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« ビタミンCとがん | メイン | ポイント イズ タン白質。 »

2007年04月12日


今日は頭痛についての話です。


頭痛持ちの方って結構多いですよね。


頭痛にはいろいろな原因がありますが、結構多い原因が低血糖症によるものなのです。



・吐き気を伴う頭痛(特に月経前)

・頭に輪がかかったようなしめつけ(MRI検査で異常なし)

・時々不整脈や動悸

・月経痛


を主訴に、栄養療法を行った若い女性の患者さんです。


血液データは複合的な栄養障害で、タン白質不足・ビタミンB群欠乏・鉄欠乏・亜鉛欠乏、という散々たる結果でした。


それだけでもいろいろな症状が起こりうるのですが、びっくりしたのが糖代謝でした。


その方は知人で、たまたま体調の話をしていて「じゃあ採血しようか!」といきなり採血することになったので、食後1時間しかたっていない状態での検査だったのですが、なんと、

血糖値が60!

しかなかったのです。


食後1時間だったら当然血糖値は上がっているはずなのに、60mg/dlしかない、というのはかなり異常です。


他の糖代謝を見る項目、グリコアルブミンや中性脂肪、遊離脂肪酸などには目立った異常はなかったのですが、血糖60というのは、それだけで機能性低血糖症を強烈に疑う所見です。

特に食後であった、と言うことが問題です(もちろん食前でも問題なのですが…)。


血糖値というのは本来ホメオスターシス(生体恒常性)によって90~100くらいの一定の範囲内に収まっているはずなので、血糖調節のシステムにかなりの破綻を来たしている、ということになります。


この方は、甘いものはほとんど食べないのですが、とにかく

「白いごはんが大好き!」

という方でした。


ご本人が希望されなかったので5時間の糖負荷試験は行わなかったのですが、ごはんを控えてタン白質を多く食べることと、栄養療法を行っていただきました。


栄養療法を始めて1ヶ月目くらいで生理がきた時、いつもだったら生理前に起きるはずの頭痛がありませんでした。


頑固な頭痛が低血糖によって起きており、糖質の摂り方の改善、栄養療法によって改善した、と考えられるケースでした。


また、中学生の頃からひどくてつらかった生理痛もすっかり治ったので驚いている、とのことでした。


まだ栄養療法を行って3ヶ月たっていないのに、素晴らしい改善です。


低血糖で頭痛が起きる原因としては、脳に糖を優先的に配分するため血管拡張が起こるとか、または低血糖により分泌されたアドレナリンが血管収縮することによる、などといわれています。




そういう私も実を言うと頭痛持ちでした。


なぜ今日このテーマについて書いたかというと、先日久々に自分も採血をしてデータを見たのですが、低血糖の兆候があったので、ちょっとショックだったのです・・・。


確かに、最近横着して食事がいいかげんになっていて、パンやサンドイッチやおにぎりなどの炭水化物が多かったのです(甘いものはあまり食べなかったのですが…)。


そしてそのせいか、しばらくぶりに、頭痛が時々していたのでした。


そして、勤務医時代、朝ごはんを食べない日に決まって頭痛が起きていたことを思い出しました。


その頃は、「朝食を抜くと頭痛が起きる」という関連性は自覚していましたが、どうしてそうなるのか、ということはさっぱりわかりませんでした。


今思うと、低血糖になっていたのでしょうね。


それから気をつけて、タン白質と野菜中心の食事に戻したら、頭痛はなくなりました。



頭痛持ちの方は、糖質を控えてみられるか、未精製の穀物に変えてみられることをおすすめいたします。




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コメント

はじめまして。
私も先日微熱が1ヶ月以上続き内科を受診したのですが、慢性気管支炎(肺のレントゲンで喫煙している人並みの影。といわれました。私は非喫煙者です。)その時に血液検査もしたのですが食後2時間で血糖値が65でした。が 検査名 HbA1c での数値は5.1 だから血糖にとくに異常は無い。と診断されました。
ですが 私は7年「うつ病」を患っています。もう「うつ病」は治らない。と諦めていますがこちらの記事にたどり着いてもしかしたら「低血糖」なのかな?と思いました。PMS・頭痛・音・光に弱い・など色んな症状が当てはまってしまいます。
一般の内科でも5時間負荷テストは受けられるものですか?

ゆきさま

こんにちは。
5時間糖負荷試験は、低血糖症のことをご存知のドクターでしたら行ってくれる可能性がありますが、一般的な保険診療の病院でそのようなドクターを探すのは難しいと思います。
また保険が利かないので、ふつうはやりたがらない場合が多いと思います。
どうぞお大事になさってください。

はじめまして。私は現在心療内科に通院していて、先生から低血糖症のようなので食事療法をしてみてはと言われて今週から低GI値中心とお昼は玄米のご飯を始めました。しかし、食事を以前のものと変えてから、症状が悪化してしまったようにしか思えず(私の主な症状は日中・夕方の眠気と頭痛です)、一日中会社でウトウトしてさらに頭痛もひどいです。
これは良くなってきているといえるのでしょうか?次回の予約が来週なので、聞いてはみますが、このページを見つけたので気になってしましました。

ぱんださま
こんばんは、コメントありがとうございます。
返事が遅くなりまして申し訳ありません。
心療内科で低血糖症かもしれないといわれたとのこと、理解のある先生でよかったですね。
食事を変えて症状がより強くなってしまったとのことですが、考えられるのは
①GIが低すぎること
②体に合わないものを食べるようになったこと
などが考えられます。
①低血糖症の方、特に無反応性低血糖症の場合は、低い血糖値を食事により上げることが必要です。GIが低すぎる食事では適切な血糖値を保つことができず、症状が悪化することがあります。
個人差がありますが、GIは低ければいいと言うものではないので、適度に血糖値を上げる(しかし上げすぎない)ものを食べることが重要です。目安はGI50~60*くらいです(ご自分でいろいろ試してみてください)。*拙著に載せてある計算法にて
②低GI食にするために、今まであまり食べていなかった食材を食べるようになることがよくありますが、それが体に合っていない場合、体調がかえって悪くなることがあります。つまり、遅延型アレルギーがある場合です。遅延型アレルギー(通常のIgEが関与するアレルギーではなく、IgGが関与するアレルギー)を調べればわかりますので、検査をされることをおすすめします。
どうぞお大事になさってください。

本当は直接お伺いしたいのですが、現在海外在住につき、メールにて失礼いたします。私は半年程前から、毎月の生理前・中・後の約2週間にわたり「頭痛・吐き気・肩こり」という症状があり、日本の神経内科にかかったところ「月経関連偏頭痛」と診断されました。以後頭痛時には「アマージ」と「プリンペラン」を服用し、症状は安定しています。
しかし最近になって、空腹時になると咳が出たり吐き気をもよおし、そのまま放っておくと頭痛になる…というパターンがあることに気がつきました(いつも、というわけではありませんが)ナラトリプタンの服用は、偏頭痛の兆候が出始めた時がタイミングと理解していますが、その「兆候」が出始めたとき、試しに「アイスクリーム」を食べたところ、一気に回復し、偏頭痛にもなりませんでした。
以上のことから、「低血糖では?」と勝手に推測し、キーワード検索から先生のブログに辿りついた次第です。
自覚症状(?)としては、空腹時の手の震えは以前からありました。さらに、例え友人たちと旅行などをし、同じタイミングで飲食をしていても、なぜか私だけが空腹感に敏感で、手が震える、ということもよくあるのです。
やはり「低血糖症」の疑いあり、でしょうか?
また、日本帰国の際に是非先生にかかりたいと考えていますが、血液検査の結果はどれくらいの期間でわかるものでしょうか?
長くなりましたが、よろしくお願いします。

あゆさま

こんにちは。コメントありがとうございます。
はっきり申し上げて、低血糖症の疑い、大ありですね。
できれば糖負荷検査をしたいところです。
そのつもりでご予約いただければ、初診時に糖負荷検査をすることも可能です。検査の結果は1週間弱でわかります。
検査施設ではありませんので、あくまで治療目的の方に限らせていただいていますが。。
ご検討くださいませ。
私の本をお読みいただければ、ご理解が深まると思いますので、ご一読をおすすめいたします。
どうぞお大事になさってください。

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原因不明の体調不良、月経前症候群、うつ症状、パニック障害、過食症、肥満…、あなたのその症状は、低血糖症が原因かもしれません!


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Optimal Health オプティマル・ヘルスとは、「最高の健康状態」を意味する言葉です。
「病気ではない」という消極的な意味での健康ではなく、エネルギーに満ちた快適な状態でいられること。
その人らしい人生を思う存分過ごすこと。
すべての患者様にOptimal Healthを得ていただくことが、私達の願いです。


未来の医者は薬を使わず、食事を重視し、病気の本来の原因を探し、予防するという、人間の基本を大切にして治療をするであろう。
トーマス・エジソン
(1847-1931)

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クリニック ハイジーア


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