Hypoglycemia

A condition where the blood sugar or glucose levels are lower than normal is called hypoglycemia. Glucose is the main source of energy in the body. Low blood glucose or hypoglycemia is often due to antidiabetic medicines. The other causes include excessive drinking, hormone deficiency, and Insulin overproduction.

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I have Hashimoto's disease. But why am I hypoglycemic when my insulin levels are normal?

Query: Hello doctor, I was diagnosed with Hashimoto's thyroid disease approximately four months ago after my second pregnancy. I started taking Levothyroxine tablets. Due to weight gain, I took a GTT on Monday. My insulin was within the normal range. However, I was hypoglycemic during the first two hours. ...  Read Full »


Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. There can be multiple reasons for hypoglycemia in your case. The first reason can be due to prolonged fasting. Maybe your body could not cope and developed hypoglycemia. Secondly, it can be due to increased body metabolism under the effect of thyroid medication. You...  Read Full »

Is diabetes medicine needed if HbA1c is 7.5?

Query: Hello doctor, I am a 52 year old female. One year before I went to a diabetologist and took glucose tolerance test. Here is the result, fasting - 128 mg/dL, 1 hour - 340 mg/dL, 2 hour - 196 mg/dL. Doctor prescribed medicine for a month but after that I did not take any medication. Now I would...  Read Full »


Dr. Ankush Gupta Dhaniram

Answer: Hi, Welcome to icliniq.com. As you have mentioned that took medicine for a month, still your HbA1c - glycated hemoglobin is 7.5 (attachment removed to protect patient identity). This is little high. The target of HbA1c should be less than 7. So, I would suggest you to continue with tablet Gly...  Read Full »

Am I type 1 or type 2 diabetic? How can I treat my hypoglycemia too?

Query: Hello doctor, My doctor whom I had been visiting discontinued her practice. I found a new doctor with whom I am having problems. The doctor diagnosed me with diabetes 24 years ago when I was 39. I was tried on a couple of different types and dosages of pills, but I cannot remember the names and was ...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned, it appears that you indeed have type 1 diabetes. Regarding your hypoglycemia, I would suggest that you decrease the dose of NovoLog (insulin aspart injection) by two units in the morning and night. Your kid...  Read Full »

What could cause fainting and breathing problem in an 11-year-old boy after jogging?

Query: Hi doctor, My son and I went for a jog. We used to run in our regular route but had not done it for about a week and a half. We would usually run to point A, stop for a few seconds, catch our breath, do a brisk walk, and run back home. However, when we reached point A, we stopped to catch our breath...  Read Full »


Dr. Manu Chandarashekhara Bharadwaj

Answer: Hello, Welcome to icliniq.com. By your description, it does not seem like the child has any convulsion or seizure disorder. This kind of fainting happening in an 11-year-old, who is otherwise asymptomatic, never had such problems before, there are two things that we need to address immediately. 1...  Read Full »

I experienced trembling in my hands the afternoon after I had consumed alcohol the night before. Could I be hypoglycemic?

Query: Hello doctor, Just recently, around 15 days back, I went out drinking with my friends. I only drank 2 pints of beer that night at a normal rate. The next afternoon at about 12 PM, I had two slices of toast with chocolate spread and coffee for brunch. The next meal was at 4 PM (4 hours later). Howeve...  Read Full »


Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to icliniq.com. You had two episodes of similar symptoms. The first episode happened after the intake of alcohol. Alcohol is one of the etiological factors that can cause hypoglycemia. In the first episode, you had symptoms of a feeling of fainting, increased heart rate, and tremors...  Read Full »

How can I manage hypoglycemic episodes in my diabetic patient taking oral antidiabetic medications and Insulin?

Query: Hello doctor, I am a specialist doctor and wanted to consult you regarding advice for a patient. A 50-year-old patient was recently discharged from the hospital with symptomatic (slurred speech and confusion) hypoglycemic episodes with glucose levels of 36 mg/dL. The patient is on a regimen of five ...  Read Full »


Dr. Kaushal Bhavsar

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. The following are my suggestions: 1. Stop all oral diabetes tablets. 2. Stop basal Insulin at night. 3. Start plain Insulin four times a day according to the random blood sugar (RBS) value on the glucometer. I hope ...  Read Full »

My mother's sugar levels have been low since taking medications for diabetes. Why?

Query: Hello doctor, My mother was diagnosed with type 2 diabetes. Her first blood sugar test report was at 437. Now, after three months, the fasting level is 86. Last month fasting was 105 and post-prandial was 120. She is taking half a tablet of Glimepiride 2 mg and Metformin 1000 mg both twice a day. Sh...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query about your mother and it seems that she has a very good diabetes control. However, if you reduce her dose, then her blood sugar level will go up and ruin her diabetes control. If you ever find that she has symptoms of hypoglycemia like sweating...  Read Full »

Will a low-carb diet cause blood sugar to fall?

Query: Hello doctor, I am 25 years old. I began to follow a healthy diet a couple of months ago. So, I reduced sugars. Sometimes, I feel hypoglycemic and feel uncomfortable rising in the heart/chest area with a little pain. But, when I take sugars in moderate amounts, I feel comfortable in this area. But t...  Read Full »


Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to icliniq.com. I went through your post. Your BMI (body mass index) is very low, just lower limit of normal and obviously, your reserve glucose will also be low. You will feel hypoglycemic especially during work out and it will take you months to stabilize at this diet and exercise...  Read Full »

What could be the reason behind my 70-year-old father's sudden seizure?

Query: Hello doctor, Yesterday, my 70 year old father woke up at about 8 AM. He was sitting on the sofa. Just after a minute, he started losing his consciousness and was trying to speak, but was unable to do so. His body and hands started twisting. Some liquid started coming from his mouth. We immediately ...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to icliniq.com. I have reviewed your health query and want to add that such a pass out episode can be due to hypoglycemia (low blood sugar levels), low or very high blood pressures, heart-related issues like heart attack, etc. There is a diverse range of events that can be responsible...  Read Full »

Why do I get hypoglycemia during exercise, brain fog, and fatigue?

Query: Hello doctor,I get hypoglycemia during exercise, fasting or not, brain fog, fatigue. This has been happening daily for a month. Prior I had been exercising an hour a day five days a week, no issue. Currently still aiming for five but symptoms will start out on my bike or on the treadmill.I had a gas...  Read Full »


Dr. Shaikh Sadaf

Answer: Hello, Welcome to icliniq.com. I just read your query and from what you have mentioned it appears that you have hypoglycemic symptoms. First of all I would suggest that instead of doing finger prick testing of blood sugar it is preferable to do laboratory test for blood sugar. Secondly, there is...  Read Full »

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