Hypoglycemia

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Written by Zhao Xin Lan
Endocrinology
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Can people with hypoglycemia eat meat?

Hypoglycemia refers to a condition where the concentration of glucose in the plasma is too low, below 2.8mmol/L, which is termed hypoglycemia. During hypoglycemia, it is first necessary to quickly replenish glucose to increase the concentration of glucose in the blood and alleviate the symptoms of hypoglycemia. During hypoglycemia, it is best to first eat sugary foods, such as sugar water, chocolate, cookies, fruit juice, etc., which can quickly increase low blood sugar. Eating meat can also improve symptoms of hypoglycemia, but since meat takes longer to be digested and converted into blood glucose by the stomach, it does not quickly relieve symptoms of hypoglycemia. It is best to eat sugar during hypoglycemia, although meat can also be consumed.

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Written by Luo Juan
Endocrinology
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Does low blood sugar cause confusion?

When hypoglycemia occurs, it is possible to experience confusion. This is because, under normal conditions, the glucose level in our brain tissue is only about 25% of that in our blood. After hypoglycemia occurs, the glucose concentration in our brain tissue will further decrease, leading to a state of sugar and oxygen deprivation in the brain. Severe cases can exhibit a range of neuropsychiatric symptoms such as behavioral changes and confusion, cognitive dysfunction, or even epileptic seizures. Some patients may also experience coma and permanent brain damage, typically seen in those with severe and prolonged hypoglycemia. Similarly, patients who repeatedly experience hypoglycemia often also suffer from brain atrophy. Therefore, confusion can occur during hypoglycemia.

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Written by Lin Xiang Dong
Endocrinology
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How to treat hypoglycemia?

First, we need to accurately identify what hypoglycemia is. We often judge the occurrence of hypoglycemia based on symptoms, such as common symptoms including palpitations, dizziness, pale complexion, general weakness, trembling limbs, sweating, etc. When these symptoms appear, we should immediately use a rapid glucose meter to measure the fingertip blood sugar. If the blood sugar is below 2.8, then the diagnosis of hypoglycemia is confirmed. We immediately provide sugary drinks or other forms of energy substances, and the symptoms of low blood sugar can be greatly relieved.

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Written by Lin Xiang Dong
Endocrinology
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Standard for Low Blood Sugar

Our diagnostic criteria for hypoglycemia are often based on the "Whipple's triad," which is determined first by the presence of symptoms of hypoglycemia, such as palpitations, dizziness, pale complexion, cold sweats, confusion, mental abnormalities, and so on. Second, after the symptoms appear, we measure blood glucose; in non-diabetic patients, blood glucose below 2.8 mmol/L, and in diabetic patients, blood glucose below 3.9 mmol/L, then it can be judged as possibly hypoglycemia. Third, after measuring blood glucose, we quickly provide sugars, administer oral sugar water, biscuits, etc., and his symptoms of hypoglycemia quickly alleviate. Based on these three points, we can diagnose hypoglycemia.

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Written by Lin Xiang Dong
Endocrinology
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What is hypoglycemia?

Hypoglycemia refers to a condition where the concentration of glucose in the bloodstream is too low, leading to insufficient energy supply in the body. This can excite the sympathetic nervous system or disrupt central nervous system functions, resulting in a range of clinical syndromes. Hypoglycemia is relatively common in our daily lives. Its symptoms often include palpitations, dizziness, trembling limbs, apathy, abnormal behavior, and in severe cases, even coma or sudden death. Therefore, timely diagnosis and treatment of hypoglycemia are very important.

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Written by Lin Xiang Dong
Endocrinology
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What are the symptoms of hypoglycemia?

The symptoms of hypoglycemia primarily manifest as signs of sympathetic nervous excitement and lack of oxygen in brain cells. Sympathetic nervous excitement can cause feelings of hunger, pale complexion, palpitations, dizziness, and trembling limbs. Meanwhile, the lack of oxygen in brain cells primarily presents as disturbances in neurological functions. The most common symptoms include inability to concentrate, slow speech and thought processes, drowsiness, abnormal behavior, and in severe cases, it can even lead to coma.

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Written by Lin Xiang Dong
Endocrinology
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How is hypoglycemia treated?

The treatment for hypoglycemia is relatively simple; in most cases, it involves immediate consumption of sugar water to replenish energy, which can significantly alleviate the symptoms of hypoglycemia. If it is an occasional, single occurrence of hypoglycemia, normal status can be restored after replenishing energy. However, if hypoglycemia occurs repeatedly, it is necessary to seek timely medical treatment at a hospital to rule out some common diseases that cause hypoglycemia.

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Written by Lin Xiang Dong
Endocrinology
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Hypoglycemia complications

Complications of hypoglycemia encompass aspects of both the central nervous system and the heart. Firstly, the central nervous system, due to hypoglycemic episodes, can lead to brain cells lacking energy, which may then cause cerebral edema. This results in severe neuroglycopenic syndrome. Common symptoms include confusion, apathy, and abnormal mental and behavioral actions. If hypoglycemia persists or recurs, it can lead to coma and death. Secondly, cardiac complications arise during hypoglycemic episodes because excitement of the sympathetic nervous system leads to an increased heart rate or sinus tachycardia. Very few patients may experience bradycardia. Additionally, other arrhythmias, including premature atrial contractions, supraventricular tachycardia, ventricular premature beats, and short episodes of ventricular tachycardia, can occur.

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Written by Lin Xiang Dong
Endocrinology
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Is hypoglycemia dangerous?

For hypoglycemia that has already occurred, as long as we can accurately and promptly identify the onset of hypoglycemia and provide appropriate treatment, the hypoglycemia can be alleviated and cured. Occasional hypoglycemia is not very dangerous after being handled, but if hypoglycemia occurs frequently and does not receive timely rescue, it can cause significant damage to the human body, especially the central nervous system, causing damage to brain cells. If hypoglycemia lasts too long, it can even endanger life, leading to coma, death, etc.

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Written by Lin Xiang Dong
Endocrinology
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What to eat for low blood sugar?

For already occurring hypoglycemia, our treatment goal is to quickly alleviate the symptoms of hypoglycemia. The primary method is to provide sugar, either through sugar water, sugary drinks, or sugar-containing fruits, bread, etc. After providing sugar, the symptoms of hypoglycemia can be quickly relieved. At the same time, to prevent hypoglycemia, we need to do the following: first, eat meals regularly every day, avoiding eating too late or not enough. Second, it is not advisable to exercise on an empty stomach; it is appropriate to eat something before exercising. Third, avoid excessive alcohol consumption, as it can inhibit the conversion of liver glycogen into glucose in the body, making it easy to develop hypoglycemia, so avoid excessive drinking. Fourth, once common symptoms such as palpitations, dizziness, sweating, and other symptoms occur, we should quickly provide sugar.