How to regulate hypoglycemia?

Written by Lin Xiang Dong
Endocrinology
Updated on September 03, 2024
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If a patient suddenly exhibits symptoms such as dizziness, palpitations, cold sweats, pallor, and hunger, we would first consider the possibility of hypoglycemia. At this time, we use a glucose meter to determine the blood sugar level. If hypoglycemia is confirmed, oral glucose water can be administered and fasting imposed, which can relieve the symptoms. If the hypoglycemia is sporadic, it is likely due to prolonged periods without eating and lack of energy. If hypoglycemia occurs frequently, it is necessary to go to the hospital promptly for examination to rule out diseases causing hypoglycemia, such as the most common cause, an insulinoma.

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The dangers of hypoglycemia

Hypoglycemia poses the greatest harm to the body by damaging brain tissue. If the drop in blood sugar is severe and prolonged, it can cause brain dysfunction due to glucose deprivation in brain tissues. This mainly manifests as changes in the patient's consciousness and personality, and can present as weakness, fatigue, and cognitive impairment. In severe cases, it can lead to seizures or coma. Additionally, degeneration and necrosis can occur in the neurons of the central nervous system within the brain cells, along with cerebral edema, diffuse cerebral hemorrhage, or periodic demyelination. If severe and persistent hypoglycemia is not effectively corrected, it can lead to permanent brain function impairment or death.

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How to regulate hypoglycemia?

If a patient suddenly exhibits symptoms such as dizziness, palpitations, cold sweats, pallor, and hunger, we would first consider the possibility of hypoglycemia. At this time, we use a glucose meter to determine the blood sugar level. If hypoglycemia is confirmed, oral glucose water can be administered and fasting imposed, which can relieve the symptoms. If the hypoglycemia is sporadic, it is likely due to prolonged periods without eating and lack of energy. If hypoglycemia occurs frequently, it is necessary to go to the hospital promptly for examination to rule out diseases causing hypoglycemia, such as the most common cause, an insulinoma.

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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.

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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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How to check for hypoglycemia

We usually diagnose hypoglycemia based on the following three criteria. The first is the presence of hypoglycemic symptoms, such as palpitations, tremors, sweating, dizziness, etc. If these symptoms are present, we must immediately consider the possibility of hypoglycemia, and then proceed to monitor blood glucose levels. If the blood glucose reading is below 2.8 for non-diabetic patients and below 3.9 for diabetic patients, hypoglycemia can be considered. Subsequently, the patient should consume sugary water, and if the symptoms significantly alleviate after this, a diagnosis of hypoglycemia can be established. Moreover, if the patient does not have a history of diabetes, does not use hypoglycemic drugs, but experiences recurring episodes of hypoglycemia, further testing is required, such as a fasting test, checking C-peptide levels, insulin levels, etc., to rule out insulinoma.