Can Excess Starch Consumption Cause Palpitations? - Nutrition

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Excessive starch intake can cause palpitations?


I have undergone a total thyroidectomy and have been regularly following up for monitoring.
Previously, I experienced palpitations due to hyperthyroidism, but since the surgery, that has resolved, and my thyroid levels are well-controlled.
However, I have noticed slightly elevated glycated hemoglobin levels (hovering around 5.1-5.4) and high cholesterol.
I also experience dizziness and tremors when fasting, which feels like low blood sugar.
Therefore, I aim to lose weight healthily and adjust my blood sugar levels by consuming starches during the day and limiting or avoiding them at night, as well as reducing refined starch intake.
I try to increase the amount of vegetables at each meal, include a portion of protein, and eat starch last.
Although I haven't lost weight, I feel relatively healthy.
However, I've noticed that after eating this way for a while, if I have a meal where I eat starch first and the other components (meat and vegetables) are minimal, predominantly consisting of refined starch, I easily experience palpitations and dizziness afterward.
What could be the reason for this?

wini, 30~39 year old female. Ask Date: 2017/05/22

Dr. Fan Chunmei reply Nutrition


Hello: 1.
The normal range for glycated hemoglobin (HbA1c) in the general population is approximately 4-6%, and your HbA1c level is within the standard range.
2.
The principles of healthy weight loss focus on a balanced diet consisting of six major food groups, including whole grains and root vegetables, legumes, fish, meat, and eggs, vegetables, fruits, oils and nuts, and low-fat dairy products, combined with low-calorie cooking methods (women should not consume less than 1200 calories per day) and regular exercise.
It is recommended that you seek guidance from a professional nutritionist at a hospital to assess your nutritional needs and develop an appropriate weight loss plan.
3.
Thyroid or other endocrine disorders can trigger palpitations, and common occurrences of hypoglycemia can result from consuming refined carbohydrates, which cause a rapid spike in blood sugar levels.
After ingestion, this stimulates insulin secretion to lower blood sugar, converting excess glucose into fat storage.
Consequently, the drop in blood sugar levels can lead to feelings of hunger, prompting further eating.
It is advisable for you to return to the metabolic department for examination or follow-up.
Sincerely, Dietitian Fan Chun-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/22

More Info


Excess starch consumption can indeed lead to palpitations, especially in individuals with underlying health conditions such as thyroid issues or blood sugar regulation problems. In your case, having undergone a total thyroidectomy and managing your thyroid levels well is a positive aspect, but it does not completely eliminate the potential for palpitations or other symptoms related to dietary choices.

When you consume a meal high in refined starches, your body experiences a rapid increase in blood sugar levels. This spike triggers the pancreas to release insulin, a hormone responsible for lowering blood sugar levels. If the insulin response is excessive, it can lead to a subsequent drop in blood sugar levels, a condition known as reactive hypoglycemia. Symptoms of reactive hypoglycemia can include dizziness, shakiness, and palpitations, which you have described as feeling like your blood sugar is too low.

Additionally, the composition of your meals plays a significant role in how your body responds. When you consume a meal primarily consisting of refined starches with little protein or fiber, the digestion and absorption of those carbohydrates occur rapidly. This can lead to a quick surge in blood glucose followed by a rapid decline, which may explain the palpitations and dizziness you experience after such meals. In contrast, meals that are balanced with adequate protein, healthy fats, and fiber can help stabilize blood sugar levels and prevent these fluctuations.

Moreover, the relationship between starch consumption and palpitations can also be influenced by your overall health status, including your cholesterol levels and any potential cardiovascular issues. High cholesterol can contribute to the development of heart disease, which may manifest as palpitations or other cardiac symptoms. Therefore, it is essential to monitor not only your starch intake but also your overall dietary habits, including the types of fats and proteins you consume.

To mitigate these symptoms, consider the following dietary strategies:
1. Balanced Meals: Aim for meals that include a balance of complex carbohydrates (like whole grains), lean proteins (such as chicken, fish, or legumes), and healthy fats (like avocados or nuts). This combination can help slow down the absorption of glucose and prevent spikes in blood sugar.

2. Portion Control: Be mindful of portion sizes, especially when it comes to starchy foods. Eating smaller portions of refined starches and pairing them with other food groups can help maintain stable blood sugar levels.

3. Frequent, Smaller Meals: Instead of three large meals, consider eating smaller, more frequent meals throughout the day. This can help keep your blood sugar levels stable and reduce the likelihood of experiencing palpitations.

4. Hydration: Ensure you are well-hydrated, as dehydration can also contribute to feelings of dizziness and palpitations.

5. Monitor Your Body's Response: Keep a food diary to track what you eat and how it affects your symptoms. This can help you identify specific foods or meal patterns that trigger palpitations.

6. Consult with a Healthcare Professional: Since you have a history of thyroid issues and are experiencing these symptoms, it would be wise to discuss your dietary habits and symptoms with a healthcare provider or a registered dietitian. They can provide personalized advice and help you develop a meal plan that supports your health goals.

In summary, while excess starch consumption can lead to palpitations, it is essential to consider the overall balance of your diet and how your body responds to different foods. By making mindful dietary choices and monitoring your symptoms, you can work towards achieving better health outcomes.

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