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A Multifactorial Case of Acute Mountain Sickness, Carbohydrate Depletion, and Dehydration

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PostedAug 1, 2026 at 10:33 pm

Companion forum thread to: A Multifactorial Case of Acute Mountain Sickness, Carbohydrate Depletion, and Dehydration

After a recent strenuous approach to an alpine, headache, nausea, fatigue, and dizziness produced a Lake Louise AMS score consistent with moderate acute mountain sickness. Garmin data and a detailed reconstruction of food, fluid, workload, and sleep revealed a more complex event. This case study examines how altitude exposure interacted with carbohydrate depletion, dehydration, and accumulated fatigue – and why backcountry illness is often better understood as a convergence of physiological stressors.

Richard S BPL Member
PostedAug 5, 2026 at 11:57 am

A couple of years ago I learned of using glucose tablets on hikes when I began to feel I was approaching “bonking”. To me, these are preferable to hard candy or other sources of sugar. They dissolve within a minute or two and the effects can be felt within 10 minutes. I always carry a few in my day pack.

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