Blood Sugar

Blood sugar irregularity may be related to many other secondary health concerns.  Proper assessment and a treatment plan are important to optimize one’s health.  Blood sugar irregularity may be hypoglycemica ( low blood sugar) or diabetes ( high blood sugar due to insulin dysfunction).  To learn more about hypoglycemia or diabetes.
This subjective questionnaire will give your health care practitioner a quick summary of symptoms or signs that may be related to blood sugar and/or insulin function. It is not a substitute for professional medical advice from your health care provider.

Blood Sugar Questionnaire :

Enter a number after the symptoms listed below ranging from 0 to 3. Zero (0) represents symptom “not present”. Three indicates that the symptom is present in a severe form.

1. ____ Abnormal craving for sweets
2. ____ Afternoon headaches
3. ____ Consume alcohol
4. ____ Allergies – tendency to asthma, hay fever, rashes
5. ____ Awaken after a few hours of sleep – unable to get back to sleep
6. ____ Aware of breathing heavily
7. ____ Bad dreams
8. ____ Bleeding gums
9. ____ Blurred vision
10. ____ Brown spots or bronzing of skin
11. ____ Bruise easily, “black and blue spots”
12. ____ Butterfly stomach, cramps Indecision
13. ____ Can’t start in morning before coffee
14. ____ Can’t work under pressure
15. ____ Chronic fatigue
16. ____ Chronic nervous exhaustion
17. ____ Convulsions
18. ____ Crave candy or coffee in afternoon
19. ____ Depressed
20. ____ Dizziness, giddiness or lightheadedness
21. ____ Drink more than 3 cups of coffee or cola daily
22. ____ Get hungry or feel faint unless eating frequently
23. ____ Eat when nervous
24. ____ Fatigue is relieved by eating
25. ____ Fearful
26. ____ Get “shaky” when hungry
27. ____ Hallucinations
28. ____ Hand tremors (or trembles)
29. ____ Heart palpitates if hunger is prolonged
30. ____ Highly emotional
31. ____ Nibble between meals because of hunger
32. ____ Insomnia
33. ____ Irritable before meals
34. ____ Lack of energy
35. ____ Magnify insignificant events
36. ____ Moods of depression, “blues” or melancholy
37. ____ Poor memory or ability to concentrate
38. ____ Reduced initiative
39. ____ Sleepy after meals
40. ____ Weakness, dizziness
41. ____ Worrier, feel insecure
42. ____ Feel better after 10 am snack than before
43. ____ Symptoms come before breakfast

If your score is more than 10 you may have a blood sugar condition.

It is recommended to consult with your health care professional team.

To book an appointment