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When a persons blood glucose level begins to drop, his body starts a series of reactions intended to raise its blood glucose level. Hormones are produced that cause the release of stored glucose from the liver. These hormones also produce some of the symptoms typically associated with hypoglycemia, such as trembling. If the body cannot reverse the low blood glucose on its own and the person does not recognize the symptoms of low blood glucose and does not consume some carbohydrate, the blood glucose level will drop further. If it goes low enough, a person may become confused or even pass out.
Health-care providers often recommend treating for hypoglycemia if blood glucose is below 70 mg/dl. Treatment generally involves consuming 15 grams of carbohydrate , waiting about 15 minutes, then checking your blood glucose level with your meter to see if it has risen to a safe level. Some experts also recommend checking blood glucose levels again an hour after the last treatment to see whether additional food is necessary.
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.
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.
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Night Sweats And Hypoglycemia
Hypoglycemia, or low blood sugar, is one of the potential causes for night sweats. If you suffer from diabetes, especially if you’re on insulin or other diabetes medications, check for low blood sugar and treat if necessary if you begin to have issues with night sweats. Untreated hypoglycemia can lead to clumsiness, confusion, fainting, seizures and coma.
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Heart Failure Heart Attack Or Stroke
Excessive sweating can be a clear and emergent sign of heart failure, heart attack, or a stroke. If your sweating is an issue youve been dealing with on a regular basis for weeks and months, its likely not related to one of these life-threatening heart conditions.
Treatment: If youre also experiencing symptoms of shaking, chills, and fever, you should get to an emergency room immediately. As with everything else, getting your blood sugars into a healthier range can significantly reduce your chances of developing a cardiovascular condition.
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How To Treat A Low Blood Sugar Level Yourself
Follow these steps if your blood sugar level is less than 4mmol/L or you have hypo symptoms:
You do not usually need to get medical help once you’re feeling better if you only have a few hypos.
But tell your diabetes team if you keep having hypos or if you stop having symptoms when your blood sugar level is low.
Night Sweats And Diabetes
One of the possible causes night sweats is diabetes. Night sweats and diabetes can affect men, women or children its not discriminant. If you have type 1 or type 2 diabetes, its likely that you have suffered from night sweats on at least one occasion, possibly accompanied by other disturbing sensations like weakness, heart palpitations, dizziness, hunger or anxiety. Low blood sugar, or hypoglycemia, may be causing these symptoms.
Nighttime hypoglycemia and night sweats go hand and hand but there are a few things you can do to stabilize your blood sugar while you sleep and in turn help reduce your chances of experiencing that uncomfortable sweating at night that can be caused by changes in blood sugar levels.
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How To Ease The Symptoms
If you have excessive sweating and would like to ease the symptoms, you can make some simple lifestyle changes to help.
Wear clothing and socks that are made of natural materials.
Make sure you shower daily and apply antiperspirant. You can also apply astringent products topically to the area of sweat.
Change your clothes, socks, and shoes often, making sure you keep your feet dry.
Choose clothes that are appropriate to your exercise/activity level. If you have sweating related to stress, then incorporate some relaxation techniques into your routine.
If you are sweating because of low blood sugar, taking a glucose tablet can also be helpful.
Signs And Symptoms Of Low Blood Sugar
Each person’s reaction to low blood sugar is different. Learn your own signs and symptoms of when your blood sugar is low. Taking time to write these symptoms down may help you learn your own symptoms of when your blood sugar is low. From milder, more common indicators to most severe, signs and symptoms of low blood sugar include:
- Feeling shaky
- Color draining from the skin
- Feeling sleepy
- Feeling weak or having no energy
- Blurred/impaired vision
- Tingling or numbness in the lips, tongue or cheeks
- Nightmares or crying out during sleep
The only sure way to know whether you are experiencing low blood sugar is to check your blood sugar, if possible. If you are experiencing symptoms and you are unable to check your blood sugar for any reason, treat the hypoglycemia.
A low blood sugar level triggers the release of epinephrine , the fight-or-flight hormone. Epinephrine is what can cause the symptoms of hypoglycemia such as thumping heart, sweating, tingling and anxiety.
If the blood sugar level continues to drop, the brain does not get enough glucose and stops functioning as it should. This can lead to blurred vision, difficulty concentrating, confused thinking, slurred speech, numbness, and drowsiness. If blood sugar stays low for too long, starving the brain of glucose, it may lead to seizures, coma and very rarely death.
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What Causes Low Blood Glucose In People With Diabetes
Low blood glucose levels can be a side effect of insulin or some other medicines that help your pancreas release insulin into your blood. Taking these can lower your blood glucose level.
Two types of diabetes pills can cause low blood glucose
- sulfonylureas, usually taken once or twice per day, which increase insulin over several hours
- meglitinides, taken before meals to promote a short-term increase in insulin
The following may also lower your blood glucose level
Overdose Of Diabetes Medication
A common cause of hypoglycaemia is taking too much insulin for your current needs. Insulin is a medication that helps control your blood glucose levels. It’s commonly used to treat type 1 diabetes and is also recommended for some people with type 2 diabetes.
A fall in blood glucose levels can also occur after taking too much oral hypoglycaemia medication, such as sulphonylurea, which causes a release of insulin. This medication is often used to lower blood glucose levels in people with type 2 diabetes.
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Low Blood Glucose Levels
A low blood glucose level is called hypoglycemia. Hypoglycemia triggers a fight-or-flight response in the body. As a result, the body produces additional norepinephrine and adrenaline, which can lead to heavy sweating as well as shakiness and anxiety. Good diabetes management can help keep your blood glucose levels in check.
Can Underactive Thyroid Cause Excessive Sweating
Theres nothing better than feeling like your healthy, usual self after taking medication for your hypothyroidism. However, if you start noticing symptoms like anxiety, fuzzy memory, diarrhea, heart palpitations or excessive sweating, this may be a sign that your underactive thyroid is being overtreated.
Low Blood Glucose During Sleep
Your blood glucose level can drop while you sleep and stay low for several hours, causing serious problems.7 Symptoms of low blood glucose while you sleep can include
- crying out or having nightmares
- sweating enough to make your pajamas or sheets damp
- feeling tired, irritable, or confused after waking up
Although you may not wake up or notice any symptoms, low blood glucose can interfere with your sleep, which may affect your quality of life, mood, and ability to work. Having low blood glucose during sleep can also make you less likely to notice and respond to symptoms of low blood glucose during the day.
Signs Of Hypoglycemic Unawareness
Some people have no symptoms of low blood sugar. The only symptom you may have is confusion. Or you may become unconscious before anyone realizes you have low blood sugar.
You may have hypoglycemic unawareness if you:
- Cannot tell by your symptoms that your blood sugar is low.
- Have low blood sugar several times a week.
- Have type 1 diabetes, or have had type 2 diabetes for a long time.
If you have hypoglycemic unawareness, test your blood sugar often, especially before activities like driving a car. Keep some glucose or sucrose tablets or solution or quick-sugar foods with you. If you take insulin, carry a glucagon emergency kit. You can also give friends and family instructions to treat low blood sugar.
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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.
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!“
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Dealing With Low Blood Sugar And Night Sweats
- Test your glucose levels before bed: If levels are already on the low side, you can take preventative action before going to sleep.
- Watch what you eat in the evening:
- Avoid wine, beer or other alcoholic drinks in the hours before bed
- Increase snacking if youve been more physically active during the day
- Avoid hot and spicy foods as these can cause night sweats even in those who dont have diabetes
How Can I Prevent Low Blood Glucose
All people with diabetes:
- If you experience low blood glucose often, ask your doctor if setting a higher goal for your A1C level may be appropriate.
- Ask your doctor to look at the test results from your home blood glucose monitor. These results reveal how often you have low blood glucose and when these episodes occur. Your doctor will look for patterns to see if low glucose happens after exercise or at certain times of day, for example.
- If you’ve had low blood glucose in the past, consider wearing a medical alert bracelet so that others will know that you have diabetes in the event of an emergency.
- Keep a fast-acting carbohydrate in your bag, desk drawer, car and other places for easy access. Good options include hard candy, fruit juice or glucose paste or tablets, which can be purchased at most pharmacies.
- Ask your doctor for an emergency glucagon kit. This kit contains a fast- acting medication that can be injected in case of loss of consciousness because of low blood glucose. Keep one kit at home and one at work or school.
- Monitor your blood glucose regularly so that low levels can be corrected before symptoms progress.
You’re Also Experiencing Flu
Sweating accompanied by a fever may reflect a bacterial or viral infection like malaria or tuberculosis, which is also accompanied by a cough, Garshick said.
“A fever is the result of a change in body temperature your brain automatically sets your body temperature a little higher to fight the infection present in your body, which leads to feeling cold and generating heat,” Djavaherian said. “This is why it is necessary to break a fever by regulating the body temperature and sweating it out.”
Often, as the fever breaks, Garshick said, people experience an increased amount of sweat.
What If The 15
If you dont feel better after three tries, or if your symptoms get worse, call your healthcare provider or 911. Healthcare providers can use a medication called glucagon. They inject it with a needle or squirt it up your nose. Glucagon is also available for home use. Your healthcare provider can prescribe it and teach a family member or friend how to use it in the event of severe hypoglycemia.
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The Connection Between Diabetes And Sweating
When a person has a systemic disease that involves a metabolic impairment, sweating disorders can happen too.
This is because when there is metabolic impairment, several symptoms can occur, including the following:
- Autonomic failures
- Abnormal skin innervation
- Sweat gland dysfunction
The above disorders and dysfunctions can interact with each other in diverse ways, leading to things such as excessive sweating, for example.
What Drinks And Foods Raise Blood Sugar Fast
- 4 teaspoons of sugar
- 1/2 can of regular soda or juice
Many people like the idea of treating low blood sugar with dietary treats such as cake, cookies, and brownies. However, sugar in the form of complex carbohydrates or sugar combined with fat and protein are much too slowly absorbed to be useful in acute treatment.
Once the acute episode has been treated, a healthy, long-acting carbohydrate to maintain blood sugars in the appropriate range should be consumed. Half a sandwich is a reasonable option.
If the hypoglycemic episode has progressed to the point at which the patient cannot or will not take anything by mouth, more drastic measures will be needed. In many cases, a family member or roommate can be trained in the use of glucagon. Glucagon is a hormone that causes a rapid release of glucose stores from the liver. It is an injection given intramuscularly to an individual who cannot take glucose by mouth. A response is usually seen in minutes and lasts for about 90 minutes. Again, a long-acting source of glucose should thereafter be consumed to maintain blood sugar levels in the safe range. If glucagon is not available and the patient is not able to take anything by mouth, emergency services should be called immediately. An intravenous route of glucose administration should be established as soon as possible.
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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: