Causes of Hypoglycemia in Pregnant Women

Written by Du Rui Xia
Obstetrics
Updated on August 31, 2024
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Hypoglycemia is a relatively common clinical phenomenon in pregnant women during pregnancy, mainly manifesting as dizziness, blurred vision, and even fainting. This occurs because the metabolism of pregnant women accelerates during pregnancy, while the secretion of the islets is not correspondingly increased. This results in the physiological function of the islets being very active, which can easily lead to low blood sugar in expectant mothers, causing symptoms such as dizziness and fatigue due to hypoglycemia. Additionally, hormonal changes during pregnancy can lead to decreased appetite, nausea, vomiting, irregular eating habits, and malnutrition in pregnant women. Despite this, energy consumption still occurs, which can also lead to hypoglycemia.

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Written by Lin Xiang Dong
Endocrinology
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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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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 Zhao Xin Lan
Endocrinology
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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.

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Written by Li Lang Bo
Endocrinology
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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.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
53sec home-news-image

Causes of Hypoglycemia in Pregnant Women

Hypoglycemia is a relatively common clinical phenomenon in pregnant women during pregnancy, mainly manifesting as dizziness, blurred vision, and even fainting. This occurs because the metabolism of pregnant women accelerates during pregnancy, while the secretion of the islets is not correspondingly increased. This results in the physiological function of the islets being very active, which can easily lead to low blood sugar in expectant mothers, causing symptoms such as dizziness and fatigue due to hypoglycemia. Additionally, hormonal changes during pregnancy can lead to decreased appetite, nausea, vomiting, irregular eating habits, and malnutrition in pregnant women. Despite this, energy consumption still occurs, which can also lead to hypoglycemia.