Hypoglycemia: Causes, Risks, and Management for Teens - Internal Medicine

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Hypoglycemia


Hello, doctor! A few days ago, I suddenly felt weak all over, dizzy, and couldn't even stand.
I felt very hungry in my stomach, but I didn't have the strength to walk to the convenience store, as if I was about to pass out.
A classmate gave me some drinks, and I lay down on the ground to rest.
After a while, I felt better and went to have lunch.
I remember experiencing something similar two years ago after school; I felt terrible on the bus and didn't dare to ask the elderly person in the priority seat to give me their place.
I could barely stand and had to lean against a pole with my eyes closed until I felt better just before getting off the bus.
I didn't mention it to my mom that time because I was busy with schoolwork.
This time, I don't want to have a third episode, so I told my mom and went to see a doctor.
I always have breakfast every morning, which includes about 300cc of milk and a bowl of noodles.
The doctor said it might be low blood sugar and advised me to carry some chocolate with me.
Now my mom adds an egg to my breakfast, but I feel too full; however, she insists I finish it.
I'm worried that I might inherit diabetes from my dad.
Doctor, why do I experience low blood sugar? Is it only people with diabetes who can have low blood sugar? I'm only 14 years old, and if I have diabetes, it would be very difficult for me for the rest of my life.
Why don't the doctors at the hospital recommend a blood test? Also, I'm confused because other classmates who don't even eat breakfast don't seem to have low blood sugar, while I have experienced it twice despite always eating breakfast before school.
Is low blood sugar very dangerous?

wong, 10~19 year old female. Ask Date: 2001/06/07

Dr. Zeng Fenyu reply Internal Medicine


If hypoglycemia is not addressed, it can lead to symptoms such as palpitations, trembling, and sweating, and if left uncontrolled, it may result in coma.
It is important to manage hypoglycemia promptly to avoid danger.
If you frequently experience hypoglycemia, you should consult a metabolic and endocrine specialist for a thorough examination.

Reply Date: 2001/06/07

More Info


Hypoglycemia, or low blood sugar, is a condition that occurs when the glucose levels in your blood drop below normal. It can lead to a variety of symptoms, including weakness, dizziness, confusion, and in severe cases, loss of consciousness. Understanding the causes, risks, and management of hypoglycemia is crucial, especially for teenagers like yourself who are still growing and developing.


Causes of Hypoglycemia
1. Dietary Factors: Even if you eat breakfast, the composition of your meals can affect your blood sugar levels. If your breakfast is low in carbohydrates or lacks balance, it may not provide sustained energy throughout the morning. For instance, a breakfast consisting solely of milk and noodles may not be enough to keep your blood sugar stable, especially if you have a busy morning at school.

2. Physical Activity: Engaging in physical activities, especially without adequate nutrition, can lead to a drop in blood sugar levels. If you are active during the day, your body may use up glucose faster than it can be replenished.

3. Hormonal Factors: Hormones play a significant role in regulating blood sugar levels. Stress, illness, or hormonal changes during puberty can affect how your body manages glucose.

4. Insulin Sensitivity: While diabetes is often associated with hypoglycemia, it can also occur in individuals without diabetes. If your body is particularly sensitive to insulin, it may cause your blood sugar to drop more quickly than normal.

5. Skipping Meals: Even if you eat breakfast, if you skip lunch or have irregular eating patterns, it can lead to low blood sugar later in the day.


Risks of Hypoglycemia
Hypoglycemia can be dangerous, especially if it leads to severe symptoms like confusion or loss of consciousness. If you experience these symptoms while driving or engaging in activities that require focus, it can pose serious risks. Additionally, recurrent hypoglycemia can lead to a condition known as hypoglycemia unawareness, where your body no longer recognizes the symptoms of low blood sugar, making it harder to manage.


Management Strategies
1. Regular Meals: Ensure you have balanced meals throughout the day. Incorporate complex carbohydrates, proteins, and healthy fats to provide sustained energy. For example, adding a source of protein, like eggs, to your breakfast is a good idea.

2. Snacks: Keep snacks handy, such as fruit, nuts, or chocolate, to quickly raise your blood sugar if you start feeling symptoms of hypoglycemia.

3. Monitor Symptoms: Pay attention to your body and recognize the early signs of low blood sugar. If you feel weak or dizzy, take action immediately by consuming a quick source of sugar.

4. Consult a Doctor: If you continue to experience episodes of hypoglycemia, it’s essential to consult a healthcare provider. They may recommend blood tests to check your glucose levels and assess for any underlying conditions.

5. Education: Educate yourself about hypoglycemia and its management. Understanding your body’s needs can empower you to make better dietary and lifestyle choices.


Conclusion
While it’s understandable to be concerned about the possibility of diabetes, hypoglycemia can occur in individuals without diabetes as well. It’s essential to focus on maintaining balanced meals and being aware of your body’s signals. If your symptoms persist or worsen, seeking medical advice is crucial. Regular check-ups and open communication with your healthcare provider can help you manage your health effectively. Remember, taking proactive steps now can help prevent complications in the future.

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