What is hypoglycemia?

Written by Chen Xie
Endocrinology
Updated on September 18, 2024
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Hypoglycemia is a condition characterized by abnormally low plasma glucose levels, caused by various etiologies, and clinically presents as a syndrome mainly featuring sympathetic nervous excitement and brain cell glucose deficiency. For healthy individuals, hypoglycemia is diagnosed when blood glucose levels fall below 2.8 mmol/L. For diabetic patients, hypoglycemia is diagnosed when blood glucose levels are below 3.8 mmol/L. Hypoglycemia can be categorized into fasting hypoglycemia and postprandial hypoglycemia based on its causes. Common symptoms of hypoglycemia include palpitations, fatigue, trembling hands, accelerated heart rate, sweating, mental distraction, dizziness, drowsiness, unstable gait, irritability, and even odd behaviors. In severe cases, it can lead to coma or even death.

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How to Treat Hypoglycemia

If the patient is experiencing symptoms such as dizziness, palpitations, cold sweats, and feelings of hunger, but is mentally clear, it is suggested to promptly eat foods like candy or chocolate that can rapidly increase blood sugar levels. However, if the patient's hypoglycemia isn’t fully corrected and leads to unconsciousness, then it is critical to immediately call emergency services (dial 120). Upon their arrival, a micro blood sugar test should be conducted. Secondly, an injection of 50% glucose can be administered intravenously to correct the hypoglycemia. Thus, preventing hypoglycemia is very important.

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How to regulate hypoglycemia

If hypoglycemia occurs repeatedly, it is necessary to go to the hospital for an examination to rule out some diseases that may cause hypoglycemia. If no apparent diseases are found after the examination, self-regulation can be considered. The methods for self-regulation include the following: Firstly, pay attention to a reasonable diet, eat regularly, balance meat and vegetables, and develop good eating habits without excessive dieting. Secondly, persist in exercising to strengthen the body, enhance physical fitness, improve immunity, and reduce the occurrence of hypoglycemia. Lastly, develop good living habits, ensure adequate sleep, avoid staying up late, avoid excessive fatigue, and balance work and rest.

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Causes of Hypoglycemia in Pregnant Women

Hypoglycemia is a relatively common clinical phenomenon in pregnant women during pregnancy, mainly manifesting as dizziness, blurred vision, and even fainting. This occurs because the metabolism of pregnant women accelerates during pregnancy, while the secretion of the islets is not correspondingly increased. This results in the physiological function of the islets being very active, which can easily lead to low blood sugar in expectant mothers, causing symptoms such as dizziness and fatigue due to hypoglycemia. Additionally, hormonal changes during pregnancy can lead to decreased appetite, nausea, vomiting, irregular eating habits, and malnutrition in pregnant women. Despite this, energy consumption still occurs, which can also lead to hypoglycemia.

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Can people with hypoglycemia exercise?

Generally speaking, when hypoglycemia occurs, one should first correct the low blood sugar levels and identify the cause of the hypoglycemia before engaging in exercise. This is because hypoglycemia can manifest in various ways depending on the cause, the degree and speed of the blood sugar drop, and the individual's response. For instance, some patients may exhibit symptoms of excessive sympathetic nervous system activation, such as sweating, trembling, palpitations, hunger, anxiety, tension, and a slight increase in blood pressure. If hypoglycemia is not corrected, it can lead to a further decline in blood sugar levels, resulting in symptoms of neuroglycopenia. These may include lack of mental focus, dizziness, sluggishness, blurred vision, unsteady gait, and even hallucinations, restlessness, abnormal behavior, and other psychotic manifestations. Some may also exhibit confusion, infantile movements, choreiform movements, and even some spasms, coma, and a drop in blood pressure. Therefore, hypoglycemia is a serious condition and exercise should only be undertaken after it has been corrected.

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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.