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Hypoglycemia
Hypoglycemia is caused by what?
Hypoglycemia is most commonly seen in patients with type 2 diabetes. During the treatment of diabetes, hypoglycemia can occur due to excessive use of medication or insulin, failure to eat on time after exercise, or decreased appetite without appropriately reducing the medication. Another common cause is insulinoma, a type of tumor that secretes excessive insulin, resulting in lowered blood glucose levels. A third cause relates to the early stage of type 2 diabetes, where insulin resistance and delayed insulin peak times often lead to pre-meal hypoglycemia, especially before lunch and dinner. Lastly, hypoglycemia is also commonly observed in some young women with specific coloring, potentially due to gastrointestinal motility issues or other reasons leading to pre-meal hypoglycemia. It is also common in patients with hepatitis or cirrhosis, where the liver's ability to output glucose is diminished, increasing the risk of hypoglycemia when fasting.
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.
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.
Is hypoglycemia dangerous?
For diabetic patients, hypoglycemia is defined as glucose levels less than 4 mmol/L, and for non-diabetic individuals, or healthy people, low blood sugar is characterized by levels less than 2.8 mmol/L. Hypoglycemia initially causes metabolic abnormalities in the brain since brain cells in the middle of the brain can't break down fats or proteins; they can only use the simplest sugars, which is the glucose in our blood, as their energy source. When the concentration of sugar in the blood decreases, the brain cells fail to absorb enough energy, which can lead to abnormalities in brain function, resulting in symptoms like fatigue and drowsiness. If glucose is not consumed at this point, the further deficiency in energy for brain cells may lead to coma, making hypoglycemia a very dangerous condition.
How is hypoglycemia treated?
For mild hypoglycemia, if the patient is conscious, they can self-treat by orally consuming sugary solutions or foods containing carbohydrates, such as beverages, fruit juices, glucose water, candies, etc. In cases of more severe hypoglycemia accompanied by changes in consciousness, oral sugar intake is not advisable. Instead, intravenous glucose injections should be administered to raise blood sugar levels, typically using about 40-100 ml of 50% concentrated glucose. Blood sugar levels should be monitored repeatedly. If the patient does not regain consciousness, repeated glucose injections may be necessary. For severe cases with other organic pathologies, treatment with corticosteroids may be required, and emergency hospital treatment is necessary.
Does hypoglycemia spread?
Hypoglycemia is not a contagious disease, so it is not transmittable. Hypoglycemia is primarily caused by excessive secretion of insulin in the body, or by consuming too little sugary food, leading to abnormally low blood sugar levels and certain clinical symptoms such as palpitations, trembling hands, fatigue, and cold sweats. Therefore, it is caused by pathological reasons within the body itself, and not by infectious bacteria or viruses from external sources, so it is not contagious. However, when hypoglycemia occurs, it is necessary to promptly consume sugary foods to alleviate the symptoms and prevent more serious damage to the body.
Can people with hypoglycemia exercise?
Hypoglycemia refers to a plasma glucose concentration lower than 2.8 mmol/L, at which point patients may exhibit signs of sympathetic nervous excitement, such as trembling hands, palpitations, pale complexion, profuse sweating, feelings of hunger, and fatigue. There can also be brain function disturbances, leading to symptoms like dizziness, blurred vision, hallucinations, and bizarre behavior. At this time, it is not advisable to exercise. Instead, immediate rest is recommended, along with the consumption of sugary foods to raise blood sugar levels. Exercise is strictly prohibited as it can lead to unnecessary physical injuries, such as falls.
Where to massage for low blood sugar?
Hypoglycemia cannot be treated by massage. The treatment for hypoglycemia involves sugar supplementation. Mild cases can be managed by orally consuming sugar water or sweets, whereas severe cases require intravenous administration of hypertonic glucose. Additionally, it is necessary to screen for the underlying causes and treat them accordingly. Hypoglycemia is defined as blood plasma glucose levels less than 2.8mmol/L. For diabetic patients, a blood glucose level below 3.9mmol/L qualifies as hypoglycemia. The causes of hypoglycemia are numerous, including islet cell tumors, a state of starvation, enhanced insulin sensitivity due to exercise, or inappropriate use of hypoglycemic drugs in diabetic patients. The effects of hypoglycemia on the human body can be severe and require immediate treatment with sugar supplementation. Massage does not serve as a treatment for hypoglycemia.
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.
Causes of Hypoglycemia in Females
The causes of hypoglycemia in women can be related to various factors, including drug-induced, hepatic, pancreatic, non-pancreatic tumors, renal, endocrine issues, as well as excessive consumption or insufficient intake, among others. For women, apart from organic lesions, common causes include excessive hunger, intense exercise, or chronic diarrhea, which can lead to hypoglycemia. Some women experience hypoglycemia due to lactation or pregnancy without timely replenishment of energy. Additionally, a common condition seen in women is idiopathic functional hypoglycemia, often found in neurotic women, which typically presents with symptoms of hunger and sweating, usually with few physical signs. Characteristically, it involves early-occurring reactive hypoglycemia that generally resolves on its own in less than 30 minutes, with blood glucose tests showing slightly decreased levels and normal or slightly elevated insulin levels in the blood.