A mother tried a ketogenic diet for 30 days. After trying for a few weeks, she started to have something wrong. This is what happened to her pancreas. JC is a 32-year-old woman who was taken to the emergency room with a gradual decline Speech ability, vision and physical strength. She opened her mouth to speak to the nurse on duty, but these words had no meaning. 4 months ago, JC became a new mother. She decided to breastfeed her food. JC used to be an elite athlete. She has been living an active lifestyle, and she will not change this just because she is a mother. During pregnancy, she gained 30 pounds. Now that the baby is out, JC tried the ketogenic weight loss method, she restricted all carbohydrates to Zero, and only eat protein and fat. With one hour of exercise every day, JC made up her mind that she would get rid of Baby weight. Within a few weeks after her daughter’s birth, JC’s legs felt numb When she was running in the morning.
And there is no pain. There is no burning sensation. At breakfast one day, JC’s husband noticed that she was pouring a bottle of water repeatedly To the other, while whispering at myself quietly. When asked this question after eating, she had no memory of breakfast. A few weeks passed and JC felt panic and anxiety. She was crying every day. She could not sleep all night. Suspending her ketogenic diet and eating carbohydrates may make her feel better, but she refused these Suggest. She realized that something went wrong. A few days later, in the doctor's office, JC was diagnosed with postpartum depression.
These changes in her body are normal. She just gave birth to a child. Increased sensitivity to hormonal changes can affect anyone. But doctors have other concerns. JC is feeding her daughter. Every day human milk contains 50 grams of sugar. If she is unable to consume those sugars because of her ketogenic diet, this may be a problem. Protein and fat can be converted into sugar and used to produce milk, but this conversion will not It happened very quickly. This is not easy to happen either. And this may not be enough to keep up with JC's lactation period. If the blood sugar level is too low, this is problematic.
In JC, these levels are too low. The blood test showed severe hypoglycemia. Hypo stands for low. Glyce is derived from ancient Greek and refers to sugar. Emia stands for being in the blood. Low sugar in the blood. The brain uses sugar as the most direct energy source. When the sugar content in the body drops suddenly, it will cause changes in mental state and mood swings As the energy supply to the brain is interrupted. When combined with postpartum depression, this explains everything that is happening to JG . The doctor gave her medicine and told her to go home. She was advised to stop the strict ketogenic diet because she was still feeding her daughter. It is not necessary to permanently stop the copper diet, but it is a necessary change at this moment. JC followed the instructions. This flexible diet makes her feel good. But this only lasted a few weeks. One morning, JC stepped on the scale. Since she relaxed her diet on the advice of a doctor, she has gained another 20 pounds. She thinks these medicines are working to make her feel good, so Postpartum depression must be the only problem.
She has no reason to continue to relax her diet, because she vowed again to lose the baby weight. She violated the doctor’s advice and returned to her strict ketogenic diet, while Feed her daughter. It's time to wean anyway, she thought. Over time, JC feels great. But one morning two weeks later, what she saw changed two things. Her fingers are tingling. She talked to her husband, but he could not understand these words. He thought she was joking, but when she tried to put the baby in the refrigerator, he realized something was wrong .
After breakfast, JC did not recall anything. The same plot repeats every morning. After she finished eating Greek cheese and eggs, she quickly forgot. Her husband thought it was a joke, because it happened every day. But then, JC's anxiety came back. There is also crying and insomnia. For the next 4 days, JC's vision began to darken, and her panic intensified. She described to her husband that the confusion (or translation: brain fog) enveloped her thoughts. As night fell, anxiety enveloped her and she also knew that insomnia was waiting she was. One morning, JC got up. She lay on the floor, arms raised. She was conscious but unresponsive. She was talking, but incoherent. She turned over and started convulsing. The husband called 911 and took her to the emergency department, That is where we are now. During the examination, JC was not obviously ill. She can speak but is incoherent. She is responsive, but not facing (note: there is no facing reflection). The blood test showed hypoglycemia again, but this time it was less than half of the lower limit of normal .
The medical team injected the sugar and water mixture into JC intravenously, her consciousness Improve in a few minutes. All other signs and examinations returned to normal, and she appeared to be back to normal. More tests were performed on her, and it turned out that there were no problems with the kidneys, liver, and heart. . Overall, it's like nothing has been posted. She was admitted to the hospital because even though she looked good, it was obvious Something is wrong. The next morning, the patrolling medical team found JC raised his arm again on the floor. This time, there was no response but conscious. She was incoherent, but still talking, and started to cramp again as she rolled. The doctor ordered another check of her blood sugar. Severe hypoglycemia was found again. After intravenous injection of glucose again (Note: IV means Intravenous). JC is conscious again, speaks meaningfully and has reflex actions, but can't remember what happened just now. Now this provides some clues for the medical team as to what is happening.
Recently, JC showed neurological symptoms of hypoglycemia. Neuro refers to the brain. Glyco refers to glucose, another name for sugar (Suffix) -penia means insufficient. Lack of sugar in the brain. The brain needs sugar to work. But how much is needed? Well, the brain accounts for 60% of sugar consumption at rest, even though The brain only accounts for less than 3% of the total body mass. Under normal function, the body is protected to prevent hypoglycemia It happens in the brain. This glucose homeostasis refers to the balance of sugar in the body. Most of the body's sugar is stored in the liver. When blood sugar drops, hormones tell the liver to start destroying those stores And release them to stabilize the level. This is called glycolysis. The liver also produces sugar from protein and fat. This process is called glycogenogenesis. These all increase blood sugar, so there are flaws here which can lead to lower blood sugar. It’s okay here, because JC’s liver function is normal, but not only that . The liver produces ketones, which are a secondary energy source used by the brain in addition to sugar.
But they are not as effective as glucose. If someone uses a ketogenic diet for a long time enough, the liver’s sugar reserves will be Depletion, forcing ketogenesis to occur, this is the origin of the name of JC’s diet method But breastfeeding can also increase the production of ketones. Therefore, if she is on a ketogenic diet and feeds her daughter at the same time, it means that JC There should be high levels of ketones in the blood. The medical team ordered JC to fast for 72 hours. During these three days, they will monitor the sugars and ketones in her blood. (Pre-insulin and C-peptide insulin (or translation: victory chain) rise-students, what do these represent?) Compilation: The decomposition of pre-insulin into insulin and C-peptide insulin. The increase in both indexes represents an increase in insulin production.
This may be due to Insulinoma, drugs that lower blood sugar (drug), kidney failure (kidney failure) or type II diabetes It seemed to be going well within a few hours of fasting. But after 7 hours, JC became slurred. She no longer had a heading response when she was lying down, and raised her arm. According to her blood sugar measurement results, blood sugar is less than half of the lower limit of normal . The ketone concentration should be high, but in fact it is like no, which brings us back to glucose homeostasis. In the process of homeostasis, the pancreas is before the liver. This organ produces a hormone called insulin, which is released when blood sugar is high. Most commonly, this happens after a person has eaten. Insulin tells the body's cells to absorb sugar in the blood. Ingest as much as possible until the level is normal. If insulin is high for a long time, then blood sugar will be low.
JC’s fasting results show that her insulin is 3 times the upper limit of normal. It means that for some reason her pancreas secretes too much insulin But what could it be? Well, it may not be medicine, because she takes anything in the hospital Neither will do this. Nor is it her liver, because it is functioning normally. It does not undergo glycolysis or glycogenogenesis, which is due to the high level of insulin in the blood . It’s not her kidneys either, because they filter the blood and work as expected . Means that there may be excessive growth in the pancreas or tumors are being released Insulin, and ignore the feedback mechanism.
This is called insulinoma. Realizing this, the medical team ordered a contrast abdominal MRI. The image shows a clear tumor, 11 mm in diameter, in the pancreas of JC. It does not look like pancreatic cancer in appearance. This may be cancer elsewhere in her body that has spread to the pancreas, Or it may be functional neuroendocrine tumors (PNETs) that release hormones inappropriately. Extreme hypoglycemia. Typical neurological symptoms of hypoglycemia. After supplementing with glucose, her mental state can be obviously and quickly restored. [This is called the three essentials of HP hypoglycemia diagnosis by the way] The medical team performed a clinical diagnosis of insulinoma and sent JC to undergo surgery. Part of her pancreas and tumor were removed, and her antidepressant was also Decrease gradually, stop. The morning is the hardest time for JC because of the overnight fasting period Everyone's blood sugar is low. The tumor releases insulin uncontrollably, lowering the level before breakfast. The cause of the tumor is unclear. This was not caused by her pregnancy.
But this timing just happened to be pregnant by coincidence In the later stage, insulin resistance will increase in the mother, which will make JC’s body Poor response to insulin. This means that the symptoms will be masked. But after giving birth, the mother became more sensitive to insulin, It is an obvious symptom for JC. Several case reports describe this, insulinoma diagnosed during pregnancy. The documentary Microbirth also mentioned this, you can see it on CuriosityStream, It sponsored today's video CuriosityStream is a subscription streaming service that provides thousands of documentaries And the best filmmakers of non-fiction books from all over the world, with exclusive original works. Get unlimited access for just $2.99 for one month or $19.99 per year, and if you sign Link to curiositystream.com/chubbyemu, link in the description below, enter the promotional code It is completely free to display "chubbyemu" at checkout 30 days before. The three medical-related documentaries that I really like is "Our Genes Affected", Proteom Code and YouTuber companion Vitamania Veritasium. Register on curiositystream.com/chubbyemu and enter the code chubbyemu. At the first visit to the doctor, JC pointed out that eating carbohydrates solved her panic, anxiety and Insomnia, all these are hypoglycemic neurological symptoms, which means that she may not have postpartum depression from the beginning , But we can’t say for sure.
A few weeks after she relaxed her diet restrictions, she gained 20 pounds in a short period of time. This is a normal function of abnormal insulin release because fat tissue stores excess glucose. All these conditions have worsened because JC feeds his daughter at the same time and strictly abides by it Ketogenic diet. In the medical profession, hypoglycemia is considered to be more High blood sugar is more acute and dangerous because low sugar can be fatal. When she recovered from the operation, her blood sugar level remained within the normal range. She can go home happily. Back to her family. Back to normal life. She was able to live the lifestyle she originally wanted. Thank you very much for watching. Take care of yourself and wish you good health..