Hypoglycemia emergency treatment procedure

Written by Lin Xiang Dong
Endocrinology
Updated on February 01, 2025
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Typically, when we consider a patient might have hypoglycemia, we follow the standard diagnostic procedures. First, we measure the patient's blood sugar level; if it is below 2.8 mmol/L, there is a high likelihood of hypoglycemia. Symptoms may include palpitations, dizziness, pale complexion, lack of concentration, lethargy, or even coma. Immediate action would involve giving the patient oral glucose solution or administrating glucose intravenously, followed by monitoring the patient’s clinical symptoms and blood sugar levels. If the patient's condition significantly improves after glucose provision, we can diagnose them with hypoglycemia. This is also a critical emergency procedure for hypoglycemia, which entails timely glucose supplementation. If the patient has recurrent hypoglycemia episodes, further detailed examinations should be conducted.

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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 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 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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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.

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Written by Lin Xiang Dong
Endocrinology
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What to do about hypoglycemia?

After a hypoglycemic episode, we need to handle it quickly. Usually, based on symptoms of hypoglycemia, such as dizziness, palpitations, cold sweats, pale complexion, and trembling hands, we can preliminarily judge the likelihood of a hypoglycemic attack. Then, use a rapid glucose meter to measure fingertip blood sugar levels. For non-diabetic patients, a blood sugar level below 2.8 mmol/L and for diabetic patients, a level below 3.9 mmol/L can be indicative. Next, we quickly provide sugar, offering oral sugar water, sugary drinks, or sugar-containing fruits, cookies, bread, etc. After these treatments, the symptoms of hypoglycemia can be quickly alleviated.