Family, Internal Medicine, General Medical Questions/Post Meals

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Question
QUESTION: What could be any explanations for me becoming very tired after eating a meal where immediately afterwards start yawning and need to lay down. I even rubber legged and don't able to control it. Does not happen with snacks.

ANSWER: Dear Albert,

You are eating more than your body can digest. After eating, especially a large meal, insulin is released to keep blood sugars under control, and your body requires a lot of energy to digest large meals. I would recommend breaking up your entire lunch over 2 to 3 meals. In other words, you will be eating between 5 to 6 times a day. Each meal being a small portion. This will keep your blood levels balanced, without causing your gastrointestinal system to expend too much energy digesting.

---------- FOLLOW-UP ----------

QUESTION: Thanks for your prompt answer-it makes sense. So for instance after my dinner it is almost immediate-still sitting at the dinner table that it is almost like narcolepcy & I actually stagger to my bedroom & my legs are wobbly as if I were drunk. I lie down for 1 hr and then I am fine. Is it the insulin that causes this feeling? Otherwise I have perfect health & can eat anything else---even sugar & at anytime of day & have no problem. Insulin can cause this?

Answer
Dear Albert,

Yes, insulin can cause this. I would suggest two tests:
    1) A fasting blood sugar
    2) A Hemaglobin A1C

These two tests will help to determine if you are  hypoglycemic - which many times is a precursor to diabetes; otherwise, it is a simple case of spreading out your meals to several small meals a day.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

Experience

I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Organizations
Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

Awards and Honors
Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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