Hypoglycemia is a condition in which there is a sudden drop of sugar to below 70gm/dl or less. Insulin dependent diabetics are more prone to hypoglycemia, the symptoms vary from mild to severe and can differ in each person.

What Causes Hypoglycemia?

Skipping or delaying your meal.

Strenuous exercise for a long time without eating snack or not adjusting insulin before exercise.

High dose of medication or change in time of medication.


Certain side effects of medicines.

Alcohol intake, especially taken without food.

Symptoms Of Hypoglycemia:

Most common symptoms include trembling of hands and feet, sweating, tiredness, lack of concentration, rapid heartbeat, anxiety, nausea, vomiting, weakness and hunger.

In certain situations, your blood sugar may fall very low, (less than 54mg/dl) you may experience symptoms like confusion, blurred vision, behavioural changes, seizures, slurred speech, or loss of consciousness.

Nocturnal Symptoms

Episodes of hypoglycemia are common during the nights. Your body secretes hormones glucagon and epinephrine that keep your sugar level at normal. Sometimes, the production of glucagon can drop during sleep, so, watch out for nocturnal symptoms of hypoglycemia such as night sweats, nightmares, talking while sleeping, restlessness, headache and unable to catch sound sleep.

Talk to your doctor if you experience nocturnal symptoms as hypoglycemia is life-threatening.

Treatment For Hypoglycemia

The immediate treatment of hypoglycemia is to raise blood glucose level.

The next step of treatment is to prevent underlying conditions that cause recurring hypoglycemia.

Give fast-acting sugar/simple carbohydrate such as:

15 grams of glucose tablets, 3 teaspoons or 3 packets of table sugar dissolved in 1 tsb of water.

 ½ cup of fruit juice or 1tbsp of honey.

Wait for  15 minutes, check blood glucose level. If it is still low less than 54 mg//dl, repeat the same again with one of the fast-acting sugar and recheck.

Do not give foods that are a source of fat or protein as they delay the body’s absorption of sugar.

As the blood glucose level becomes normal, immediately consume a snack or meal to help for balanced levels of blood glucose. This will also help you in replenishing the glycogen stores that might have been depleted during hypoglycemia.

In cases where you experience severe hypoglycemia, that inhibits your ability to take sugar by mouth, you may require an injection of intravenous glucose. Do not give food or drink to a person who is unconscious as this may aspirate food into the lungs.

Regular self-monitoring of blood glucose may help you in preventing hypoglycemia. It is vital to check your blood glucose often. If untreated, hypoglycemia can cause serious effects, such as seizures or fainting.

If you are prone to severe episodes of hypoglycemia consult your healthcare person for more appropriate treatment.