MENTAL HEALTH

The Blood Sugar Rollercoaster (And How to Step Off)

Davin Reed
Rhonda Howard
Lydia Armstrong

Author: Lydia Armstrong, PMHNP

Co-Author: Rhonda Howard, Ph.D.

Editor: Davin Reed

Picture a theme park ride. Not the fun kind — the kind you didn’t choose to get on, with no clear exit and no one at the controls who seems to know what they’re doing. Up fast. Down hard. Stomach lurching. Repeat. That’s what blood sugar dysregulation can feel like from the inside, lived in a body that’s been riding this particular ride for years without knowing it had a name. The energy that’s there and then gone. The focus that works in the morning and evaporates by noon. The hunger that comes out of nowhere and can’t be reasoned with. The mood shifts that feel like they belong to someone else. If any of that sounds familiar, you’re not imagining it. And you didn’t cause it through some character failure. You’re describing the lived experience of unstable glucose — a specific, understandable, addressable metabolic pattern. Here’s what’s actually happening on the ride.

After You Eat: The Spike

When you eat carbohydrates — bread, rice, fruit, anything that contains sugars or starches — your digestive system breaks them down into glucose and releases them into your bloodstream. Blood glucose rises. How fast and how high depends on what you ate, how much fiber and protein and fat was alongside it, how much you ate, and your individual metabolic baseline. A meal high in refined carbohydrates and low in fiber, protein, and fat — think white bread, sugary cereal, a pastry, juice, a sweetened coffee drink — produces a fast, steep spike. A meal with more fiber and protein produces a slower, gentler rise. This matters enormously for what comes next. Your pancreas detects the rise in blood glucose and releases insulin. Insulin is a peptide hormone, and its primary job is to facilitate the movement of glucose from your bloodstream into your cells — muscle cells, fat cells, liver cells — where it gets used for immediate energy or stored as glycogen or fat. Without insulin, glucose would accumulate in the bloodstream to dangerous levels. Insulin is not the enemy. It’s a critical part of how your body manages energy. But insulin’s response is proportional to the spike. A sharp, fast spike produces a sharp, fast insulin response. And that’s where the problem begins.

The Overshoot — and the Crash

When blood sugar rises steeply and quickly, the insulin response that follows can be aggressive enough to overshoot — bringing blood glucose down below stable range. This is called reactive hypoglycemia, and it’s one of the most common and least-discussed aspects of metabolic dysregulation. Stable blood glucose sits roughly between 70 and 100 mg/dL in a fasting state. When reactive hypoglycemia occurs, glucose can drop to 60, 55, even lower within one to three hours of eating. The speed of the drop can matter as much as the absolute number — a rapid decline triggers alarm systems even when the final glucose level isn’t technically in the clinical hypoglycemic range. When blood sugar drops too fast or too far, your body activates its counter-regulatory response. Glucagon — insulin’s opposing hormone, also produced by the pancreas — is released to signal your liver to break down stored glycogen and release glucose back into the bloodstream. Epinephrine (adrenaline) and cortisol are released from your adrenal glands for the same purpose: mobilize glucose, fast. The subjective experience of this hormonal activation is what you’ve probably lived through without knowing what was causing it: sudden fatigue, brain fog, irritability, shakiness, anxiety, difficulty concentrating, and an intense, specific craving for fast carbohydrates. That craving isn’t random. Your brain is detecting a glucose emergency and demanding the fastest available fuel source.

What Insulin Resistance Adds to the Equation

For many people dealing with the kind of metabolic pattern that’s brought them to this journey, there’s an additional layer: insulin resistance. Insulin resistance develops when cells — particularly muscle, fat, and liver cells — become less responsive to insulin’s signal. It can happen for multiple reasons: chronic elevated insulin exposure, excess visceral fat (fat stored around the organs), physical inactivity, chronic stress, poor sleep, or genetic predisposition. Often it’s a combination. When cells are insulin resistant, they don’t respond normally to insulin’s knock on the door. Glucose stays in the bloodstream longer than it should. The pancreas detects this and produces more insulin to compensate. Insulin levels rise. And elevated insulin — even when it’s there in response to resistance — has its own effects: it signals fat cells to store rather than release fat. It makes weight loss harder. It makes the spike-and-crash cycle more pronounced. Here’s the part that matters, and that nobody explains clearly enough: you can have insulin resistance with blood sugar that tests in the normal range. A fasting glucose of 95 mg/dL looks fine on paper. But if your fasting insulin is elevated — if your pancreas is working three times as hard to maintain that “normal” glucose — you have insulin resistance that a standard lab test is missing. This is why people can feel like everything is working against them metabolically, get a normal blood test result, and be told nothing is wrong.

The Cycle, Illustrated

Let’s walk through a real day on the rollercoaster, because seeing the full sequence often produces that recognition moment — oh. That’s why. 7AM: You skip breakfast or grab something fast — a pastry, sweetened yogurt, juice. Blood sugar spikes. Insulin surges to match. You feel okay, even energized initially. 9:30AM: Blood sugar drops. Not dramatically — just enough. You start losing focus. You grab a coffee, maybe with something sweet in it. Another small spike. Insulin responds again. 12:30PM: Lunch is a sandwich, chips, a diet soda. Refined carbs, minimal protein, minimal fat. Blood sugar spikes fast. Big insulin response. 2:30PM: The crash arrives. Brain fog, irritability, urgency. You get something from the vending machine. Another spike. Another insulin surge. 5PM: Dinner is large — you’ve been underfueling all day and you’re ravenous. You eat past fullness. Blood sugar spikes hard. Insulin responds hard. You feel tired, maybe a little uncomfortable. You fall asleep earlier than you meant to. 2AM: Blood sugar drops in the night. You might not consciously wake up, but sleep quality suffers. Cortisol rises. You wake up tired, not hungry at first — cortisol suppressed your appetite. The cycle begins again. That day is exhausting. And it repeats. And the people living inside it blame themselves for every individual moment without seeing the pattern connecting them all.

Stability Over Scarcity

Here’s the concept that actually changes the ride: stability over scarcity. Not dieting. Not zero carbs. Not a system that requires you to earn food. The goal is to flatten the curve — to eat in a way that produces a gentler rise and a gentler decline, so the counter-regulatory system never has a reason to panic. What produces a gentler curve? Protein at every meal slows gastric emptying and blunts the glucose spike. Fiber — from vegetables, legumes, whole grains — slows carbohydrate absorption. Fat does the same. Eating at regular enough intervals keeps blood sugar from dropping into crisis territory between meals. These aren’t restrictions — they’re buffers. The aim isn’t to eliminate the ride. It’s to make it something you can barely feel. Steady glucose, steady energy, steady hunger, steady mood. Not perfection. Steadiness. That’s what’s on the other side of the rollercoaster. Not a thinner you. A steadier you. And steadier, it turns out, is the foundation everything else gets built on.

Last Reviewed:
Oct 25th 2025

Rhonda Howard, Ph.D.