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{{Hypoglycemia (patient information)}} | |||
'''For the WikiDoc page for this topic, click [[Hypoglycemia|here]]''' | '''For the WikiDoc page for this topic, click [[Hypoglycemia|here]]''' | ||
{{ | {{CMG}}; {{AOEIC}} {{JW}}; {{AE}} Meagan E. Doherty | ||
== | ==Overview== | ||
Hypoglycemia is a condition that occurs when your blood sugar (glucose) is too low. | Hypoglycemia is a condition that occurs when your [[blood sugar]] ([[glucose]]) is too low. | ||
==What are the symptoms of Hypoglycemia?== | ==What are the symptoms of Hypoglycemia?== | ||
* Cold sweats | * [[Cold sweats]] | ||
* Confusion | * [[Confusion]] | ||
* Convulsions | * [[Convulsions]] | ||
* Coma | * [[Coma]] | ||
* Double vision or blurry vision | * [[Double vision]] or [[blurry vision]] | ||
* Fatigue | * [[Fatigue]] | ||
* General discomfort, uneasiness, or ill feeling (malaise) | * [[General discomfort]], [[uneasiness]], or [[ill feeling]] ([[malaise]]) | ||
* Headache | * [[Headache]] | ||
* Hunger | * [[Hunger]] | ||
* Irritability (possible aggression) | * [[Irritability]] (possible aggression) | ||
* Nervousness | * [[Nervousness]] | ||
* Rapid heart rate | * [[Rapid heart rate]] | ||
* Trembling | * [[Trembling]] | ||
Other symptoms that may be associated with this disease: | Other symptoms that may be associated with this disease: | ||
* Decreased alertness | * Decreased alertness | ||
* Different size pupils | * Different size pupils | ||
* Dizziness | * [[Dizziness]] | ||
* Excessive sweating | * [[Excessive sweating]] | ||
* Fainting | * [[Fainting]] | ||
* Hallucinations | * [[Hallucinations]] | ||
* Memory loss | * [[Memory loss]] | ||
* Muscle pain | * [[Muscle pain]] | ||
* Paleness | * [[Paleness]] | ||
* Pounding heartbeat (heartbeat sensations) | * Pounding heartbeat (heartbeat sensations) | ||
* Sleeping difficulty | * [[Sleeping difficulty]] | ||
==What | ==What causes Hypoglycemia?== | ||
Hypoglycemia occurs when: | Hypoglycemia occurs when: | ||
* Your body's sugar (glucose) is used up too quickly | * Your body's sugar ([[glucose]]) is used up too quickly | ||
* Glucose is released into the bloodstream too slowly | * Glucose is released into the bloodstream too slowly | ||
* Too much insulin is released into the bloodstream | * Too much [[insulin]] is released into the bloodstream | ||
Insulin is a hormone that reduces blood sugar. It is produced by the pancreas in response to increased glucose levels in the blood. | Insulin is a hormone that reduces [[blood sugar]]. It is produced by the pancreas in response to increased glucose levels in the blood. | ||
Hypoglycemia is relatively common in persons with diabetes. It occurs when | Hypoglycemia is relatively common in persons with [[diabetes]]. It occurs when | ||
* You take too much insulin or diabetes medicine | * You take too much [[insulin]] or diabetes medicine | ||
* You don't eat enough food | * You don't eat enough food | ||
* You suddenly increase your exercise without increasing the amount of food you eat | * You suddenly increase your exercise without increasing the amount of food you eat | ||
Relative hypoglycemia is a fairly common condition in which a newborn's blood sugar is low. Babies born to mothers with diabetes may have severe hypoglycemia. | Relative hypoglycemia is a fairly common condition in which a newborn's blood sugar is low. Babies born to mothers with [[diabetes]] may have severe hypoglycemia. | ||
Idiopathic hypoglycemia is hypoglycemia that occurs without a known cause. People with this type of hypoglycemia do not have diabetes. | Idiopathic hypoglycemia is hypoglycemia that occurs without a known cause. People with this type of hypoglycemia do not have diabetes. | ||
Hypoglycemia may also be caused by: | Hypoglycemia may also be caused by: | ||
* Ingestion of alcohol | * Ingestion of [[alcohol]] | ||
* Insulin-secreting tumor of the pancreas | * Insulin-secreting [[tumor]] of the [[pancreas]] | ||
* Liver disease | * [[Liver]] disease | ||
==Who is at risk | ==Who is at highest risk?== | ||
Hypoglycemia is relatively common in persons with diabetes. | Hypoglycemia is relatively common in persons with diabetes. | ||
== | ==Diagnosis== | ||
Home monitoring of blood sugar will show readings lower than 50 mg/dL. | [[Home monitoring]] of [[blood sugar]] will show readings lower than 50 mg/dL. | ||
Serum glucose test will be low. | Serum glucose test will be low. | ||
==When to seek urgent medical care== | ==When to seek urgent medical care?== | ||
Go to the emergency room immediately or call a local emergency number (such as 911) if early signs of hypoglycemia do not improve after you've eaten a snack containing sugar. | Go to the emergency room immediately or call a local emergency number (such as 911) if early signs of hypoglycemia do not improve after you've eaten a snack containing sugar. | ||
Get immediate medical help if a person with diabetes or a history of hypoglycemia loses alertness or if you can't wake them up. | Get immediate medical help if a person with [[diabetes]] or a history of hypoglycemia loses alertness or if you can't wake them up. | ||
==Treatment options== | ==Treatment options== | ||
Treatment depends on the cause. | Treatment depends on the cause. | ||
In people with diabetes who take medication that lowers blood sugar, a snack or drink containing sugar will raise the blood glucose level. Try to drink no more than 4 ounces of juice or sugar soda. You should see an immediate improvement in symptoms. If you do not, check blood sugar and repeat after 15 minutes. Overtreatment of low blood sugar can cause problems with high blood sugar in people with diabetes. | :*Hypoglycemia caused by [[diabetes]]: In people with [[diabetes]] who take medication that lowers [[blood sugar]], a snack or drink containing sugar will raise the blood glucose level. Try to drink no more than 4 ounces of juice or sugar soda. You should see an immediate improvement in symptoms. If you do not, check blood sugar and repeat after 15 minutes. Overtreatment of low blood sugar can cause problems with high blood sugar in people with diabetes. | ||
:*Hypoglycemia caused by idiopathic hypoglycemia: People with severe hypoglycemia are treated with glucose injections or the hormone [[glucagon]]. Immediate treatment is needed to prevent serious [[complication]]s or death. Your doctor may tell you to change your diet so that you get more even amounts of glucose into your body throughout the day. This may prevent further episodes of low blood sugar. You may be told to eat small, frequent meals with complex carbohydrates, fiber, and fat and to avoid simple sugars, alcohol, and fruit juice. You should also eat meals at regular intervals, and balance extra exercise with extra food. | |||
:*Hypoglycemia caused by [[insulinoma]]: If hypoglycemia is caused by an [[insulinoma]] (insulin-secreting tumor), [[surgery]] to remove the tumor is the best treatment. | |||
===Medications to avoid=== | |||
{{MedCondContrPI | |||
|MedCond =hypoglycemia|Insulin glulisine|Insulin lispro}} | |||
==Diseases with similar symptoms== | ==Diseases with similar symptoms== | ||
* [[Insulinoma]] | |||
* [[Addison's disease]] | |||
* Pituitary disorders | |||
* Liver disease | |||
==Where to find medical care for Hypoglycemia== | ==Where to find medical care for Hypoglycemia?== | ||
[http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|yourdisease}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Hypoglycemia] | [http://maps.google.com/maps?f=q&hl=en&geocode=&q={{urlencode:{{#if:{{{1|}}}|{{{1}}}|yourdisease}}}}&sll=37.0625,-95.677068&sspn=65.008093,112.148438&ie=UTF8&ll=37.0625,-95.677068&spn=91.690419,149.414063&z=2&source=embed Directions to Hospitals Treating Hypoglycemia] | ||
==Prevention | ==Prevention== | ||
If you have diabetes, make sure you follow your doctor's advice regarding diet, medications, and exercise. | If you have [[diabetes]], make sure you follow your doctor's advice regarding diet, medications, and exercise. | ||
If you have a history of hypoglycemia, you should keep a snack or drink containing sugar available at all times to take as soon as symptoms appear. If symptoms do not improve in 15 minutes, eat more food. A glucagon kit is available for those who have episodes of hypoglycemia that don't respond well to other types of treatment. | If you have a history of hypoglycemia, you should keep a snack or drink containing sugar available at all times to take as soon as symptoms appear. If symptoms do not improve in 15 minutes, eat more food. A glucagon kit is available for those who have episodes of hypoglycemia that don't respond well to other types of treatment. | ||
==What to expect (Outlook/Prognosis)== | ==What to expect (Outlook/Prognosis)?== | ||
Prognosis of hypoglycemia depends on: | |||
:*The cause of hypoglycemia | |||
:*Whether the patient is diagnosed and treated in time. | |||
==Sources== | ==Sources== | ||
*http://www.wrongdiagnosis.com/h/hypoglycemia/misdiag.htm | |||
*http://www.nlm.nih.gov/medlineplus/hypoglycemia.html | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
[[Category: | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | |||
[[Category:Endocrinology]] | |||
[[Category:Emergency medicine]] | |||
Latest revision as of 22:18, 29 July 2020
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Hypoglycemia |
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Hypoglycemia On the Web |
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For the WikiDoc page for this topic, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Jinhui Wu, M.D.; Associate Editor(s)-in-Chief: Meagan E. Doherty
Overview
Hypoglycemia is a condition that occurs when your blood sugar (glucose) is too low.
What are the symptoms of Hypoglycemia?
- Cold sweats
- Confusion
- Convulsions
- Coma
- Double vision or blurry vision
- Fatigue
- General discomfort, uneasiness, or ill feeling (malaise)
- Headache
- Hunger
- Irritability (possible aggression)
- Nervousness
- Rapid heart rate
- Trembling
Other symptoms that may be associated with this disease:
- Decreased alertness
- Different size pupils
- Dizziness
- Excessive sweating
- Fainting
- Hallucinations
- Memory loss
- Muscle pain
- Paleness
- Pounding heartbeat (heartbeat sensations)
- Sleeping difficulty
What causes Hypoglycemia?
Hypoglycemia occurs when:
- Your body's sugar (glucose) is used up too quickly
- Glucose is released into the bloodstream too slowly
- Too much insulin is released into the bloodstream
Insulin is a hormone that reduces blood sugar. It is produced by the pancreas in response to increased glucose levels in the blood.
Hypoglycemia is relatively common in persons with diabetes. It occurs when
- You take too much insulin or diabetes medicine
- You don't eat enough food
- You suddenly increase your exercise without increasing the amount of food you eat
Relative hypoglycemia is a fairly common condition in which a newborn's blood sugar is low. Babies born to mothers with diabetes may have severe hypoglycemia.
Idiopathic hypoglycemia is hypoglycemia that occurs without a known cause. People with this type of hypoglycemia do not have diabetes.
Hypoglycemia may also be caused by:
Who is at highest risk?
Hypoglycemia is relatively common in persons with diabetes.
Diagnosis
Home monitoring of blood sugar will show readings lower than 50 mg/dL.
Serum glucose test will be low.
When to seek urgent medical care?
Go to the emergency room immediately or call a local emergency number (such as 911) if early signs of hypoglycemia do not improve after you've eaten a snack containing sugar.
Get immediate medical help if a person with diabetes or a history of hypoglycemia loses alertness or if you can't wake them up.
Treatment options
Treatment depends on the cause.
- Hypoglycemia caused by diabetes: In people with diabetes who take medication that lowers blood sugar, a snack or drink containing sugar will raise the blood glucose level. Try to drink no more than 4 ounces of juice or sugar soda. You should see an immediate improvement in symptoms. If you do not, check blood sugar and repeat after 15 minutes. Overtreatment of low blood sugar can cause problems with high blood sugar in people with diabetes.
- Hypoglycemia caused by idiopathic hypoglycemia: People with severe hypoglycemia are treated with glucose injections or the hormone glucagon. Immediate treatment is needed to prevent serious complications or death. Your doctor may tell you to change your diet so that you get more even amounts of glucose into your body throughout the day. This may prevent further episodes of low blood sugar. You may be told to eat small, frequent meals with complex carbohydrates, fiber, and fat and to avoid simple sugars, alcohol, and fruit juice. You should also eat meals at regular intervals, and balance extra exercise with extra food.
- Hypoglycemia caused by insulinoma: If hypoglycemia is caused by an insulinoma (insulin-secreting tumor), surgery to remove the tumor is the best treatment.
Medications to avoid
Patients diagnosed with hypoglycemia should avoid using the following medications:
- Insulin glulisine
- Insulin lispro
If you have been diagnosed with hypoglycemia, consult your physician before starting or stopping any of these medications.
Diseases with similar symptoms
- Insulinoma
- Addison's disease
- Pituitary disorders
- Liver disease
Where to find medical care for Hypoglycemia?
Directions to Hospitals Treating Hypoglycemia
Prevention
If you have diabetes, make sure you follow your doctor's advice regarding diet, medications, and exercise.
If you have a history of hypoglycemia, you should keep a snack or drink containing sugar available at all times to take as soon as symptoms appear. If symptoms do not improve in 15 minutes, eat more food. A glucagon kit is available for those who have episodes of hypoglycemia that don't respond well to other types of treatment.
What to expect (Outlook/Prognosis)?
Prognosis of hypoglycemia depends on:
- The cause of hypoglycemia
- Whether the patient is diagnosed and treated in time.