Topic Overview
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Hypoglycemia, or low blood
sugar, is most common in people with
diabetes. If you have already been diagnosed with
diabetes and need more information about low blood sugar, see the
topics:
What causes low blood sugar?
Your body uses
hormones to keep your blood sugar in a normal range. But a long-term health
problem that needs treatment can cause blood sugar to drop too low.
People with diabetes often deal with low blood sugar. It’s not as common
in people who don't have diabetes, but it can happen. It could be caused by:
- Medicines such as monoamine oxidase inhibitors (used to treat
depression), quinine sulfate (used to treat malaria), and aspirin.
- Drinking too much alcohol.
- Diseases that affect the
pancreas,
liver,
kidneys, adrenal glands, or other
organs.
- Metabolism problems that run in
families.
- Problems caused by stomach surgery.
What are the symptoms?
The symptoms can be
different depending on how low your blood sugar level drops.
- Mild hypoglycemia can
make you feel hungry or like you want to vomit. You could also feel jittery or
nervous. Your heart may beat fast. You may sweat. Or your skin might turn cold
and clammy.
- Moderate hypoglycemia often
makes people feel short-tempered, nervous, afraid, or confused. Your vision may
blur. You could also feel unsteady or have trouble walking.
- Severe hypoglycemia can cause you to pass out. You could have
seizures. It could even cause a coma or death.
If you've had hypoglycemia during the night, you may wake
up tired or with a headache. And you may have nightmares. Or you may sweat so
much during the night that your pajamas or sheets are damp when you wake up.
How is hypoglycemia diagnosed?
To diagnose
hypoglycemia, your doctor will do a physical exam and ask you questions about
your health. You will need tests to check your blood sugar levels. Your doctor
will also ask you about any medicines you take and whether you have recently
lost or gained weight.
If a blood test shows that you have low
blood sugar, and if you have symptoms that go away after you eat a snack or
drink with sugar in it, you probably have hypoglycemia.
How is it treated?
If you have symptoms of low
blood sugar, you need to eat or drink something with sugar in it. For example,
you could eat raisins, graham crackers, or candy. You could also drink skim
milk, regular (not diet) soda, or fruit juice. You may also take glucose
tablets.
It’s a good idea to find out about health problems or
situations that can lead to low blood sugar. It’s also important to pay
attention to your health and lifestyle. For example, talk to your doctor to see
if you can change your diet, change the medicines you take, or change the way
you exercise. In some cases, treating the health problem that is causing low
blood sugar can prevent future problems.
What should you do in an emergency?
If mild or
moderate hypoglycemia isn't treated right away, it can turn into severe
hypoglycemia. People with severe hypoglycemia usually pass out. If you pass
out, someone should call
911 right away. It’s a good idea to
teach your family, friends, and coworkers about low blood sugar ahead of time
so they'll know what to do.
Frequently Asked
Questions
Learning about
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