List of causes of hypoglycemia

From WikiMD's medical encyclopedia

Hypoglycemia refers to an abnormally low level of glucose in the blood. It is a condition that can result from a variety of causes, ranging from dietary habits to complex health conditions. Understanding the causes of hypoglycemia is crucial for effective management and treatment. This article provides a comprehensive list of causes of hypoglycemia, categorized for ease of reference.

Dietary Causes

  • Fasting or Skipping Meals: Delaying or missing meals can cause blood sugar levels to drop.
  • Alcohol Consumption: Drinking alcohol, especially on an empty stomach, can interfere with the liver's ability to release glucose.

Medical Causes

Diabetes-Related

  • Insulin Therapy: Overdosing insulin or other glucose-lowering medications in diabetes patients.
  • Sulfonylureas: Diabetes medications that can increase insulin production, potentially leading to hypoglycemia.
  • Meglitinides: Similar to sulfonylureas, these drugs stimulate insulin release and can cause hypoglycemia.

Non-Diabetes Related

  • Pancreatic tumors (Insulinoma): Tumors in the pancreas that produce excessive amounts of insulin.
  • Hypothyroidism: Underactive thyroid can affect the body's ability to regulate blood sugar.
  • Adrenal insufficiency: A condition where the adrenal glands do not produce enough hormones, affecting glucose regulation.
  • Hepatitis: Liver diseases can impair glucose production, leading to hypoglycemia.
  • Kidney failure: Reduced kidney function can affect the clearance of insulin and other medications, leading to prolonged hypoglycemic effects.
  • Gastric bypass surgery: This surgery can alter hormone levels and how the body reacts to glucose, leading to hypoglycemia.
  • Severe illness: Critical illnesses can disrupt normal glucose production and utilization.

Exercise-Induced Hypoglycemia

  • Physical activity: Excessive or unplanned exercise without adequate dietary adjustment can lower blood sugar levels.

Idiopathic Hypoglycemia

  • Unknown Causes: In some cases, the exact cause of hypoglycemia remains unidentified.

Preventive Measures and Treatment

Understanding the underlying cause of hypoglycemia is essential for its prevention and treatment. Dietary adjustments, medication review, and monitoring of blood sugar levels are common strategies employed to manage hypoglycemia. In cases where a specific medical condition is identified as the cause, treatment of that condition is also necessary.

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Contributors: Prab R. Tumpati, MD