I don’t think I have to explain how absolutely EVERYTHING affects a Type-1 Diabetic’s health. Blood sugar levels, blood pressure levels and other health factors are often affected by things like stress, physical activity, diet and alcohol consumption and even one’s state of mind. It can sometimes become a challenge for someone to maintain proper controls when something completely out of one’s control can affect everything. Like weather. If I do thirty minutes of heavy exercise in the comfort of my basement, no problem. If I do thirty minutes of work outside in cold, winter weather, my blood drops like fuckin’ stone in a clear lake. So given that everything affects blood sugar levels, what about pain? Could pain affect one’s blood sugars?
We should start the conversation by defining exactly what I mean by pain. Simply put, pain in today’s context is defined as the signal your body sends to your brain when trauma is caused to the body. And by trauma, I don’t mean the typical, modern definition that means having experienced something bad, although that could be included. trauma refers to the damage and/or blunt force exercised against tissue, causing damage. This can include cuts, abrasions, bruising, blunt force, burns and exposure to extreme cold. All of these things will trigger a signal from nerves to the brain, telling it that something bad is happening and that one should remove themselves from the situation. This is why people will automatically pull away from open flame or grip their arm if they suffer a cut, etc. Most of it is reflex and even those who train themselves to “fight through the pain” will have some difficulty in ignoring or overcoming the sensation.
So, how does pain play into blood sugars? I should start by clarifying that the idea started from a conversation I had with my ophthalmologist. During a recent appointment to get eye injections, (my eyes are doing great by the way. Thanks for asking!) I asked my doctor what the level would be, on a scale from 1 to 10, for me to receive the needles in my eyes without the numbing drops. He confirmed that it would likely be an 8 or 9. While he made it clear that he had never tried it or had it done on any of his patients, he working off his knowledge of pain and how it’s received by the body. He explained it would certainly be painful enough for a person to be unable to do it without the numbing drops. I was fascinated.
When I returned to my room, I realized that my blood sugar levels and increased. Not to a significant, uncontrollable level but enough to be noticeable. And it got me to ponder the question on how pain affects the blood sugars. In essence, pain is a stressor. And stressors DO affect blood sugars. While people don’t define stress quite in this way but pain causes stress and stress increases blood sugar levels. According to an article posted by the Mayo Clinic, “Physical or emotional stress triggers the release of hormones that can cause high blood sugar levels.” While the article is short and doesn’t specifically address physical pain, if we acknowledge that pain is a stressor and stressors will cause the release of hormones that will elevate blood sugars, the math does itself.
So this is mostly information and not so much a specific thing, but if you notice your blood sugar levels are running rampant and you can’t quite explain why, you may want to look at the stressors in your life, including pain. The pain that results from my eye injections is certainly something that will has an effect. Any other pain you may be suffering will also have an effect. While it may be difficult to gauge and treat your blood sugar levels based on this, it’s an important factor when considering your overall blood sugar management. Food for thought… ☯️
The Blogging Buddhist 