Q. My husband had five episodes of hypoglycemia in a single day. What could be causing all these?

Answered by
Dr. Swaraj S W
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 26, 2017

Hi doctor,

My husband has type 1 diabetes. He has had no Insulin today but has had five hypos today, and his sugar levels are dropping again. He had his regular food all day, drank juice and cans of coke. He has not done anything different to any other day and also has not been stressed either. He treated all his hypos the way he normally would. What could be causing all these hypos if he has not had any fast acting Insulin since last night? Any advice would be greatly appreciated. Thank you.

#

Hi,

Welcome to icliniq.com.

  • How long has he had diabetes?
  • When you say hypo, what were his sugars? What is the dose of insulin that he is taking?

Revert with the details to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist

Hi doctor,

He has had type 1 diabetes for five years. His sugars were in the 2s, but he did not test for 2 out of 5 of the hypos. He could just tell by the symptoms and knew that he needed to treat it. He is taking 36 units of Lantus every night and a 1:10 ratio of fast acting NovoRapid every time he eats.

#

Hi,

Welcome back to icliniq.com.

  • Frequent hypoglycemia in people who have diabetes and who were earlier very well controlled indicate two things.
  1. Worsening creatinine levels.
  2. The onset of nephropathy - protein leak in urine.
  • I would suggest checking his creatinine and urine microalbumin at the earliest and also his TSH (thyroid-stimulating hormone) and free T4 along with a 8 AM cortisol.
  • If all the above turn out to be negative, then we need to work him for autonomic neuropathy.
  • In the meanwhile, kindly ask him to keep checking his sugars three to five times per day and try to correct it if he finds his sugars less 4 mmol.
  • What symptom does he have when he has a hypo? Or is it asymptomatic?

Revert with the answers to the above questions to an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist

Hi doctor,

His symptoms usually consist of shaking hands, the excessive onset of sweating, heart racing fast, sudden loss of energy and feeling sleepy or faint and he just does not feel right. If he has a hypo through the night while sleeping, he will wake and sit up all of a sudden and not be able to go back to sleep. It is usually a good indicator that he needs to check his blood sugar levels as soon as possible. He also has had a protein leak in urine in the past that is, a few years ago. I will get him to go to the doctor to get them investigated. Thank you for your reply.

#

Hi,

Welcome back to icliniq.com.

Hope he recovers fast. Kindly keep me posted on the developments.

For further information consult an endocrinologist online --> https://www.icliniq.com/ask-a-doctor-online/endocrinologist


Was this answer helpful?

 | 


Related Questions:
My uric acid levels and albumin levels are high. Are my kidneys damaged?

.. all your reports (attachment removed to protect patient identity). The main problem is with the serum lipid profile which is HDL (high-density lipoprotein), LDH (lactate dehydrogenase), cholesterol, serum uric acid, urine albumin-creatinine rat...   Read full

Please help me lower my blood sugar levels.

According to your HbA1C, it is recommended that you start Insulin glargine pen, once daily at bedtime ... Repeat your HbA1C after three months, and then we can see what more is needed ...   Read full

Kindly explain if chewing nicotine gums increase blood sugar levels in a diabetic.

.. through your post. Nicotine chewing gum causes dental issues and sometimes hair loss and flushing. However, it does not increase blood sugar. So, you can take that it is 1000 times better to take nicotine chewing gum than cigarette especially once...   Read full

 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


Why Do Some COVID-19 Patients Test Negative?
COVID-19 has resulted in a pandemic and has caused serious health crises worldwide. When we develop the symptoms of COV...  Read more»
Post-Traumatic Stress Disorder (PTSD): Reliving the Trauma
PTSD is a mental health condition where the person who undergoes an extremely stressful condition, develops disturbing t...  Read more»
Remdesivir - Uses, Dosage, Side Effects, Drug Warnings, and Precautions
Remdesivir is a broad-spectrum antiviral medication. It is the only medicine approved for COVID-19 treatment. To know ab...  Read more»

Ask your health query to a doctor online?

Ask an Endocrinologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.