Feeling Shaky? It Could Be Hypoglycemia. Here’s What to Do
Feeling shaky, dizzy, or confused? While there can be many causes, these symptoms are often a sign of low blood sugar, also known as hypoglycemia. This article will help you understand what's happening, why it’s important to address it, and how to respond effectively.
What is Hypoglycemia?
A sudden drop in blood sugar, clinically known as hypoglycemia, can be a disorienting and alarming event. It happens when the glucose level in your blood falls below the normal range, typically considered to be below 70 mg/dL. While often associated with diabetes, it can also occur in people without diabetes, although it’s less common. This guide provides the essential, life-saving information you need to navigate this safely. We’re going to outline the causes, symptoms, and treatment options, providing you with the confidence to handle a hypoglycemic event.
Causes of Hypoglycemia
Understanding the root cause of your low blood sugar is key to preventing future episodes. While those with diabetes are more likely to experience it, various factors can trigger hypoglycemia in anyone. Some common causes include:
- Medications: Certain medications, especially those used to treat diabetes, can cause blood sugar levels to drop too low.
- Skipping Meals: Not eating regularly can lead to a decline in blood sugar.
- Excessive Exercise: Intense physical activity without adequate carbohydrate intake can deplete glucose stores.
- Alcohol Consumption: Alcohol can interfere with the body’s ability to regulate blood sugar.
- Underlying Medical Conditions: Certain medical conditions, such as liver or kidney disease, can contribute to hypoglycemia.
- Rebound Hypoglycemia: This can occur after a previous high blood sugar reading that was treated with insulin or other medication, causing a subsequent drop.
Recognizing the Symptoms
Early recognition of hypoglycemia is crucial. Symptoms can vary from mild to severe and may include:
- Shakiness: A trembling or quivering sensation.
- Dizziness: Feeling lightheaded or unsteady.
- Confusion: Difficulty thinking clearly or remembering things.
- Sweating: Excessive perspiration.
- Rapid Heartbeat: An increased heart rate.
- Hunger: An intense craving for food.
- Blurred Vision: Difficulty seeing clearly.
- Weakness: A general feeling of fatigue.
- Headache: Pain in the head.
- Seizures: In severe cases, hypoglycemia can lead to seizures.
Treatment: The Rule of 15
If you suspect you are experiencing hypoglycemia, the "Rule of 15" is a standard treatment approach:
- Check Your Blood Sugar: If possible, check your blood sugar level with a glucose meter.
- Consume 15 Grams of Carbohydrates: This could be in the form of:
- 4 ounces of juice or regular soda (not diet)
- 1 tablespoon of honey or sugar
- 17-20 crackers
- ½ cup of regular pudding
- Wait 15 Minutes: After consuming the carbohydrates, wait 15 minutes.
- Recheck Your Blood Sugar: Check your blood sugar again.
- Repeat if Necessary: If your blood sugar is still below 70 mg/dL, repeat the process.
When to Seek Emergency Help
While the Rule of 15 is effective for many, there are situations where emergency medical attention is needed:

- Unconsciousness: If you are unable to swallow or are unconscious.
- Seizures: If you are experiencing seizures.
- Severe Symptoms: If symptoms are severe and do not improve with treatment.
- Inability to Self-Treat: If you are unable to administer the Rule of 15 yourself.
Prevention Strategies
Preventing hypoglycemia involves a multifaceted approach:
- Regular Meals: Eat regular meals and snacks throughout the day.
- Balanced Diet: Consume a balanced diet rich in complex carbohydrates and protein.
- Medication Management: If you are taking medication for diabetes, follow your doctor’s instructions carefully.
- Exercise Planning: Adjust carbohydrate intake based on exercise intensity and duration.
- Awareness: Educate yourself and those around you about the signs and symptoms of hypoglycemia.
Disclaimer: This article is for informational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.