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Low Blood Sugar In People Without Diabetes

Low blood sugar is a common condition in people who have no diabetes but have symptoms of non-diabetes hypoglycemia. In most cases, doctors want to confirm non-diabetic hypoglycemia by verifying classic symptoms, as well as a low sugar level, and that these symptoms recover after eating sugar. This type of hypoglycemia may not be diabetes, as your blood sugar level after eating sugar may be lower than 70 mg/dL. In fact, if your blood sugar level falls below 70 mg/dL after consuming sugar, you may be suffering from diabetes.

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Causes Of Hypoglycemia In Dogs

There are four main categories of issues that can contribute to a dogs blood sugar dropping lower than normal. Diseases can fall into one or more of these categories:

• Poor dietary intake of glucose or glucose-making molecules

• Puppy or toy breed hypoglycemia

Causes Of Low Blood Glucose

Low blood glucose is common for people with type 1 diabetes and can occur in people with type 2 diabetes taking insulin or certain medications. The average person with type 1 diabetes may experience up to two episodes of mild low blood glucose each week, and thats only counting episodes with symptoms. If you add in lows without symptoms and the ones that happen overnight, the number would likely be higher.

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S For Treating A Person With Symptoms Keeping Them From Being Able To Treat Themselves

Dont hesitate to call 911. If someone is unconscious and glucagon is not available or someone does not know how to use it, call 911 immediately.

Do NOT:

• Provide food or fluids

How Can I Be Better Prepared For Hypoglycemia

You can take some steps to be ready for hypoglycemia:

• Be aware of the symptoms and treat them early.
• Carry some fast-acting carbs with you all the time.
• Check your glucose levels frequently, especially around meals and exercise.
• Inform family, friends and co-workers so they know what do if you need help.
• Talk to your healthcare provider regularly to make and update your plan.
• Wear a medical bracelet that lets people know you have diabetes. Carry a card in your purse or wallet with instructions for hypoglycemia.

A note from Cleveland Clinic

Hypoglycemia is quite common in people with diabetes. If not treated, it can cause troubling symptoms, and even serious health problems. Fortunately, you can avoid hypoglycemic episodes by monitoring your blood sugar. You can also make small adjustments to eating and exercising routines.

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Ways To Avoid Nighttime Hypoglycemia

Check your glucose before going to bed. This could be either with your glucose meter or your continuous glucose monitoring device. Aim for a target of 90-150mg/dl. Know the signs and symptoms of nighttime hypoglycemia. Before you go to bed, consider all of the causes of nighttime hypoglycemia, and if you think youre at risk, have a snack before heading to bed. Try to be consistent with your meals and/or snacks skipping dinner or snacks you usually have can put you at risk. Eat a meal or snack when consuming alcohol.You may need to reduce your predinner or evening/bedtime basal insulin following exercise. Be prepared, have rapid-acting carbohydrates like glucose tablets, juice or soda at your bedside. If you find yourself experiencing frequent nighttime hypoglycemia you may need to adjust your insulin doses. Speak to your diabetes care team about adjusting your insulin regimen or things that you can do to avoid hypoglycemia whether it be overnight or anytime during the day.

Although this content is reviewed by Joslin Diabetes Center healthcare professionals, it is not intended to replace the medical advice of your doctor or healthcare provider. Please consult your healthcare provider for advice about a specific medical condition.

To make an appointment with a Joslin provider or diabetes care and education specialist please call 309-2440.

What Are The Symptoms Of Hypoglycemia

Symptoms of hypoglycemia can start quickly, with people experiencing them in different ways. The signs of hypoglycemia are unpleasant. But they provide good warnings that you should take action before blood sugar drops more. The signs include:

• Shaking or trembling.

• Tingling or numbness in the face or mouth.

During a severe hypoglycemic event, a person may:

• Be unable to eat or drink.
• Have a seizure or convulsions .
• Lose consciousness.
• Slip into a coma or die .

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Other Causes Of Low Blood Sugar

While low blood sugar is often associated with diabetes, it can also be affected by other factors. According to Dr. Danine Fruge,Medical Director of the Pritikin Longevity Center in Miami, Florida, the causes of blood sugar problems can include not only diabetes, prediabetes , reactive hypoglycemia or other health issues, but also by not eating enough, taking too much insulin or even taking certain diabetes medications.

Other medications can also cause hypoglycemia, like quinine, or Qualaquin, which is used to treat malaria, or various medications for kidney failure. Exercising more than usual can also cause it, especially while taking such medications.

Some other potential causes for low blood sugar include:

• Heavy drinking without eating
• Eating without ingesting enough carbohydrates
• Eating fewer carbs than usual without reducing insulin amounts, or improper balancing of liquid/solid carbs and timing of insulin
• Hormone deficiencies due to adrenal or pituitary tumor disorders, or in children without sufficient growth hormone
• Long-term starvation, such as that which can occur with anorexia nervosa
• Serious illness like hepatitis, kidney disorders and liver disease
• Pancreatic tumors that make the body secrete too much insulin

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How Common Is Low Blood Glucose

Low blood glucose is common among people with type 1 diabetes and among people with type 2 diabetes who take insulin or some other diabetes medicines. In a large global study of people with diabetes who take insulin, 4 in 5 people with type 1 diabetes and nearly half of those with type 2 diabetes reported a low blood sugar event at least once over a 4-week period.2

Severely low blood glucose, defined as when your blood glucose level drops so low you cant treat it yourself, is less common. Among U.S. adults with diabetes who take insulin or some diabetes medicines that help the pancreas release insulin into the blood, 2 in 100 may develop severely low blood glucose each year.3

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Diabetes And Sleep: The Link Between Blood Sugar And Sleeplessness

There are several reasons why people with prediabetes and diabetes are more likely to experience difficulty sleeping, including the increased risk of sleep apnea. Stimulating hormone levels in the body, as well as prediabetes and insulin resistance, are both risk factors for developing type 2 diabetes. Furthermore, prediabetes and diabetes are more likely to cause sleep problems in addition to diabetes and obesity. If you are experiencing difficulty sleeping, it may be worth checking your blood sugar levels to see if there is a link between low sugar levels and insomnia. In the case of prediabetes or diabetes, you must work closely with your doctor to improve your sleep hygiene and ensure that you get the best possible amount of sleep.

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Preventing Night Time Hypoglycemia

A useful first step towards preventing hypoglycemia is to test your blood glucose levels before bed.

For people on two or more insulin injections per day can help prevent hypos over night keeping blood glucose levels above 6.5 mmol/l before going to bed.

If over night hypos are suspected, carry out a test at 3am. Together with a before bed and first thing in the morning test, this can help to understand how your sugar levels are behaving over night.

If sugar levels are dropping too low over night, you may need to adjust your insulin doses. Speak to your doctor if you need help with correctly adjusting your insulin

The other way to prevent sugar levels going too low is to take some carbohydrate before bed.

Hypos can also be prevented by:

• Ensuring you basal insulin dose is not too high
• Reducing your night time/evening long acting insulin following exercise
• Taking carbohydrate before bed following an evening/night of drinking
• Not missing out dinner or any snacks you would usually have

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Can Blood Sugar Issues Cause Insomnia

Diabetes is thought to affect one in every two people with the disease6,6 and sleep problems are frequently caused by unstable blood sugar levels and accompanying diabetes-related symptoms,7 such as high blood sugar and low blood sugar during the night

In the United States, over 13% of those aged 15 to 69 have diabetes, while 23% of those aged 20 to 25 are unaware of their condition. It is possible to increase insulin resistance and to increase blood sugar levels too much over time, both of which increase the risk of prediabetes and type 2 diabetes. Diabetic peripheral nerves, in addition to diabetes nerve damage, affect the feet, legs, hands, and arms. Sleep apnea is characterized by rapid breathing and stops of breathing during the night as a result of an ongoing collapse of the upper airway. Insomnia is the fourth leading cause of death, accounting for approximately 4% of all deaths. Diabetes patients have a greater risk of having sleep problems. As a result of diabetes-related conditions such as peripheral nervous system disorders , these conditions can cause issues.

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Signs Of Low Blood Sugar

Some of the more common hypoglycemia symptoms include:

• Feeling shaky and/or dizzy
• Feeling anxious or nervous

Since you might not be awake or alert enough to notice the typical hypoglycemia symptoms, there are specific symptoms of nocturnal hypoglycemia to watch out for:

• Damp sheets or nightclothes from sweating due to low blood sugar
• Feeling tired, irritable, or confused after waking up

You might wonder how you can find out if you have nocturnal hypoglycemia if youre asleep. If you suspect you might be getting nocturnal hypoglycemia, try waking up and checking your blood sugar in the middle of the night, such as 2:00 or 3:00 AM.

Using a continuous glucose monitor is especially helpful in identifying low blood sugar overnight. You can set alarms on a CGM so it will notify you when your blood sugar falls below a certain threshold.