By Chris Woolston CONSUMER HEALTH INTERACTIVEPeople with diabetes try hard to keep their blood sugar from getting too high, but sometimes they succeed too well. Certain diabetes medications -- including insulin injections and pills such as chlorpropamide (Diabinese) -- can sometimes make blood sugar too low, a condition called hypoglycemia. People with diabetes can also get low blood sugar simply by skimping at mealtime, drinking too much alcohol, or overexercising. Low blood sugar is usually mild and easy to fix, but if you wait too long, you can lose consciousness. If your blood sugar level drops below 70 milligrams per deciliter (mg/dL) or if you notice signs of hypoglycemia -- shakiness, dizziness, light-headedness, confusion, anxiety, weakness, heart palpitations, blurry vision, hunger, or sweating -- you can bring your level up again with a quick, sugary snack. If you are away from home and experience symptoms, and you can't test your blood sugar first, it's better to have a small snack before you become even more ill. Here are some proven sugar-boosting options: • ½ cup of fruit juice |
• ½ cup of non-diet soda |
• 1 cup of milk |
• A small handful of hard candy |
• 1 tablespoon of either sugar or honey |
• 3 or 4 glucose tablets |
About 15 minutes after your snack, check your blood sugar again. If you're still below 70, try another dose of sugar. Check again 15 minutes later, and keep the pattern up until your blood sugar is in a normal range. It's important to treat low blood sugar as quickly as possible. If you wait too long, you could pass out. For this reason, you should keep a sugary snack within reach at all times. Even if you aren't able to check your blood sugar, you can head off hypoglycemia whenever you get that sinking feeling. -- Chris Woolston, MS, is a contributing editor to Consumer Health Interactive. A former staff writer for Hippocrates magazine, he has written for Health, Prevention, and other journals. He writes The Healthy Skeptic, a biweekly column in the Los Angeles Times. He is also the co-author of Generation Extra Large: Rescuing Our Children from the Epidemic of Obesity (Perseus paperback, 2006).
References National Institute of Diabetes and Digestive and Kidney Diseases. Hypoglycemia. October 2008. http://diabetes.niddk.nih.gov/dm/pubs/hypoglycemia/
American Diabetes Association. Hypoglycemia. http://www.diabetes.org/type-1-diabetes/hypoglycemia.jsp
Mayo Clinic. Hypoglycemia. http://www.mayoclinic.com/health/hypoglycemia/DS00198/DSECTION=symptoms
Reviewed by Michael Potter, MD, an attending physician and associate clinical professor at the University of California, San Francisco, who is board certified in family practice.
First published November 20, 2009
Copyright © 2009 Consumer Health Interactive
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