An MD's Favorite Blood-Sugar-Supporting Foods For Easing Anxiety

In my practice, I start with the assumption that anxiety is a blood sugar issue until proven otherwise. I am not being dismissive of people's very real suffering, nor am I implying that everyone with anxiety is diabetic. The truth is that blood sugar is not binary—you're not either diabetic or perfectly healthy. For many of us, our bodies are operating somewhere along a spectrum of dysglycemia, in which a subtle, subclinical impairment with blood sugar regulation causes us to swing up and down throughout the day, with every blood sugar crash generating a stress response. Given that the modern diet is so blood sugar destabilizing, these stress responses are at the root of much of the anxiety I see in my practice. 

If you only make one dietary adjustment in the name of curbing your anxiety, I would suggest addressing your relationship with sugar. Do whatever you can to keep your blood sugar stable and consider reducing your sugar intake overall.

When adding protein—which provides the necessary building blocks for peptide neurotransmitters, such as serotonin—to your diet, aim to eat a variety of well-sourced, pasture-raised meat and poultry as well as wild, small, cold-water fatty fish, such as sardines, anchovies, arctic char, and salmon. To ensure you get a wide range of nutrients, eat a variety of animals.

In addition to eating a variety of animals, I also encourage you to eat every part of the animal—nose to tail. Organ meats have fallen out of favor in the West because we're so focused on eating muscle meats. But organ meats are uniquely nutrient-dense, so it's worth making a point of seeking them out. Admittedly, it can be tricky to figure out how to incorporate organ meat into a modern American diet. The way I make it work is by purchasing pastured chicken liver pâté from my butcher. Chicken liver is a good source of zinc, copper, manganese, vitamins A and C, B vitamins, iron, phosphorus, and selenium. In other words, it's Mother Nature's multivitamin. If you can throw back a spoonful of pâté every few days, it'll go a long way toward meeting your nutritional needs.

When it comes to gleaning the nutritional benefits of meat for brain health, it doesn't require eating a steak the size of your head. Think of meat more as a condiment than as a centerpiece. And if eating meat does not jibe with your ethical principles, my vegetarian standbys are any combination of rice and beans (which form a complete protein when eaten together), eggs, and full-fat dairy (if tolerated).