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Diabetic Hypoglycemia

About the Disease

For people with diabetes, low blood sugar (hypoglycemia) occurs when there's too much insulin and not enough sugar (glucose) in the blood. Hypoglycemia is defined as blood sugar below 70 milligrams per deciliter (mg/dL), or 3.9 millimoles per liter (mmol/L). Several factors can cause hypoglycemia in people with diabetes, including taking too much insulin or other diabetes medications, skipping a meal, or exercising harder than usual. Pay attention to early warning signs, so you can treat low blood sugar promptly. Treatment involves short-term solutions — such as taking glucose tablets — to raise your blood sugar into a normal range. Untreated, diabetic hypoglycemia can lead to seizures and loss of consciousness — a medical emergency. Rarely, it can be deadly. Tell family and friends what symptoms to look for and what to do in case you're not able to treat the condition yourself.

Early warning signs and symptomsEarly signs and symptoms of diabetic hypoglycemia include:

  • Shakiness
  • Dizziness
  • Sweating
  • Hunger
  • Irritability or moodiness
  • Anxiety or nervousness
  • Headache

Nighttime Symptoms

  • Diabetic hypoglycemia can also occur while you sleep. Signs and symptoms, which can awaken you, include:
  • Damp sheets or bedclothes due to perspiration
  • Nightmares
  • Tiredness, irritability or confusion upon waking

Severe Symptoms

If diabetic hypoglycemia goes untreated, signs and symptoms of severe hypoglycemia can occur. These include:

  • Clumsiness or jerky movements
  • Muscle weakness
  • Difficulty speaking or slurred speech
  • Blurry or double vision
  • Drowsiness
  • Confusion
  • Convulsions or seizures
  • Unconsciousness
  • Death

Take your symptoms seriously. Diabetic hypoglycemia can increase the risk of serious — even deadly — accidents. Identifying and correcting the factors contributing to hypoglycemia, such as medications you take or irregular mealtimes, can prevent serious complications.Informing people you trust, such as family, friends and co-workers, about hypoglycemia is important. Their knowing what symptoms to look for and what to do in case you're not able to help yourself can make a potentially difficult situation easier to manage. It's also important that they know how to give you a glucagon injection, in case it becomes necessary. Symptoms can differ from person to person or from time to time, so it's important to monitor your blood sugar levels regularly and keep track of how you're feeling when your blood sugar is low. Some people don't have or don't recognize early symptoms (hypoglycemia unawareness). If you have hypoglycemia unawareness, you may require a higher glucose goal range.

When to see a doctor?

Hypoglycemia can leave you confused or even unconscious, which requires emergency care. Make sure your family, friends and co-workers know what to do.If you lose consciousness or can't swallow:

  • You shouldn't be given fluids or food, which could cause choking
  • You need an injection of glucagon — a hormone that stimulates the release of sugar into the blood
  • You need emergency treatment in a hospital if a glucagon injection isn't on hand

If you have symptoms of hypoglycemia several times a week, see your doctor. You may need to change your medication or your dosage or otherwise adjust your diabetes treatment program.

Hypoglycemia is most common among people who take insulin, but it can also occur if you're taking certain oral diabetes medications. Common causes of diabetic hypoglycemia include:

  • Taking too much insulin or diabetes medication
  • Not eating enough
  • Postponing or skipping a meal or snack Increasing exercise or physical activity without eating more or adjusting your medications
  • Drinking alcohol

Blood Sugar Regulation

The hormone insulin lowers glucose levels when glucose is elevated. If you have type 1 or type 2 diabetes and need insulin to control your blood sugar, taking more insulin than you need can cause your blood sugar level to drop too low and result in hypoglycemia. Hypoglycemia also may result if, after taking your diabetes medication, you eat less than usual or exercise more than you normally do. Your doctor can work with you to prevent this imbalance by finding the dose that fits your regular eating and activity patterns.

If you ignore the symptoms of hypoglycemia too long, you may lose consciousness. That's because your brain needs glucose to function. Recognize the signs and symptoms of hypoglycemia early because if untreated, hypoglycemia can lead to:

  • Seizures
  • Loss of consciousness
  • Death

On the other hand, be careful not to overtreat your low blood sugar. If you do, you may cause your blood sugar level to rise too high (hyperglycemia), which can become a problem with repeated episodes of hypoglycemia.

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    Max Hospital, Pitampura, New Delhi

    Dr. Nishi Nath Jha

    Dr. Nishi Nath Jha

    Senior Consultant - Internal Medicine

    Max Hospital, Pitampura, New Delhi

    Dr. Ashok Kumar

    Dr. Ashok Kumar

    Senior Consultant - Internal Medicine

    Max Hospital, Pitampura, New Delhi

    Dr. Anil Gomber

    Dr. Anil Gomber

    Senior Consultant - Internal Medicine

    Max Hospital, Pitampura, New Delhi

    Dr. Sandeep Budhiraja

    Dr. Sandeep Budhiraja

    Director - Max Institute of Internal Medicine

    Max Hospital, Gurgaon

    Dr. Rommel Tickoo

    Dr. Rommel Tickoo

    Consultant - Internal Medicine.

    Max Super Speciality Hospital, Saket, New Delhi

    Dr. Sanjeev Sharma

    Dr. Sanjeev Sharma

    Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. D P Dubey

    Dr. D P Dubey

    Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Shweta Garg

    Dr. Shweta Garg

    Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Ashok Kumar Grover

    Dr. Ashok Kumar Grover

    Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Pankaj Nand Choudhary

    Dr. Pankaj Nand Choudhary

    Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. N P Singh

    Dr. N P Singh

    Director & Senior Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Parkash Chandra Gera

    Dr. Parkash Chandra Gera

    Senior Consultant and Head - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Ajay Kumar Gupta

    Dr. Ajay Kumar Gupta

    Consultant - Internal Medicine & Diabetology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. K P Singh

    Dr. K P Singh

    Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Neelesh Goyal

    Dr. Neelesh Goyal

    Consultant - Internal Medicine

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Sanjay Dhall

    Dr. Sanjay Dhall

    Senior Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Anoop Kumar Malhotra

    Dr. Anoop Kumar Malhotra

    Senior Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. V.K Batra

    Dr. V.K Batra

    Senior Consultant - Internal Medicine.

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. S K Nagrani

    Dr. S K Nagrani

    Senior Consultant - Internal Medicine.

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Vineet Arora

    Dr. Vineet Arora

    Senior Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Ashok Pansari

    Dr. Ashok Pansari

    Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Vandana Boobna

    Dr. Vandana Boobna

    Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Diwakar Jha

    Dr. Diwakar Jha

    Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Sanjay Gogia

    Dr. Sanjay Gogia

    Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Ashish Rawal

    Dr. Ashish Rawal

    Consultant - Internal Medicine

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Sanjay Raina

    Dr. Sanjay Raina

    Senior Consultant - Internal Medicine.

    Max Super Speciality Hospital, Shalimar Bagh, New Delhi

    Dr. Sauren Panja

    Dr. Sauren Panja

    HOD - Internal Medicine

    Medica Superspecialty Hospital, Kolkata

    Dr. Dipankar Roy

    Dr. Dipankar Roy

    Visiting Consultant - Internal Medicine

    Medica Superspecialty Hospital, Kolkata

    Dr. Jayanta Datta

    Dr. Jayanta Datta

    Consultant - Internal Medicine

    Rotary Narayana Multispeciality Hospital, Salt Lake, Kolkata

    Dr. Amita .

    Dr. Amita .

    Visiting Consultant - Internal Medicine

    Narayana Multispeciality Hospital, HSR Layout, Bangalore

    Dr. Karthik .

    Dr. Karthik .

    Consultant - Internal Medicine

    Narayana Multispeciality Hospital, HSR Layout, Bangalore

    Dr. Krishna Reddy

    Dr. Krishna Reddy

    Consultant - Internal Medicine

    Narayana Multispeciality Hospital, HSR Layout, Bangalore

    Dr. Prabha R

    Dr. Prabha R

    Consultant - Internal Medicine

    Narayana Multispeciality Hospital, HSR Layout, Bangalore

    Dr. Karunesh .

    Dr. Karunesh .

    Visiting Consultant - Internal Medicine

    Narayana Multispeciality Hospital, HSR Layout, Bangalore

    Dr. N T Murali Mohan

    Dr. N T Murali Mohan

    Consultant - Internal Medicine

    Narayana Multi Speciality Hospital, Whitefield, Bangalore

    Dr. Jaya Suresh Bajaj

    Dr. Jaya Suresh Bajaj

    Consultant - Internal Medicine

    Narayana Multi Speciality Hospital, Whitefield, Bangalore

    Dr. Shilpa Singi

    Dr. Shilpa Singi

    Consultant - Internal Medicine

    Narayana Multi Speciality Hospital, Whitefield, Bangalore

    Dr. Pallav Rakesh

    Dr. Pallav Rakesh

    Junior Consultant - Internal Medicine

    Narayana Multi Speciality Hospital, Whitefield, Bangalore

    Dr. Trinanjan Deb

    Dr. Trinanjan Deb

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Vikash Maskara

    Dr. Vikash Maskara

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Trinanjan Ash

    Dr. Trinanjan Ash

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Shekhar Pal

    Dr. Shekhar Pal

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Sudarshan Khaskil

    Dr. Sudarshan Khaskil

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Utpal Kumar Sengupta

    Dr. Utpal Kumar Sengupta

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Himadri Saha

    Dr. Himadri Saha

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Utpal Sengupta

    Dr. Utpal Sengupta

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Amit Dey

    Dr. Amit Dey

    Consultant - Internal Medicine

    Narayana Multispecialty Hospital, Barasat, Kolkata

    Dr. Anurag Saxena

    Dr. Anurag Saxena

    Consultant - Internal Medicine

    Primus Super Speciality Hospital, New Delhi

    Dr. Anurag Mahajan

    Dr. Anurag Mahajan

    Senior Consultant - Internal Medicine

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Chandan Kedawat

    Dr. Chandan Kedawat

    Senior Consultant - Internal Medicine

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Arun Dewan

    Dr. Arun Dewan

    Consultant - Internal Medicine

    Saket City Hospital, New Delhi

    Dr. S Manohar

    Dr. S Manohar

    Director - Internal Medicine

    Sakra World Hospital, Varthur Hobli, Bangalore

    Dr. Raghu J

    Dr. Raghu J

    Consultant - Internal Medicine

    Sakra World Hospital, Varthur Hobli, Bangalore

    Dr. Subrata Das

    Dr. Subrata Das

    Consultant - Internal Medicine

    Sakra World Hospital, Varthur Hobli, Bangalore

    Dr. Kiran Kudrimoti

    Dr. Kiran Kudrimoti

    Consultant - Internal Medicine

    Sancheti Hospital for Specialised Surgery, Shivaji Nagar, Pune

    Dr. Aditi Malpani

    Dr. Aditi Malpani

    Consultant - Internal Medicine

    Sancheti Hospital for Specialised Surgery, Shivaji Nagar, Pune

    Dr. Hemalata Arora

    Dr. Hemalata Arora

    Consultant - Internal Medicine

    Seven Hills Hospital, Andheri East, Mumbai

    Dr. Amit Kasliwal

    Dr. Amit Kasliwal

    Consultant - Internal Medicine

    Seven Hills Hospital, Andheri East, Mumbai

    Dr. Mihir B Shah

    Dr. Mihir B Shah

    Consultant - Internal Medicine

    Seven Hills Hospital, Andheri East, Mumbai

    Dr. Dhiraj Bhattad

    Dr. Dhiraj Bhattad

    Consultant - Internal Medicine & Haematology

    Seven Hills Hospital, Andheri East, Mumbai

    Dr. Basant Kamwal

    Dr. Basant Kamwal

    Senior Consultant - Internal Medicine

    Wockhardt Hospital, North Mumbai

    Dr. Jinendra K Jain

    Dr. Jinendra K Jain

    Consultant - Internal Medicine

    Wockhardt Hospital, North Mumbai

    Dr. Mubin Momin

    Dr. Mubin Momin

    Consultant - Internal Medicine

    Wockhardt Hospital, North Mumbai

    Dr. Aqeel Huseini Malbari

    Dr. Aqeel Huseini Malbari

    Consultant - Internal Medicine

    Wockhardt Hospital, South Mumbai

    Dr. Prathamesh Arun Mule

    Dr. Prathamesh Arun Mule

    Consultant - Internal Medicine

    Wockhardt Hospital, South Mumbai

    Dr. M V Rao

    Dr. M V Rao

    Consultant - Internal Medicine

    Yashoda Hospitals, Somajiguda, Hyderabad

    Dr. H Guru Prasad

    Dr. H Guru Prasad

    Consultant - Internal Medicine

    Guru Nanak CARE Hospitals, Musheerabad, Hyderabad

    Dr. Sreekanth J

    Dr. Sreekanth J

    Consultant, Internal Medicine

    Apollo Cradle For Women & Children, Jubilee Hills

    Dr. Indira Reddy

    Dr. Indira Reddy

    Consultant, Internal Medicine

    Apollo Cradle For Women & Children, Jubilee Hills

    Dr. Yadavalli Srinivas

    Dr. Yadavalli Srinivas

    Consultant, Internal Medicine

    Apollo Cradle For Women & Children, Jubilee Hills

    Dr. Sudhir Chalasani

    Dr. Sudhir Chalasani

    Consultant, Internal Medicine and Diabetes

    Apollo Cradle For Women & Children, Jubilee Hills

    Dr. Raza Shah

    Dr. Raza Shah

    Consultant, Internal Medicine

    Apollo Hospitals, Bannerghatta Road

    Dr. Malla Reddy

    Dr. Malla Reddy

    Senior Consultant, Internal Medicine

    Apollo Hospitals, Bannerghatta Road

    Dr. Jyothsna Krishnappa

    Dr. Jyothsna Krishnappa

    Senior Consultant, Internal Medicine

    Apollo Hospitals, Bannerghatta Road

    Dr. Swarna Das

    Dr. Swarna Das

    Senior Consultant, Internal Medicine

    Apollo Hospitals, Bannerghatta Road

    Dr. Rajeeva Moger

    Dr. Rajeeva Moger

    Senior Consultant, Internal Medicine

    Apollo Hospitals, Bannerghatta Road

    Dr. Ramesh B S

    Dr. Ramesh B S

    Senior Consultant, Internal Medicine

    Apollo Hospitals, Bannerghatta Road

    Dr. Kalpana Janardhan

    Dr. Kalpana Janardhan

    Senior Consultant, Internal Medicine

    Apollo Hospitals, Bannerghatta Road

    Dr. Ananth Kumar

    Dr. Ananth Kumar

    Consultant, Internal Medicine

    Apollo Emergency Centre, Hyderguda

    Dr. Ganesh Yadala

    Dr. Ganesh Yadala

    Consultant, Internal Medicine

    Apollo Emergency Centre, Hyderguda

    Dr. Arshad Punjani

    Dr. Arshad Punjani

    Consultant, Internal Medicine

    Apollo Emergency Centre, Hyderguda

    Dr. Hari Kishan Boorugu

    Dr. Hari Kishan Boorugu

    Consultant, Internal Medicine

    Apollo Emergency Centre, Hyderguda

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