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The sugar level in my blood drops , sometimes even after a meal , i dont use medications at all , and i measure it with a machine for glucose levels , it always with lots of sweating and shaking
12 أغسطس 2014
رأي ثانوي

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د. Zakia Dimassi طب الأطفال
Hypoglycemia (blood sugar below 60) is usually associated with shaking, excessive diffuse sweating, tachycardia (fast heart rate), dizziness, headache, nausea, and sometimes syncope. The causes of Hypoglycemia in an individual who is not on medication that lowers blood sugar (like insulin) are many and various. These could be early symptoms of type 2 diabetes (especially if you have a positive family history of diabetes with onset at an early age), thyroid gland problem (over functional thyroid gland secretes too much thyroid hormone which may affect blood glucose levels), diseases of the adrenal gland, the small gland that sits on the top of the kidney, and may be secreting too much of either aldosterone or cortisol, which are hormone like substances, and thus causing either Addison disease or Cushing disease respectively, and these also alter glucose metabolism and so affect blood sugar level. Another likely cause is an insulinoma, a benign growth in the pancreas (the gland that secretes insulin, the hormone that lowers sugar) which secretes too much insulin and so causes the blood sugar to drop. Finally we think of reactive hypoglycemia, which occurs more after meals, and are due to an exaggerated increase of insulin secretion in response to food intake.
In order to pin down the correct cause of your symptoms, you definitely need to consult with your doctor, and get some blood and urine tests done, like complete blood count, fasting blood sugar, oral glucose tolerance test, blood insulin level, thyroid function tests, blood cortisol, electrolytes (sodium potassium chloride magnesium calcium phosphate), and a urine analysis. Any further testing or imaging will be based on your history, physical exam, and preliminary lab tests results.
Please keep in mind that some people resort to blood sugar lowering drugs to lose weight. Others starve themselves to shed off a few kg. These can produce low blood sugar and are harmful behaviors that should be stopped.
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