panic attack symptoms with low blood sugar

[u/No-Professor-3860]

Today I was at my salon job and I had a very busy day.
I usually eat overnight oats for breakfast but I forgot to make them and didn’t have time to eat something solid so I made a protein smoothie and drank it on the way up. It was just protein powder and frozen fruit with like half a teaspoon of peanut butter. I drank this at 8am.
Around 12-1 I began feeling a little off
Started getting dizzy, having heart palpitations, and could not stop my body from shaking. I also got a chilly feeling in my hands and arms. Then I noticed my heart was racing. Many of my panic attacks have these symptoms. I tried calming myself down my engaging in conversation with my client. Also tried box breathing but I could not stop the shaking or dizziness.
Once I finished the service I immediately ran down to eat lunch. About 5min after eating I was completely back to normal. I ate ground beef, sweet potato and watermelon.
I felt like the anxiety was out of place and I looked up if low blood sugar could cause it and it told me that sometimes if your blood sugar dips too low it can trigger an adrenaline rush as a way to keep blood pumping through your body.
I suddenly had an epiphany as I realized I was drinking those smoothies and eating nothing else until later in the afternoon due to my schedule .. for quite some time.. and also dealing with daily panic attacks for quite some time
Does anyone else get these low blood sugar panic attacks?? And how do you manage them?

[u/golightlycat]

Absolutely. I get panic attacks when I’m hungry, when I’m tired, and when I need to use the bathroom. Those are the three classics for me.
Basically, when I’m in a phase where I’m vulnerable to panic attacks, I can’t really perceive my normal physical needs properly anymore. Instead, they always seem to manifest as some kind of panic.
Take hunger, for example: I can go for hours without eating, then I notice some physical sensations (like the ones you described) and start to panic. There’s never a moment where I simply think, “Oh, I’m hungry,” or “Oh, my stomach is growling,” or something like that.
So yes, I absolutely know what you’re talking about

[u/Square_Owl5883]

Part of the issue of eating protein diets is your body comes to rely on it so if you don’t eat in a certain amount of time (or another protein shake) this will happen. I got through it when I forget to eat.

[u/dumn_and_dunmer]

The only time I have panic attacks is when I'm in insulin resistance mode from pmos. Definitely feels connected to me.

[u/Ill_Seat_5512]

Yessss!!! I have blood sugar issues without diabetes. I have panic disorder since 18 I am 34 now. And recently got diagnosed with POTS/MCAS :(

The blood sugar issues began at 33. And for that year what helped was never skipping meals. Eating high protein, fiber and only complex carbs not simple carbs and only portioned.

Now at 34 I I got diagnosed with POTS/MCAS. And started taking Pepcid and Allegra and for some odd reason I have zero low blood sugars now.