What is hypoglycemia?

Written by Lin Xiang Dong
Endocrinology
Updated on September 27, 2024
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Hypoglycemia refers to a condition where the concentration of glucose in the bloodstream is too low, leading to insufficient energy supply in the body. This can excite the sympathetic nervous system or disrupt central nervous system functions, resulting in a range of clinical syndromes. Hypoglycemia is relatively common in our daily lives. Its symptoms often include palpitations, dizziness, trembling limbs, apathy, abnormal behavior, and in severe cases, even coma or sudden death. Therefore, timely diagnosis and treatment of hypoglycemia are very important.

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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.

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How to alleviate hypoglycemia

In general, for hypoglycemia, if a diabetic's blood sugar falls below 3.9 or a non-diabetic's blood sugar falls below 2.8, it is considered hypoglycemia. In terms of treatment, if the patient is conscious and experiences symptoms such as dizziness, palpitations, cold sweat, and hunger, it is recommended to measure blood sugar immediately and then eat foods that quickly increase blood sugar levels, such as chocolate or candy. If hypoglycemia in a patient is not corrected in time, it can lead to coma. If the patient is comatose, it is advised to call emergency services immediately and administer a 50% glucose intravenous injection to correct the hypoglycemia.

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How to treat hypoglycemia?

First, we need to accurately identify what hypoglycemia is. We often judge the occurrence of hypoglycemia based on symptoms, such as common symptoms including palpitations, dizziness, pale complexion, general weakness, trembling limbs, sweating, etc. When these symptoms appear, we should immediately use a rapid glucose meter to measure the fingertip blood sugar. If the blood sugar is below 2.8, then the diagnosis of hypoglycemia is confirmed. We immediately provide sugary drinks or other forms of energy substances, and the symptoms of low blood sugar can be greatly relieved.

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Written by Lin Xiang Dong
Endocrinology
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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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Endocrinology
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What are the symptoms of hypoglycemia?

Hypoglycemia, in fact, is diagnosed in healthy individuals when blood glucose levels are less than or equal to 2.8 mmol/L, and in diabetic patients when levels are less than or equal to 3.9 mmol/L. Common symptoms of mild hypoglycemia typically involve sympathetic nervous system activation, such as dizziness, palpitations, cold sweats, trembling hands, and a feeling of hunger. It is recommended that food be consumed promptly when these symptoms occur. If hypoglycemia is not immediately addressed, severe outcomes can occur, including altered mental status, coma, and unresponsiveness. In some cases, hypoglycemia may trigger seizures or abnormal cerebral vascular accidents, such as stroke or cardiac ischemia, leading to a heart attack. Therefore, preventing hypoglycemia is of utmost importance.