Stress isn’t just an emotional burden—it has real effects on your body. Chronic stress can influence blood sugar, cholesterol levels, blood pressure, and even waist circumference. By learning to manage stress effectively, you can support key health indicators and improve overall metabolic and cardiovascular health.

Stress and Blood Sugar (A1C)

When the body experiences stress, it demands quick energy. To help you respond, stress hormones like cortisol and adrenaline signal the liver to release stored glucose into the bloodstream. This surge of glucose provides fast fuel—but it can also raise blood sugar levels when stress happens frequently. Stress responses are a natural part of life and help your body stay alert and energized when needed. But when stress becomes constant, the repeated blood sugar spikes that follow can raise A1C over time. (1,2).

Tips to manage stress for better blood sugar:
  • Incorporate short breathing exercises or mindfulness breaks throughout the day.
  • Engage in light physical activity, such as walking, which can reduce stress hormones and improve insulin sensitivity.
  • Practice consistent sleep habits to buffer the effects of stress on blood sugar.
Stress and Cholesterol (LDL & HDL)

Ongoing stress can raise “lousy” LDL cholesterol and lower “healthy” HDL cholesterol (3, 4). This happens because stress hormones can trigger inflammation and signal the liver to produce and release more fats into the bloodstream. Over time, this shift can put extra strain on your heart health.

Practical strategies:

Stress and Blood Pressure

When the body is stressed, the heart works harder and blood vessels tighten (the “fight-or-flight” response). This is helpful in short bursts, but when stress happens day after day, it can keep blood pressure high and strain the heart. (1,5). Stress reduction can help lower both blood pressure numbers — the top number (systolic) and the bottom number (diastolic) — supporting heart health.

Simple strategies:

  • Practice slow, deep breathing for 5–10 minutes daily. This signals your body to relax, which may gently help lower blood pressure.
  • Incorporate mindfulness or guided relaxation sessions.
  • Adding regular movement into your day can help lower blood pressure naturally.

Stress and Waist Circumference

Cortisol, the body’s main stress hormone, is linked to increased fat around the belly. When stress is ongoing, cortisol signals the body to store more fat near vital organs for quick access to energy, a survival response. Over time, this can lead to a larger waistline and higher metabolic risk. Reducing stress supports healthier fat distribution and metabolic function (2,3).

Practical tips:

  1. Schedule daily stress-reducing activities like walking in nature or light stretching.
  2. Identify triggers and implement coping strategies, such as journaling or brief meditation breaks.
  3. Combine stress management with balanced nutrition and hydration for synergistic benefits.

How It Works

 

Chronic stress activates the sympathetic nervous system and raises cortisol, which affects glucose regulation, lipid metabolism (how the body handles fats like cholesterol and triglycerides), blood pressure, and body fat distribution. By practicing stress reduction regularly, you can help lower cortisol, reduce inflammation, and support healthy metabolism and heart function. Even small, regular habits—like mindfulness, light exercise, or deep breathing—can meaningfully improve your most important health markers over time.

Sending Health Your Way!

The Tula Clinical Team

Reviewed by:
Aubree RN, BSN
Austin MS, RDN, CSR, LDN, CD

Tula Takeaways

1. Manage Stress to Support Blood Sugar: Stress reduction helps prevent chronic spikes in blood sugarleading to healthy A1C levels. 
2. Protect Your Heart and Cholesterol:  Reducing stress can help lower LDL (“lousy”) cholesterol, raise HDL (“healthy”) cholesterol, and reduce inflammation. 
3. Support Blood Pressure and Waistline:  Managing stress in healthy ways can help lower blood pressure and reduce body fat stored around the belly. 

 

  1. Black P. H. (2003). The inflammatory response is an integral part of the stress response: Implications for atherosclerosis, insulin resistance, type II diabetes and metabolic syndrome X. Brain, behavior, and immunity, 17(5), 350–364. https://doi.org/10.1016/s0889-1591(03)00048-5  
  1. Chrousos G. P. (2009). Stress and disorders of the stress system. Nature reviews. Endocrinology, 5(7), 374–381. https://doi.org/10.1038/nrendo.2009.106  
  1. Steptoe, A., & Kivimäki, M. (2012). Stress and cardiovascular disease. Nature reviews. Cardiology, 9(6), 360–370. https://doi.org/10.1038/nrcardio.2012.45  
  1. Kyrou, I., & Tsigos, C. (2009). Stress hormones: physiological stress and regulation of metabolism. Current opinion in pharmacology, 9(6), 787–793. https://doi.org/10.1016/j.coph.2009.08.007  
  1. Spruill T. M. (2010). Chronic psychosocial stress and hypertension. Current hypertension reports12(1), 10–16. https://doi.org/10.1007/s11906-009-0084-8  

The LIVE TULA blog is informational and not medical advice. Always consult your doctor for health concerns. LIVE TULA doesn’t endorse specific tests, products, or procedures. Use the information at your own risk and check the last update date. Consult your healthcare provider for personalized advice.