Low blood sugar (निम्न रक्त शर्करा), also known as Hypoglycemia (हाइपोग्लाइसीमिया), is when blood sugar decreases to below normal levels. This may result in a variety of symptoms including clumsiness, trouble talking, confusion, loss of consciousness, seizures or death. A feeling of hunger, sweating, shakiness, and weakness may also be present. The most common cause of hypoglycemia is medications used to treat diabetes Mellitus such as insulin and sulfonylureas. Risk is greater in diabetics who have eaten less than usual, exercised more than usual or have drunk alcohol. Having Low blood sugar as risky as High blood sugar, let us learn it’s symptoms, causes, diagnosis, various treatments, and learn free the most effective methods of Siddha energy remedies, without money and medicines.
Low blood sugar Definition (निम्न रक्त शर्करा की परिभाषा)
Hypoglycemia or low blood sugar occurs when the level of glucose in your blood drops below normal. For many people with diabetes, that means a level of 70 milligrams per deciliter (mg/dL) or less. Your numbers might be different, so check with your health care provider to find out what level is too low for you.
Low blood sugar Symptoms (निम्न रक्त शर्करा के लक्षण)
- Shakiness (अस्थिरता)
- Anxiety (चिंता)
- Nervousness (घबराहट)
- Palpitations (धड़कन)
- Tachycardia (क्षिप्रहृदयता)
- Sweating (पसीना)
- Feeling of warmth (गर्मी का अहसास होना)
- Pallor (पीलापन)
- Coldness (शीतलता)
- Clamminess (लस)
- Dilated pupils (फैली हुई पुतली)
- Hunger (भूख)
- Borborygmus (बोरबोरिग्मस)
- Nausea (जी मिचलाना)
- Vomiting (उल्टी)
- Abdominal discomfort (पेट की परेशानी)
The central nervous system (केंद्रीय स्नायुतंत्र)
- Abnormal thinking, impaired judgment
- Nonspecific dysphoria, moodiness, depression, crying, exaggerated concerns
- A feeling of numbness, pins, and needles
- Negativism, irritability, belligerence, combativeness, rage
- Personality change, emotional lability
- Fatigue, weakness, apathy, lethargy, daydreaming, sleep
- Confusion, memory loss, lightheadedness or dizziness, delirium
- Staring, glassy look, blurred vision, double vision
- Flashes of light in the field of vision
- Automatic behavior, also known as automatism
- Difficulty speaking, slurred speech
- Ataxia, incoordination, sometimes mistaken for drunkenness
- The focal or general motor deficit, paralysis, hemiparesis
- Stupor, coma, abnormal breathing
- Generalized or focal seizures
Not all of the above manifestations occur in every case of low blood sugar. There is no consistent order to the appearance of the symptoms if symptoms even occur. Specific manifestations may also vary by age, by the severity of the hypoglycemia and the speed of the decline.
In young children, vomiting can sometimes accompany morning hypoglycemia with ketosis. However, in older children and adults, moderately severe hypoglycemia can resemble mania, mental illness, drug intoxication, or drunkenness. But, in the elderly, low blood sugar can produce focal stroke-like effects or a hard-to-define malaise.
The symptoms of a single person may be similar from episode to episode, but are not necessarily so and may be influenced by the speed at which glucose levels are dropping, as well as previous incidents.
Long-term effects (दीर्घकालिक प्रभाव)
Significant hypoglycemia appears to increase the risk of cardiovascular disease.
Low blood sugar Causes (निम्न रक्त शर्करा का कारण)
The most common cause of low blood sugar is medications used to treat diabetes mellitus such as:
The risk is greater in diabetics who have eaten less than usual, exercised more than usual, or drunk alcohol. Other causes of low blood sugar include:
- Kidney failure
- Certain tumors
- Liver disease
- Inborn errors of metabolism
- Severe infections
- Reactive Hypoglycemia
- A number of drugs including alcohol
Low blood sugar may occur in babies who are otherwise healthy who have not eaten for a few hours.
Serious illness (गंभीर बीमारी)
Serious illness may result in low blood sugar. Severe disease of nearly all major organ systems can cause low blood sugar as a secondary problem. Hospitalized persons, especially in intensive care units or those prevented from eating, can develop low blood sugar from a variety of circumstances related to the care of their primary disease.
Hormone deficiency (हार्मोन की कमी)
Not enough cortisol, such as in Addison’s disease, not enough glucagon, or not enough epinephrine can result in low blood sugar. This is a more common cause in children.
Low blood sugar Diagnosis (निम्न रक्त शर्करा का निदान)
The glucose level that defines low blood sugar is variable. In diabetics a level below 70 mg/dL is diagnostic. In adults without diabetes, symptoms related to low blood sugar, low blood sugar at the time of symptoms, and improvement when blood sugar is restored to normal confirm the diagnosis.
Throughout a 24‑hour period, blood plasma glucose levels are generally maintained between 72 and 144 mg/dL. Although 60 or 70 mg/dL is commonly cited as the lower limit of normal glucose, symptoms of low blood sugar usually do not occur until 50 to 54 mg/dL.
The precise level of glucose considered low enough to define low blood sugar is dependent on:
- Measurement method
- Age of the person
- Presence or absence of effects
- Purpose of the definition
While there is no disagreement as to the normal range of blood sugar, the debate continues as to what degree of low blood sugar warrants medical evaluation or treatment or can cause harm.
The circumstances of low blood sugar provide most of the clues to the diagnosis. Circumstances include:
- The age of the person
- Time of day
- Time since last meal
- Previous episodes
- Nutritional status
- Physical and mental development
- Drugs or toxins (especially insulin or other diabetes drugs)
- Diseases of other organ systems
- Family history
- Response to treatment
When low blood sugar occurs repeatedly, a record or “diary” of the spells over several months, noting the circumstances of each spell (time of day, relation to last meal, nature of last meal, response to carbohydrate, and so forth) may be useful in recognizing the nature and cause of the low blood sugar.
Blood glucose – Method of measurement (रक्त शर्करा – माप की विधि)
Blood glucose levels discussed in this article are venous plasma or serum levels measured by standard, automated glucose oxidase methods used in medical laboratories. For clinical purposes, plasma and serum levels are similar enough to be interchangeable.
Arterial plasma or serum levels are slightly higher than venous levels, and capillary levels are typically in between. This difference between arterial and venous levels is small in the fasting state but is amplified and can be greater than 10% in the postprandial state.
On the other hand, whole blood glucose levels are about 10–15% lower than venous plasma levels.
Children’s blood sugar levels are often slightly lower than adults’. Overnight fasting glucose levels are below 70 mg/dL in 5% of healthy adults, but up to 5% of children can be below 60 mg/dL in the morning fasting state.
Low blood sugar Prevention (निम्न रक्त शर्करा की रोकथाम)
The most effective means of preventing further episodes of low blood sugar depends on the cause.
The risk of further episodes of diabetic low blood sugar can often (but not always) be reduced by lowering the dose of insulin or other medications, or by more meticulous attention to blood sugar balance during unusual hours, higher levels of exercise, or decreasing alcohol intake.
Many of the inborn errors of metabolism require avoidance or shortening of fasting intervals or extra carbohydrates.
Several treatments are used for hyperinsulinemic low blood sugar, depending on the exact form and severity. Some forms of congenital hyperinsulinism respond to diazoxide or octreotide. Surgical removal of the overactive part of the pancreas is curative with minimal risk when hyperinsulinism is focal or due to a benign insulin-producing tumor of the pancreas.
Low blood sugar due to hormone deficiencies such as hypopituitarism or adrenal insufficiency usually ceases when the appropriate hormone is replaced.
Low blood sugar Treatment (निम्न रक्त शर्करा का इलाज)
Treatment of some forms of low blood sugar, such as in diabetes, involves immediately raising the blood sugar to normal through the eating of carbohydrates such as sugars, determining the cause, and taking measures to hopefully prevent future episodes. However, this treatment is not optimal in other forms such as reactive low blood sugar, where rapid carbohydrate ingestion may lead to a further hypoglycemic episode.
Blood glucose can be raised to normal within minutes by taking (or receiving) 10–20 grams of carbohydrate. It can be taken as food or drink if the person is conscious and able to swallow. This amount of carbohydrate is contained in about 3–4 ounces (100–120 ml) of orange, apple, or grape juice although fruit juices contain a higher proportion of fructose which is more slowly metabolized than pure dextrose.
Alternatively, about 4–5 ounces (120–150 ml) of regular (non-diet) soda may also work, as will about one slice of bread, about 4 crackers, or about 1 serving of most starchy foods. Starch is quickly digested to glucose (unless the person is taking acarbose), but adding fat or protein retards digestion.
Symptoms should begin to improve within 5 minutes, though full recovery may take 10–20 minutes. Overfeeding does not speed recovery and if the person has diabetes will simply produce hyperglycemia afterward. A mnemonic used by the American Diabetes Association and others is the “rule of 15” – consuming 15 grams of carbohydrate followed by a 15-minute wait, repeated if glucose remains low (variable by individual, sometimes 70 mg/dL).
One situation where starch may be less effective than glucose or sucrose is when a person is taking acarbose. Since acarbose and other alpha-glucosidase inhibitors prevent starch and other sugars from being broken down into monosaccharides that can be absorbed by the body, patients taking these medications should consume monosaccharide-containing foods such as:
- Glucose tablets,
- Honey, or
- Juice to reverse low blood sugar
Low blood sugar & Free Siddha Energy Remedies (निम्न रक्त शर्करा और नि:शुल्क सिद्ध ऊर्जा उपचार)
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