Slurred Speech And Clumsiness
Your sugar-starved brain may change the way you sound. Slurred speech is a common symptom associated with blood sugar levels that drop below 40 mg/dL, according to University of Michigan Health Systems. Combined with clumsiness another sign of low blood sugar you may seem as though you’ve had a few too many cocktails, even if you haven’t touched a drop, according to the National Health Service.
For more on managing low blood sugar, check out Diabetes Daily’s article “How to Treat Lows Without Sabotaging Your Diet!“
The Effects Of Low Blood Sugar On Your Body
Every cell in your body needs energy to function. The main source of energy might come as a surprise: Its sugar, also known as glucose. Blood sugar is essential to proper brain, heart, and digestive function. It even helps keep your skin and vision healthy.
When your blood sugar levels fall below the normal range, its called hypoglycemia. There are many identifiable symptoms of low blood sugar, but the only way to know if you have low blood sugar is by taking a blood glucose test.
Learn more about the symptoms of low blood sugar, as well as the long-term effects on the body.
most common reasons for low blood sugar are some medications used to treat diabetes, such as insulin.
In type 1 diabetes, the pancreas can no longer produce insulin. In type 2 diabetes, the pancreas doesnt make enough insulin, or your body cant use it properly. Too much insulin or oral diabetic medication can lower the blood sugar level, leading to hypoglycemia.
However, contrary to popular belief, low blood sugar isnt exclusive to diabetes, though it is rare. It can also happen if your body makes more insulin than it should.
Another possible cause of low blood sugar is drinking too much alcohol, especially over long periods of time. This can interfere with the livers ability to create a buildup of glucose and then release it into your bloodstream when you need it.
Other causes include:
Preventing A Low Blood Sugar Level
If you have diabetes, you can reduce your chance of getting a low blood sugar level if you:
- Check your blood sugar level regularly and be aware of the symptoms of a low blood sugar level so you can treat it quickly.
- Always carry a sugary snack or drink with you, such as glucose tablets, a carton of fruit juice or some sweets. If you have a glucagon injection kit, always keep it with you.
- Do not skip meals.
- Be careful when drinking alcohol. Do not drink large amounts, check your blood sugar level regularly, and eat a carbohydrate snack afterwards.
- Be careful when exercising eating a carbohydrate snack before exercise can help to reduce the risk of a hypo. If you take some types of diabetes medicine, your doctor may recommend you take a lower dose before or after doing intense exercise.
- Have a carbohydrate snack, such as toast, if your blood sugar level drops too low while you’re asleep
If you keep getting a low blood sugar level, talk to your diabetes care team about things you can do to help prevent it.
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Infection Due To A Kidney Stone
You might get chills because of an infection that starts when you have a kidney stone.
Sometimes minerals and salts stick together to form a hard mass inside your kidney called a kidney stone. This is more likely to happen if you don’t drink enough water each day, eat a diet that’s high in protein, or have a high body mass index
If the kidney stone irritates or blocks your urinary tract, it can cause an infection, which could cause chills.
Other symptoms you might get with kidney stones are:
- Pain in your side, back, belly, or groin
- Pain when you pee
- Pee more or less than you usually do
- Cloudy urine that smells funny
How Do I Treat A Low Blood Sugar

Treating a low blood sugar might seem easy: simply eat something with carbohydrates. Unfortunately, if you were to simply grab any food item that contains carbohydrates, you might be choosing something that will take twice as long to digest and therefore, twice as long to raise your blood sugar.
Great Sources of Carbohydrates for a Low Blood Sugar.
These sources of carbohydrates are all dextrose and glucose, therefore they are broken down and in your system within 10 minutes. Glucose is what your body naturally breaks all carbohydrates down to, therefore your body doesnt have to spend time taking care of the process. Dextrose is very similar to glucose in terms of its molecular structure, which makes it a fast source of carbohydrate for a low.
- Glucose gels
- Cookies and Ice cream
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Symptoms Of Low Blood Sugar You Need To Pay Attention To
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Plos One
2. Taking a higher dose of the medicine prescribed.
3. Sedentary lifestyle or no physical activity.
4. Kidney disease which reduces the excretion of drugs taken to manage diabetes.
5. Fever or similar illness that increases catabolism and the diabetes drug becomes too effective.
2. Drink a solution of sugar and water or some sweet juice.
3. Grab a quick snack that is rich in carbohydrates.
4. Eating a small snack before you sleep helps in reducing the frequency and severity of sleep disturbances.
Knowing Your High And Low Blood Sugar Symptoms Allows You To Test
Once you understand symptoms of high and low blood sugar, it is possible to test quickly and avoid serious problems.
Keeping to a clear target range is one of the key goals of diabetes management, and knowing when you have the symptoms of high or low blood sugar levels allows you to test your blood sugar and make a correction.
It can be important to recognise the difference between low and high blood sugar symptoms. Being able to spot when youre high or low and sugar can help you to manage your diabetes.
Where possible, its best to check with your blood glucose meter, whether you are high or low, before taking any remedial action. If blood sugar is regularly high you may get recurrent episodes of thrush.
High blood sugar is serious and can result in nausea, vomiting or loss of consciousness. In type 2 diabetes, this can in the form of a condition called Hyperosmolar Hyperglycaemic State and in type 1 diabetes in the form of ketoacidosis.
It is important to seek emergency medical help.
Very low blood sugar can lead to convulsions and unconsciousness. It is important to seek emergency help if the person with diabetes is unable to bring their sugar levels back to normal.
The University of Birminghams Medical School states that if the body becomes used to being low on sugar, hypo symptoms can become less noticeable. Loss of symptoms of low blood sugar in particular can be dangerous.
If you have difficulty recognising the symptoms of hypoglycemia, speak to your doctor.
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How Do I Treat An Episode Of Hypoglycemia
The American Diabetes Association recommends the 15-15 rule for an episode of hypoglycemia:
- Eat or drink 15 grams of carbs to raise your blood sugar.
- After 15 minutes, check your blood sugar.
- If its still below 70 mg/dL, have another 15 grams of carbs.
- Repeat until your blood sugar is at least 70 mg/dL.
If you have symptoms of hypoglycemia but cant test your blood sugar, use the 15-15 rule until you feel better.
Note: Children need fewer grams of carbs. Check with your healthcare provider.
What Can You Do If Your Blood Sugar Levels Are Too Low
It is important to react quickly enough and eat or drink something, like dextrose sugar or a sugary drink .
If someone has severe hypoglycemia they may feel drowsy and confused, and might even become unconscious. People who have type 1 diabetes often carry a pre-filled syringe on them in case that happens, containing the hormone glucagon. Glucagon makes the liver release sugar into the bloodstream. Someone else can then inject the hormone if necessary. If this is not possible, it is important to call the emergency services immediately and ask for medical help.
If your blood sugar levels keep on dropping too low, you should see your doctor. It could then be a good idea to change your lifestyle or medication.
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Examples Of Appropriate Snacks May Be:
- 6 saltine crackers
- 1 slice toast and 1/2 cup milk
- 1 cup milk
The food eaten for a reaction need not be subtracted from a meal plan.
Obtain a blood sugar when symptoms occur if you are able. If symptoms are severe, treat the reaction first and then obtain a blood sugar. Do not drive nor operate equipment if you feel your blood sugar is low.
If your blood sugar drops low enough for you to become unconscious, you must be taken to the hospital and/or treated with glucagon.
Glucagon is a hormone that causes the blood sugar to rise. It can only be given by injection. It is used to treat a low blood sugar if a person becomes semi-conscious or unconscious due to a severe low blood sugar. Please ask your nurse for instruction on glucagon. Your doctor will need to write a prescription for glucagon so you can have it available at home.
How To Treat Someone Who’s Having A Seizure Or Fit
Follow these steps if someone has a seizure or fit caused by a low blood sugar level:
Tell your diabetes care team if you ever have a severe hypo that caused you to have a seizure or fit.
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You Have A Viral Or Bacterial Infection
When chills are accompanied by other symptoms, such as fever, body aches or fatigue, theyre more likely associated with a systemic infection, such as flu or pneumonia.
Chills boost your bodys core temperature when your immune system attempts to fight off infection, Taroyan explains. Your body temperature increases, even though you might feel cold. If you have a viral infection, you will usually notice other symptoms along with chills, such as sore throat, cough, headache, fatigue and muscle aches. Most of the time, it can be self-limiting and will resolve within 2 weeks. Its important to get plenty of rest and increase your fluid intake.
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:
- Inject insulin
- Provide food or fluids
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When Is Blood Sugar Considered To Be Too High Or Too Low
Slight fluctuations in blood sugar levels are completely normal, and also happen every day in people who dont have diabetes, in response to the food they eat. Between around 60 and 140 milligrams of sugar per deciliter of blood is considered to be healthy. This is equivalent to a blood sugar concentration of between 3.3 and 7.8 mmol/l. Millimoles per liter is the unit that blood sugar is measured in. It describes the amount of a certain substance per liter.
If someone has readings over 7.8 mmol/l , they are considered to have hyperglycemia. These high blood sugar levels mainly occur if there isn’t enough insulin or the insulin doesn’t work properly. Without the effect of insulin, the organs can’t make good use of the sugar in the blood, so the sugar builds up. If type 1 diabetes is left untreated, blood sugar levels can increase to over 27.8 mmol/l . Such high levels tend to be uncommon in type 2 diabetes.
Blood sugar levels below 3.3 mmol/l are considered to be too low. But, as you can see in the illustration below, there are no clear-cut borders between normal blood sugar levels and too high or too low blood sugar levels.
Blood sugar: Normal range between hyperglycemia and hypoglycemia
Why Do These Symptoms Matter For Diabetics
These symptoms are essential for diabetics to understand, because they may encounter high or low blood sugar levels from time to time.
A cold or virus can cause sudden high blood sugar levels, and understand the symptoms means knowing how to deal with hyperglycemia or hypoglycemia.
People with diabetes who can recognise the symptoms can avoid levels that lead to medical emergencies such as diabetic ketoacidosis
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Low Blood Sugar Levels
Uncontrollable shivering can be caused by low blood sugar levels. Shivering, in this case, is accompanied by a headache, dizziness, sweating, and rapid heartbeat. When people with diabetes take their insulin shot and forget to eat food or eat less food, they may end up having excessive insulin in their blood, which can lead to hypoglycemia or low blood sugar.
Other reasons for hypoglycemia are:
- Alcohol abuse
- Low carbohydrate intake
- Skipping meals
When people with diabetes have low blood sugar levels, it can cause their body to uncontrollably shiver or shake. However, people without diabetes may also experience low blood sugar levels and uncontrollable shaking due to excessive alcohol intake, taking certain herbal supplements, and too much exercise.
It is recommended to eat small frequent meals throughout the day to help prevent a drop in the blood sugar level and prevent episodes of uncontrollable shaking from happening.
Treating Low Blood Sugar Levels
The diabetes health care team will give you clear guidelines about how to treat hypoglycemia, depending on the severity of the symptoms.
If it’s convenient, test the blood sugar levels before treating your child to confirm that the symptoms are due to hypoglycemia. If blood sugar can’t be checked immediately, don’t delay treating your child’s symptoms you can always do a test after getting the blood sugar back into the normal range.
When blood sugar levels are low, the goal is to get them back up quickly. To do that, give your child sugar or sugary foods that raise the blood glucose level quickly. In general, treatment for hypoglycemia involves:
- having your child eat or drink a form of glucose that works fast, like regular soda, orange juice, or cake frostingor having your child take special tablets or gels that contain glucose. Generally, symptoms will stop about 10 minutes after your child takes sugar.
- rechecking your child’s blood sugar to make sure that the level is no longer low and giving your child food to help prevent the blood sugar from dropping again
- giving glucagon , if symptoms are severe or get worse after your child is given sugar by mouth
For more severe cases of hypoglycemia in which seizures or loss of consciousness happen, giving sugar by mouth may be very difficult or even dangerous. In that case, a glucagon injection should be given.
When possible, adult family members and your child’s caregivers and school staff should know:
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Tingling Sensation Around The Mouth
If your mouth or lips are tingling, you might be experiencing hypoglycemia, according to Harvard Health. You might also feel tongue numbness or metallic taste in the mouth. It’s not entirely clear why this happens, but Cedars Sinai Hospital notes it’s possible that the nerves in the mouth and tongue react poorly to low blood sugar.
What To Do In An Emergency
A diabetic emergency happens when symptoms relating to diabetes overwhelm the body.
At this point, home treatment is unlikely to help, and delaying medical care could cause permanent damage or death.
Some of the signs that can indicate a serious problem include:
- chest pain that radiates down the arm
- difficulty breathing
- a severe headache and weakness in one side of the body
- seizures
- loss of consciousness
If there are signs of an emergency, the person should go to the emergency room, or they or someone with them should call 911 immediately.
Without rapid help, some diabetic emergencies can be life-threatening.
It is not always possible to prevent an emergency, but being able to recognize the signs can improve the chances of early treatment and a full recovery.
Strategies that can help to reduce the risk of an emergency include:
Following the treatment plan: Use medications as a doctor prescribes and keep in touch with the healthcare team. If a person cannot remember whether or not they took their last dose of drugs, they should ask a doctor before taking a further dose. This can help to prevent hypoglycemia. Anyone who notices a change in their symptoms should see a doctor.
Eating healthful, balanced, regular meals: People who use insulin or other medications that lower blood glucose should ask their doctor about what foods to eat, how much, and when, in order to maintain stable blood sugar levels. Small, frequent meals are better than fewer larger meals.
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How To Get Your Blood Sugar Up
A quick way to do it is the 15-15 rule:
But donât eat too much — That could send your blood sugar sky-high. Stick with repeat doses of 15 grams until youâre back to normal.
If your blood sugarâs very low or the 15-15 method doesnât work, you may need a shot of glucagon. This is a hormone your body makes that raises your blood sugar fast. Ask your doctor if you should have a glucagon rescue kit on hand. Be sure the people in your life know how to use it if you faint.
Tell your diabetes team any time you have low blood sugar, especially if itâs serious. They can suggest things to do so it doesnât happen as often.