Causes of Hypoglycemia in Females

Written by Luo Juan
Endocrinology
Updated on January 12, 2025
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The causes of hypoglycemia in women can be related to various factors, including drug-induced, hepatic, pancreatic, non-pancreatic tumors, renal, endocrine issues, as well as excessive consumption or insufficient intake, among others. For women, apart from organic lesions, common causes include excessive hunger, intense exercise, or chronic diarrhea, which can lead to hypoglycemia. Some women experience hypoglycemia due to lactation or pregnancy without timely replenishment of energy. Additionally, a common condition seen in women is idiopathic functional hypoglycemia, often found in neurotic women, which typically presents with symptoms of hunger and sweating, usually with few physical signs. Characteristically, it involves early-occurring reactive hypoglycemia that generally resolves on its own in less than 30 minutes, with blood glucose tests showing slightly decreased levels and normal or slightly elevated insulin levels in the blood.

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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.

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How is hypoglycemia treated?

The treatment for hypoglycemia is relatively simple; in most cases, it involves immediate consumption of sugar water to replenish energy, which can significantly alleviate the symptoms of hypoglycemia. If it is an occasional, single occurrence of hypoglycemia, normal status can be restored after replenishing energy. However, if hypoglycemia occurs repeatedly, it is necessary to seek timely medical treatment at a hospital to rule out some common diseases that cause hypoglycemia.

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How to check for hypoglycemia

We usually diagnose hypoglycemia based on the following three criteria. The first is the presence of hypoglycemic symptoms, such as palpitations, tremors, sweating, dizziness, etc. If these symptoms are present, we must immediately consider the possibility of hypoglycemia, and then proceed to monitor blood glucose levels. If the blood glucose reading is below 2.8 for non-diabetic patients and below 3.9 for diabetic patients, hypoglycemia can be considered. Subsequently, the patient should consume sugary water, and if the symptoms significantly alleviate after this, a diagnosis of hypoglycemia can be established. Moreover, if the patient does not have a history of diabetes, does not use hypoglycemic drugs, but experiences recurring episodes of hypoglycemia, further testing is required, such as a fasting test, checking C-peptide levels, insulin levels, etc., to rule out insulinoma.

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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.

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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.