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How do very healthy and fit people (ex. athletes) with strict healthy diets acquire exercise induced hypoglycemia, with no hx of diabetes? Does Rhabdomyolysis correlate?

I am a BLM smokejumper, traditionally we have a rookie training class annually. Its physically and mentally demanding program. In the first two weeks of training is where our highest attrition occurs (about 40%). In the past 5 years we have seen trends of Rhado conditions diagnosed in our candidates. We've also seen healthy people struggle with maintaing blood sugar levels during normal operational shifts or physical training.

I have a friend who experienced both, Rhabdo first then low blood sugar levels during strenuous physical training about 12 months apart.
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asked Jul 04 at 12:57AM in Sports Medicine
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    answered Sep 12 at 07:13PM
    Hypoglycemia is common in patients who perform high level of physical activity. A classic example is that of a long distance runner who has to 'carboload' before their race to prevent hypoglycemic events. The term of rhabdomyelitis is a term where breakdown of muscle tissue Rhabdomyolysis is the breakdown of muscle fibers resulting in the release of muscle fiber contents (myoglobin) into the bloodstream. Some of these are harmful to the kidney and frequently result in kidney damage. The causes are many but they include the following:

    Heat intolerance

    Heatstroke

    Ischemia or necrosis of the muscles (as may occur with arterial occlusion, deep venous thrombosis, or other conditions)

    Low phosphate levels

    Seizures

    Severe exertion such as marathon running or calisthenics
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