How to treat hypoglycemia?

Written by Lin Xiang Dong
Endocrinology
Updated on September 29, 2024
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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 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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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.

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Written by Lin Xiang Dong
Endocrinology
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Hypoglycemia complications

Complications of hypoglycemia encompass aspects of both the central nervous system and the heart. Firstly, the central nervous system, due to hypoglycemic episodes, can lead to brain cells lacking energy, which may then cause cerebral edema. This results in severe neuroglycopenic syndrome. Common symptoms include confusion, apathy, and abnormal mental and behavioral actions. If hypoglycemia persists or recurs, it can lead to coma and death. Secondly, cardiac complications arise during hypoglycemic episodes because excitement of the sympathetic nervous system leads to an increased heart rate or sinus tachycardia. Very few patients may experience bradycardia. Additionally, other arrhythmias, including premature atrial contractions, supraventricular tachycardia, ventricular premature beats, and short episodes of ventricular tachycardia, can occur.

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Written by Lin Xiang Dong
Endocrinology
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What is hypoglycemia?

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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Written by Lin Xiang Dong
Endocrinology
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Management of Hypoglycemia

The treatment of hypoglycemia mainly includes two aspects: the first is to alleviate the symptoms of hypoglycemia, and the second is to correct various underlying causes that lead to hypoglycemia. For various cases of hypoglycemia that have already occurred, rapid relief can be achieved by administering sugar water, sugary drinks, or consuming candies, cookies, bread, steamed buns, etc. If it is drug-induced hypoglycemia in diabetic patients, the relevant drugs should be discontinued promptly. If hypoglycemia occurs frequently, or even leads to coma, it is possible to investigate the primary disease, conduct a hypoglycemia test, and determine whether an insulinoma exists.