What is the type of PMS that creates cravings, headache and fatigue?
PMS-C (C = carbohydrate craving) is associated with increased appetite, craving for sweets, headache, fatigue, fainting spells, and heart palpitations. Glucose tolerance tests (GTT) performed on PMS-C patients during the five to ten days before their menses show a flattening of the early part of the curve (which usually implies excessive secretion of insulin in response to sugar consumption), whereas during other parts of the menstrual cycle their GTT is normal. Currently, there is no clear explanation for this phenomenon, although an increased cellular capacity to bind insulin has been postulated. This increased binding capacity for insulin appears to be hormonally regulated, but other factors may also be involved, such as a high salt intake or decreased magnesium or prostaglandin levels.