Hypoglycemia complications

Written by Lin Xiang Dong
Endocrinology
Updated on September 23, 2024
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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 Li Lang Bo
Endocrinology
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Can people with hypoglycemia eat beef?

Whether or not patients with hypoglycemia can eat beef really depends on the specific situation. Hypoglycemia varies in severity from mild, moderate, to severe. If you're just experiencing slight low blood sugar with some hunger and mild sweating, without any mental or physical impairments, then eating some beef shouldn't be a problem and it can indeed help raise your blood sugar. However, if you are experiencing moderate or severe hypoglycemia, characterized by heavy sweating, dizziness, and especially changes in consciousness, then it is not recommended to eat beef because its digestion and absorption are slow. In such cases, it is advised to quickly drink sugary water, and if necessary, administer sugar water intravenously to swiftly increase the blood sugar levels and alleviate symptoms of hypoglycemia. Since beef is a protein, it digests slowly and therefore causes a slower rise in blood sugar.

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Written by Lin Xiang Dong
Endocrinology
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Hypoglycemia emergency treatment procedure

Typically, when we consider a patient might have hypoglycemia, we follow the standard diagnostic procedures. First, we measure the patient's blood sugar level; if it is below 2.8 mmol/L, there is a high likelihood of hypoglycemia. Symptoms may include palpitations, dizziness, pale complexion, lack of concentration, lethargy, or even coma. Immediate action would involve giving the patient oral glucose solution or administrating glucose intravenously, followed by monitoring the patient’s clinical symptoms and blood sugar levels. If the patient's condition significantly improves after glucose provision, we can diagnose them with hypoglycemia. This is also a critical emergency procedure for hypoglycemia, which entails timely glucose supplementation. If the patient has recurrent hypoglycemia episodes, further detailed examinations should be conducted.

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Written by Lin Xiang Dong
Endocrinology
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Management of Hypoglycemia

The treatment of hypoglycemia mainly includes two aspects: the first is to alleviate the symptoms of hypoglycemia, and the second is to correct various underlying causes that lead to hypoglycemia. For various cases of hypoglycemia that have already occurred, rapid relief can be achieved by administering sugar water, sugary drinks, or consuming candies, cookies, bread, steamed buns, etc. If it is drug-induced hypoglycemia in diabetic patients, the relevant drugs should be discontinued promptly. If hypoglycemia occurs frequently, or even leads to coma, it is possible to investigate the primary disease, conduct a hypoglycemia test, and determine whether an insulinoma exists.

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Written by Lin Xiang Dong
Endocrinology
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The harms of hypoglycemia

Hypoglycemia poses significant risks to the human body and mainly includes the following aspects: Firstly, hypoglycemia can lead to brain dysfunction, initially characterized by lack of mental focus, sluggish thinking and speech, dizziness, drowsiness, irritability, and other symptoms. In later stages, seizures, coma, and even death may occur. Secondly, recurrent hypoglycemic episodes can cause irreversible damage to the central nervous system, leading to changes in personality, mental disorders, dementia, etc. Thirdly, hypoglycemia can stimulate the cardiovascular system, trigger arrhythmias, myocardial infarction, and so on. Fourthly, prolonged hypoglycemic coma, if unnoticed, can result in death.

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Written by Tang Zhuo
Endocrinology
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Manifestations of Hypoglycemia

When the blood glucose level of a normal person falls below 2.8mmol/L, or for diabetics below 3.9mmol/L, it is referred to as hypoglycemia. Hypoglycemia refers to a clinical syndrome caused by an abnormally low glucose concentration in the blood due to various reasons. Clinically, it primarily manifests through symptoms stimulated by the sympathetic nervous system and affects on the central nervous system. Typical signs of hypoglycemia include excessive sympathetic nervous excitement, such as sweating, hunger, palpitations, trembling, and paleness. Additionally, there are manifestations of brain dysfunction, initially presenting as lack of concentration, slow thinking and speech, dizziness, drowsiness, restlessness, irritability, and bizarre behavior. In severe cases, seizures, coma, and even death may occur.