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Stress-induced hyperglycemia is a temporary elevation of blood glucose levels that occurs during periods of physical or emotional stress in people without diabetes. It is caused by the release of stress hormones like cortisol and epinephrine that trigger the liver to release stored glucose and reduce insulin sensitivity. The Hemoglobin A1c with eAG Estimation is the most important test for diagnosis because it measures average blood sugar control over 2-3 months and helps distinguish temporary stress-related spikes from underlying diabetes.
Stress-induced hyperglycemia is caused by the body's natural stress response releasing hormones like cortisol, epinephrine, and glucagon. These stress hormones signal the liver to dump stored glucose into the bloodstream while simultaneously making your cells less responsive to insulin. This double effect raises blood sugar levels to provide extra energy during stressful situations like surgery, severe illness, trauma, or intense emotional distress, even in people who have never had diabetes.
The Hemoglobin A1c with eAG Estimation is the most important test for stress-induced hyperglycemia because it reveals your average blood sugar levels over the past 2-3 months, not just a single moment in time. This test measures glycated hemoglobin, which shows how much glucose has attached to your red blood cells during their lifespan. The estimated average glucose (eAG) calculation translates the HbA1c percentage into everyday blood sugar numbers you can understand. This comprehensive view helps doctors determine whether your elevated glucose is a temporary stress response or an ongoing problem that needs different treatment.
You should get tested if you experience high blood sugar readings during or after hospitalization, surgery, or serious illness, especially if you have no diabetes history. Testing is also important if you notice symptoms like excessive thirst, frequent urination, or unexplained fatigue during stressful life events. Healthcare providers typically recommend testing for patients in intensive care, those recovering from major trauma, or anyone with unexpected blood sugar spikes during acute medical conditions to monitor glucose patterns and guide treatment decisions.
What this means
Your testosterone levels are slightly below the optimal range. While this is not necessarily cause for concern, it may contribute to occasional fatigue, reduced motivation, or lower muscle mass over time.
Recommended actions
Increase resistance or strength training
Prioritize 7–8 hours of quality sleep per night, try to reduce stress
Include more zinc- and magnesium-rich foods (like shellfish, beef, pumpkin seeds, spinach)
Consider retesting in 3–6 months
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