eCureMe logo
  eCureMe home eCureMe log In Sign Up!
eCureMe Life : Your Healthy Living. Click Here!
Welcome, medical contents search January 28, 2015
       eCureMe Life
       Medical Supplies
       Calorie Count
       Physician Search
       Message Board
      E-mail Doctor
      E-mail Veterinarian
      Health-O-Matic Meter
      Calorie Count
      Natural Medicine
      Vitamins & Minerals
      Alternative Living
      My Health Chart
      Diseases & Treatments
      Atlas of Diseases
      Sexually Transmitted
      Drug Information
      Illegal Drugs
      Lab & Diagnostic Tests
      Internal Medicine
      Women’s Health
      Eye Disorders
      Skin Disorders
      Mental Health
      Resource Links
      Physician Directory
      Dentist Directory
      Hospital Directory

Low Blood Sugar

more about Low Blood Sugar


  • Glucose (a form of simple sugar) is the primary energy source for the body.  The brain almost exclusively uses glucose as its source of energy.
  • Normal fasting blood sugar is 70-110 mg/dL.  When the blood sugar falls below 50, symptoms usually occur.  If the blood sugar goes below 30, fainting, Seizures, Strokes, or even death may occur.
  • Diabetics take Insulin, which decreases blood sugar (under normal circumstances it prevents the blood sugar from becoming too high).

  • Nervousness
  • Sweating
  • Clammy feeling
  • Heart pounding
  • Weakness
  • Confusion
  • Disorientation
  • Headache
  • Blurred Vision
  • Coma

  • Idiopathic
  • Insulin usage
  • Oral diabetic medications
  • Postprandial (2-3 hours after eating)
  • Factitious
  • Alcohol Hypoglycemia
  • Pancreatic B cell tumor (Insulinoma)
  • Extrapancreatic tumor
  • Immunopathologic Hypoglycemia
  • Pentamidine

  • Blood sugar is less than 40 mg/dL after an overnight fast
  • ProInsulin concentration is elevated in Insulinoma
  • Suppressed plasma C peptide immunoreactive Insulin in factitious Insulin
  • Test of blood for oral hypoglycemic medications, if a factitious Consumption is suspected
  • Intravenous Glucagon (1mg), and evaluate Insulin blood level at baseline for 5 to 10 minutes (a rise above 200 uU/mL)
  • Kinetic MRI with multiple images to localize an Insulinoma

    1. Frequent small meals of complex carbohydrates -- six meals per day.
    2. Avoid concentrated sugar, such as found in sodas and juices, unless having symptoms of Hypoglycemia, because it will have a rebound effect, promoting Low Blood Sugar 1-2 hours later.  If someone is symptomatic, this is different and he needs concentrated sugar right away (such as sugar-containing soda or orange juice).

- Patient needs sugar right away -- regular sodas, juices.  There are also glucose sprays available.  In the hospital, D50 is given intravenously in severe cases.

  • Oral hypoglycemic medications (oral diabetic medications):

- Patients who develop symptomatic Hypoglycemia while taking these medications usually need to be watched in a hospital for 24 hours.  The reason is that the medicine stays in the body for a long time, and the blood sugar tends to drop multiple times over the next 24 hours, until the medication is completely out of the system.

    1. Surgical removal is optimal.  Diazoxide by mouth helps decrease Insulin secretion (need to take hydrochlorothiazide as well because diazoxide causes water retention)
    2. Somatostatin may be helpful for individuals who are not surgical candidates.  Somatostatin inhibits Insulin release.
  • Factitious Hypoglycemia -- this is a psychiatric disorder and needs appropriate psychiatric care.

  • Anyone with symptoms of mental status change, such as confusion, Seizures, and disorientation, needs emergency medical care.  If you suspect this condition on a chronic, ongoing basis, you need to see your doctor.  Repeated episodes of Low Blood Sugar can cause permanent brain damage.

more about Low Blood Sugar

If you want your friend to read or know about this article, Click here

medical contents search

Home   |   About Us   |   Contact Us   |   Employment Ad   |   Help

Terms and Conditions under which this service is provided to you. Read our Privacy Policy.
Copyright © 2002 - 2003 eCureMe, Inc All right reserved.