Do You Have A Blood Sugar Questionnaire ?
Do You Have Blood Sugar Dysfunction? Take This Quiz
One of my early mentors told me something I thought was oversimplified at the time: "If you can't get your patients to drink enough water and balance their blood sugar, you can't get them well. Period."
I was fresh out of school, confident in my skills, and certain that my clinical expertise alone would be enough.
I was wrong. He was right.
In my practice, those two fundamentals—hydration and blood sugar balance—are the foundation of everything else. You can't build health on top of chronic dehydration and blood sugar chaos.
Most people have no idea their blood sugar is dysregulated. The symptoms don't look like "diabetes." They look like anxiety, brain fog, fatigue, mood swings, and cravings.
Here's a 63-question self-assessment to identify blood sugar dysfunction before it becomes a diagnosed metabolic disease.
Why Blood Sugar Matters
Blood sugar regulation affects every system in your body.
When glucose levels fluctuate wildly—spiking high after meals, crashing low between meals—your brain, hormones, nervous system, and energy production all suffer.
Hypoglycemia (low blood sugar): Occurs when blood sugar drops too low, typically between meals or after consuming high-sugar foods that spike insulin. Symptoms include shakiness, anxiety, brain fog, irritability, and intense cravings.
Hyperglycemia (high blood sugar): Occurs when blood sugar stays elevated, usually from chronic overconsumption of refined carbohydrates and insulin resistance. Symptoms include fatigue after meals, excessive thirst, frequent urination, and long-term tissue damage.
Most people cycle between both states multiple times per day without realizing it.
For comprehensive background on how blood sugar dysfunction progresses to diabetes, read Understanding Diabetes and Blood Sugar Regulation.
The Blood Sugar Dysfunction Questionnaire
Answer "Yes" or "No" to each question. Count your total "Yes" responses at the end.
| # | Question | Yes | No |
|---|---|---|---|
| 1 | Do you frequently have unrealistic fears or worries? | ||
| 2 | Do you ever feel light-headed? | ||
| 3 | Do you find it hard to concentrate at times, especially in the afternoon? | ||
| 4 | Do you frequently have headaches upon getting out of bed in the morning? | ||
| 5 | Do you sometimes have periods of unprovoked anxiety? | ||
| 6 | Do you wake in the middle of the night and find it difficult to go back to sleep? | ||
| 7 | Do you smoke? | ||
| 8 | Do you drink an average of one or more bottles of soda per day? | ||
| 9 | Does alcohol seem to go to your head rapidly? | ||
| 10 | If you drink alcohol, do you later have a hangover? | ||
| 11 | Do you frequently use aspirin? | ||
| 12 | Is there a history of diabetes in your family? | ||
| 13 | Do you now or have you ever had a stomach ulcer? | ||
| 14 | Have you ever had an asthma attack? | ||
| 15 | Have you ever been recommended for psychotherapy? | ||
| 16 | Have you ever had colitis? | ||
| 17 | Have you ever experienced claustrophobia (fear of confined spaces)? | ||
| 18 | Have you ever blacked out? | ||
| 19 | Do you sometimes feel excessively weak for no apparent reason? | ||
| 20 | Do you feel shaky between meals? | ||
| 21 | Do you ever have a light, clammy perspiration? | ||
| 22 | Do you drink more than three (3) cups of coffee per day? | ||
| 23 | Do you eat chocolate on average at least every other day? | ||
| 24 | Have you ever considered suicide? | ||
| 25 | Do you occasionally cry for no apparent reason? | ||
| 26 | Do you find it difficult to concentrate occasionally? | ||
| 27 | Do you ever go into an emotional rage? | ||
| 28 | Do you skip breakfast? | ||
| 29 | Do you sometimes have muscle cramps? | ||
| 30 | Do you miss meals very often? | ||
| 31 | Do you ever feel a tightening sensation across your chest? | ||
| 32 | Do you feel fatigued upon awakening in the morning? | ||
| 33 | Are you a "night" person rather than a "day" person, as far as energy is concerned? | ||
| 34 | Do you ever feel out of touch with reality? | ||
| 35 | Do you ever feel short of breath, for no apparent reason? | ||
| 36 | Do you ever have stomach cramps? | ||
| 37 | Do you frequently have diarrhea? | ||
| 38 | Does your personality seem to change at different times? | ||
| 39 | Do you always seem to be hungry? | ||
| 40 | Do you ever get up and eat in the middle of the night? | ||
| 41 | Do you sometimes have difficulty remembering things? | ||
| 42 | Do you have arthritic pains (pains in the joints)? | ||
| 43 | Have you ever had hives? | ||
| 44 | Do you frequently get depressed? | ||
| 45 | Do you frequently get nervous? | ||
| 46 | Do you get dizzy, especially when standing up rapidly? | ||
| 47 | Does your heart ever beat rapidly for no reason? | ||
| 48 | Does bright sunlight bother your eyes (have to always wear sunglasses)? | ||
| 49 | Do you frequently have drowsiness? | ||
| 50 | Do you sometimes have an internal trembling? | ||
| 51 | Do you have any numbness in your arms or legs? | ||
| 52 | Do you sometimes have difficulty making decisions? | ||
| 53 | Do you occasionally have blurred vision? | ||
| 54 | Do you think you have a lack of sex drive? | ||
| 55 | Do you feel uncoordinated at times? | ||
| 56 | Do you ever have twitching and jerking of muscles? | ||
| 57 | Do you feel you have unsocial or antisocial behavior? | ||
| 58 | Do your hands or feet get cold? | ||
| 59 | Do you frequently eat candy, sweets, or pastries between meals? | ||
| 60 | Do you ever crave sweets, liquor, or chocolate? | ||
| 61 | Are you irritable before breakfast or your first cup of coffee? | ||
| 62 | Do you get hungry "5 minutes" or at least quickly after eating? | ||
| 63 | Do you feel better after eating? |
Total "Yes" Responses: _____
Interpreting Your Score
0-10 "Yes" responses: Minimal blood sugar dysfunction. You're likely maintaining stable glucose levels throughout the day. Continue current habits and monitor for changes.
11-20 "Yes" responses: Mild blood sugar instability. You're experiencing early symptoms of dysregulation. Address this now before it progresses.
21-35 "Yes" responses: Moderate blood sugar dysfunction. Your blood sugar is cycling through significant highs and lows multiple times per day. This requires immediate dietary and lifestyle intervention.
36+ "Yes" responses: Severe blood sugar dysfunction. You're at high risk for metabolic disease if not already diagnosed. Comprehensive testing and personalized intervention are essential.
Why These Symptoms Relate to Blood Sugar
Many of these questions seem unrelated to "blood sugar" at first glance. Here's why they're connected:
Neurological symptoms (anxiety, brain fog, irritability, mood swings): Your brain runs on glucose. When blood sugar drops, brain function suffers immediately. Hypoglycemia triggers adrenaline release, causing anxiety, shakiness, and emotional volatility.
Energy and fatigue: Cells need stable glucose delivery to produce ATP (cellular energy). Blood sugar spikes cause insulin surges, which crash glucose levels and leave you exhausted.
Cravings and hunger: When blood sugar drops, your body signals for immediate fuel. You crave sugar, caffeine, or alcohol—quick sources of glucose or dopamine to compensate for the crash.
Sleep disruption: Blood sugar crashes between 2-4 AM trigger cortisol and adrenaline release, waking you up. If you wake at night and can't fall back asleep, blood sugar dysregulation is often the culprit.
Cold extremities: Poor circulation results from blood sugar-induced inflammation and vascular dysfunction. Cold hands and feet indicate impaired glucose metabolism.
Digestive issues: Blood sugar swings disrupt gut motility, enzyme production, and digestive function. Stomach cramps, diarrhea, and bloating follow.
What to Do Next
If you scored above 10, blood sugar dysfunction is affecting your health right now.
Step 1: Stabilize blood sugar through diet.
Eliminate refined carbohydrates, sugar, and processed foods. Focus on protein, healthy fats, and non-starchy vegetables at every meal.
For comprehensive nutrition strategies, visit the Fuel Your Body pillar page.
Step 2: Eat consistently.
Skipping meals worsens blood sugar swings. Eat within an hour of waking, then every 3-4 hours throughout the day.
Step 3: Address hydration.
Dehydration impairs glucose metabolism and insulin sensitivity. Drink adequate water daily (2/3 of your body weight in ounces).
Step 4: Test comprehensively.
Standard fasting glucose and HbA1c miss early dysfunction. Request:
- Fasting glucose
- Fasting insulin
- HbA1c
- 2-hour glucose tolerance test with insulin measurements
Step 5: Work with a practitioner who understands functional blood sugar management.
Blood sugar dysfunction is reversible if caught early. But it requires personalized intervention based on your specific patterns.
The Bottom Line
Blood sugar dysregulation is epidemic. Most people have it to some degree.
You don't need a diabetes diagnosis to experience the consequences. Brain fog, anxiety, fatigue, weight gain, mood swings, and cravings are all symptoms of blood sugar chaos.
Take the quiz. Count your "Yes" responses. If you're above 10, prioritize blood sugar balance now—before dysfunction becomes disease.
Struggling with anxiety, energy crashes, or cravings despite eating "healthy"? Dr. JJ Gregor uses Applied Kinesiology and comprehensive metabolic testing to identify blood sugar dysfunction and create personalized protocols in his Frisco, Texas practice. Schedule a consultation to restore metabolic balance.
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