Is it normal for a patient with low sugar levels to have episodes of sweating, tiredness, and shaking?

Hi,

Welcome to icliniq.com.

I understand your concern.

You may have reactive hypoglycemia. I suggest a mixed meal test - baseline glucose, insulin, and C-peptide every 30 minutes for the next four hours after a mixed meal (usually a mix of a protein drink) or a 75-gram glucose solution. For managing, try eating complex starch, mixed meals (smaller carbohydrates, high fiber, moderate protein, and fat), and avoid all liquid calories. Exercise regularly and try losing some weight. Other things like Cortisol and growth hormone deficiency are to be considered. A 72-hour fast test may be needed. Please attach blood tests. Do you have other symptoms like weight loss, body pain, nausea, vomiting, darkening skin, craving for salty or sugary food, etc.? Have you visited an endocrinologist so far? You need a face-to-face consult either directly or by video chat to consider if any other tests need to be done.

Hope this helps.

Kind regards.

Hi,

Welcome back to icliniq.com.

I understand your concern.

Talk to your general practitioner and maybe place a continuous glucose monitoring sensor, and you can manage your day better. Try doing the tests I suggested before you visit the endocrinologist. Glucose, insulin, and C-peptide - fasting every 30 minutes after a mixed meal or 75 g glucose. To manage, try eating complex carbohydrates mixed with generous protein and fat and no liquids except water. Continue working out at the gym. Again having a CGMS (continuous glucose monitoring sensor) will be very useful.

Hope this helps.

Kind regards.