How to test for hypoglycemia?

Written by Lin Xiang Dong
Endocrinology
Updated on September 11, 2024
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Hypoglycemia refers to a syndrome characterized by symptoms of sympathetic nerve excitation and brain cell hypoxia due to low blood glucose concentration. We usually identify hypoglycemia first by a series of symptoms. The primary symptoms of hypoglycemia are sympathetic nerve symptoms, including dizziness, palpitations, cold sweats, hunger, and pallor. If these symptoms occur, we use a glucometer to determine if the blood sugar level is below 2.8 mmol/L. If the blood sugar is below 2.8 mmol/L, one should quickly consume sugary water and energy. If the patient's symptoms are alleviated, then it is considered hypoglycemia.

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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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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.

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Written by Luo Juan
Endocrinology
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What does hypoglycemia lack?

Hypoglycemia refers to a decrease in the concentration of glucose in the blood, known as hypoglycemia. Generally, for the normal healthy population, a blood glucose concentration below 2.8 mmol/L is considered hypoglycemia. For diabetic patients, a blood glucose concentration below 3.9 mmol/L is considered hypoglycemia. Of course, this can also be due to some endocrine diseases, such as pituitary insufficiency, adrenal cortex insufficiency, and hypothyroidism leading to hypoglycemia. In addition to the low concentration of glucose in the blood, there may also be a decrease in some hormone levels related to pituitary, adrenal, and thyroid functions, such as decreased cortisol and thyroid hormone levels, which are also deficiencies in the body.

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Written by Chen Xie
Endocrinology
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What is hypoglycemia?

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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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.