298: You Think It’s Hormones. It Might Be Blood Sugar.
March 24, 2026
If blood sugar dysregulation is driving your patient’s anxiety, fatigue, weight gain, poor sleep, or hormone symptoms – and you’re treating everything but the actual root cause — this episode will help you see the case differently.
In this episode, I’m breaking down how blood sugar instability can hide behind symptoms that look like adrenal dysfunction, thyroid issues, hormone imbalance, or even anxiety. I’m also walking you through the labs I like to run, how to calculate HOMA-IR, and the simple clinical strategies I use when blood sugar is the real issue.
What You’ll Discover:
- How blood sugar dysregulation can show up as anxiety, fatigue, cravings, stubborn weight, and nighttime waking
- Why waking between 2–4 a.m. may be tied to blood sugar, cortisol, and liver glycogen issues
- The lab markers I look at most closely, including fasting glucose, A1C, fasting insulin, and HOMA-IR
- What it means when fasting glucose looks normal but insulin is elevated
- Why intermittent fasting may be making some women worse instead of better
- The food, movement, and supplement strategies I use to help stabilize blood sugar quickly
Timestamps:
- 01:15 The blood sugar cascade: insulin, cortisol, the adrenals, and why snacking can make things worse
- 04:26 Symptoms to look for: energy crashes, cravings, hangry moments, and the yawning clue
- 07:15 Nighttime waking between 2–4 a.m.: the liver, cortisol, and blood sugar connection
- 13:16 Lab testing: fasting glucose, A1C, fasting insulin, HOMA-IR, and triglyceride/HDL ratio
- 20:32 Intermittent fasting: when it helps and when it may backfire for women
Resources & Links:
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