to get down from 12 to 5-6mmol/l, I would need just 1 or 2 extra units of QA.

JayBee DAFNE Graduate
James Paget University Hospitals NHS Foundation Trust
766 posts

Stuff like this is why we're protected by the disability act. You are well within your rights to ask for reasonable adjustments so you no longer suffer high sugar levels related to stressful situations at work. Prevention of the stress in the first place is better than high sugar level chasing in the long term. Best wishes.

Felix Glenn 26 posts

Deadly said:
Hi All, my job changed just a couple of weeks ago so that I regularly find myself in positions where I am suffering from anxiety, and I notice that at the times of high anxiety my BG rises. What is the best way to deal with this? Does adrenaline cause your BG to fall sharply a bit later as much as it causes it to rise? Should I increase my quick acting insulin to cover it or my background nasal?

If you have nay ideas please let me know.

Thanks, David



Hi Deadly,
I hope your work situation has improved somewhat.
Stress and anxiety played havoc with my control when my wife left me earlier this year.
I agree with JayBee. Diabetes is a disability and your work might be encouraged to engage in discussing ways to reduce the stress on you.
Good luck, mate.
I'd be interested in your thoughts.
Felix

Kenny131 3 posts

Personally, to deal with the anxiety I use not that common treatment method. I vape CBD oils. After all, the efficiency of it is proven, medical hemp is being legalized. So that I would recommend you to consider such a way of beating anxiety. There are different options where to buy cbd oil uk, so it won't be difficult at least to try it out.

Warwick DAFNE Graduate
Diabetes Australia-Vic, Melbourne, Victoria
508 posts

Hello David,

Stress hormones such as adrenaline and cortisol blunt the action of insulin which is why more insulin is required to lower BGLs.

How you control that will depend on your body's response and you will only be able to tell that by trial and error. If the stress remains in the background even after work, then you probably won't experience a sudden drop in BGLs after taking correctional insulin, but if once you leave work, you immediately lose the stress and feel calm, then your BGLs possibly would drop quickly in the absence of the stress hormones.

As others have said, if you can find a way of making the work situation less stressful, then that of course will be the best way to handle this. That could be through breathing exercises, talking with a professional counsellor, going for a walk when things get stressful etc.

If you are able to monitor your BGLs using a device such as the Freestyle Libre, then that is likely to also be helpful in identifying how your body is responding to stress and also the extra insulin that you are injecting.

Hope it all sorts itself out soon.