Hypoglycemia: 12 Common Symptoms

1.

Feeling Dizzy

Woman with hands on her head

Dizziness is one of the significant symptoms that confirm the possible hypoglycemia. There are focus issues and balance disorders. Dizziness in patients is also called spinning and ringing in the ears. The other symptom of low blood glucose levels is a general weakness that often co-occurs. Dizziness is one of the most common complaints that can be a marker for many issues and is a symptom that is difficult for patients to differentiate from each other. But remember, if you were experiencing low blood sugar, that could make you feel dizzy.

Dizziness is a sign of altered glucose metabolism. Glucose metabolism enables the brain to survive and requires constant energy. Low blood sugar lowers the supply of energy needed for proper nervous system functioning, so it can lead to dizziness. Because even mild variations in insulin make you dizzy, this type of symptom is better not to leave for later because hypoglycemia can lead to death.

2.

Sweating

Man sweating

It is a natural process for the body to function properly, called sweating. Nonetheless, it is an important indicator during some illnesses and diseases. A specific example of this is sweating more than usual in a hypoglycaemic state. In the case of low blood sugar condition, sweating can also occur. The wetness from hypoglycemia particularly occurs in the head, neck, and chest. Patients may feel as if clothing is sticking to them. Patients are also aware of the stimulation of sweating and find it unpleasant.

Sweating can happen quickly and all of a sudden in plenty of conditions, including intense anxiety. Hence, sweating can be a crucial alert for a low-sugar state. This symptom may happen in mild as well as during severe conditions. No matter the magnitude of the condition, it is of utmost importance to notice the symptoms as soon as possible and respond immediately. It may also save the individual’s life, health, or well-being. If a person faints, it is due to a deficiency of blood and oxygen to the brain, which may precede cold sweats.

3.

Tremor

Water hitting left palm

Tremor is a movement disorder of frequent occurrence. It typically occurs as a bilateral hand tremor with an increased frequency detected by the person. There are times when a hand tremor comes about. However, it is important to note that it can signal the beginning of a hypoglycaemic state. This condition occurs when there is low blood sugar; blood glucose fuels the nerves and muscles, and the trembling of the hands is a tell-tale symptom. The symptoms are usually gradual, and moving the hands can become extremely challenging.

Tremors can make it hard for patients to hold things in their hands. As a result, they struggle to hold a phone, so they cannot dial emergency services. Call somebody for help if you have disturbing symptoms in you – and you are not capable of making a call because your hand is trembling. Monitoring symptoms and responding right is critical to reducing the likelihood and impact of hypoglycemia. Special-purpose medical devices can be used by patients with diabetes who are at greater risk for life-threatening hypoglycaemic conditions where increased tremor frequency and other symptoms can be detected quickly.

4.

Sensation of Hunger

Woman holding cake

Our hunger levels may also be heightened in a hypoglycaemic state. This can be easily mistaken. Not a person on the planet does not know what it is to be hungry. It is a signal from the body that we have to intake some food to gain energy from food. We recognize it then as a familiar, uncomfortable, and safe feeling. The feeling is normal, but in some cases, it could indicate low blood glucose levels.

What is important to remember is that hunger is primarily related to your blood sugar levels. The hypothalamus receives information about blood sugar levels. We don’t feel hungry when sugar rates are high. And the lower the glucose level, the hungrier we get. Usually, this co-occurs with drowsiness and weakness. People with diabetes experience a marked increase in their appetite for food following acute hypoglycemia, particularly for carbohydrate-rich foods. Individuals without the disease also get hungry, and their sugar levels drop, which could have also been caused by not eating.

5.

Headache

Man covering his face

Headache is another symptom experienced by patients with hypoglycemia. So, it is yet another symptom that can be caused by so many different conditions that the precise underlying cause may not be obvious. But the root of the problem might be a low sugar level. Headaches can range from mild to the form of a severe migraine. There are several studies suggesting the possibility of an association between chronic migraine and postprandial hypoglycemia. Migraine is a problematic, highly prevalent neurological disorder that greatly influences the lives of numerous patients across the world. New evidence indicates that diet may play a major role in triggering migraines.

One possibly underappreciated contributor may be postprandial hypoglycemia. It is where blood sugar levels spike and then plunge after a meal. Very low blood sugar levels that happen to normal individuals following a meal are typically not life-threatening, but it is something to be careful about. In the presence of frequent headaches after eating, it is important to listen to the reaction of your own body. Importantly, in this hypoglycemia, symptoms manifest several hours after a meal.

6.

Anxiety

Woman sitting next to gray couch

Hypoglycemia also produces psychological symptoms. Patients often feel weird feelings without any apparent reason for anxiety. Anxiety can also be related to the symptoms that are experienced. When patients experience sudden, bad physical symptoms, they may begin to suspect something is wrong with their health. People observing them will also see some changes in their conduct. The patients who have this hypoglycemia could look a little bit nervous, angry, and restless. Patients may also notice problems with concentration.

They also experience a sense of disorientation. It is a state of mind confusion where the person is lost. Disorientation is among disorders of consciousness — that is, the person is awake, but their contact with the outside world is impaired. Consciousness is dependent on the nervous system working appropriately. Blood and glucose supply to this region is critically important. The brain can store no glucose; hence, a decrease in glucose concentration leads to brain malfunction.

7.

Blurred Vision

Blurred Vision

Many variations of vision problems can be a chief indicator for a health issue. Different forms of visual impairment can be found among patients who have diabetes. Without treatment, they can even go blind. Hence, the eye is definitely related to the sugar level in the blood. Hypoglycaemia is often associated with visual disturbances. The visual symptoms during acute hypoglycemia may be caused by some metabolic disturbances in visual pathways in the central nervous system or by impairment in either the crystalline lens, cornea, or even the vitreous humor, collectively termed the eye’s refractive apparatus.

The patient may lose their color vision to a considerable extent. And there could be a breakdown of contrast sensitivity. Rapid decreases in blood glucose levels have been correlated with diplopia and blurred vision. Double vision (diplopia) is a condition in which we see the object we are looking at twice. It is caused by strabismus, which is when the eyeballs are not aligned. Hence, different eyes vision problems may occur in a hypoglycaemic patient. Even though these aspects are not characteristic of the hypoglycaemic status, subtle visual dysfunction is present in the majority of patients. Hence, if we are looking for vision changes, we can indicate a low blood sugar state early.

8.

Numbness

Woman wearing a skirt

In the hypoglycaemic state, some patients will also feel numbness in different parts of the body. Tingles, pins, and needles in the arms and legs, or numbness (medically known as paresthesias) can be transitory and non pathophysiologic or, on the other hand, be a manifestation of disease or hypoglycemia. Patients describe paresthesias in different ways. It can be a peculiar experience of sensation in the hands and feet, associated with a burning sensation or prick. The patient is often not in pain, but the sensation is definitely unpleasant and takes away the use of the body. Patients find it difficult to move the limbs in which they feel numbness. In the event of low blood sugar, the numbness around the mouth can also be seen.

Common neurological symptoms include tingling and other odd sensations in the body. These atypical symptoms are indicative of dysfunction obstructing sensory pathways from some point along the peripheral sensory nervous system up to the sensory cortex. Glucose is an important energy component for the human brain, and therefore, tightly regulated glucose metabolism is essential for the brain’s normal functioning. Hence, in case of too high or, in this case, too low sugar level, several types of disorders occur, including sensory disorders, as disorders of sensory functions are characterized by various abnormalities in the reception or transmission to the brain of information about stimuli reaching the body.

9.

Speech Disturbance

Woman talking

Problems with speaking are another significant symptom associated with a state of low blood sugar. There is a neurological basis for such symptoms as well. Patients may experience a wide range of communication issues resulting from neurological conditions. The impact of hypoglycemia on specific cognitive domains (i.e., memory, non-verbal intelligence, and language and speaking) has been noted in studies. In adults, multiple pathways are engaged in processing language to allow for quick comprehension and generation of speech and text. These are skills that people use every day, and it seems easy.

Hypoglycaemia can temporarily rob a person of these skills. Problems with speech fluency and speed can occur in a hypoglycaemic state. Considered the flagships of hypoglycemia include slurred speech and problems with language. Readability may also be impaired, alongside functional measures of working memory. It can cause them not to be able to speak to those around them, which can be deadly in some situations. Patients unable to announce that they need assistance during life-threatening hypoglycemia are placed in a predicament. So, even if you are not at risk, it is important to recognize the signs of hypoglycemia. In doing so, it might save a life.

10.

Pallor

Pale skin

Pallor, or pale skin, is a non-specific symptom that does not always indicate disease. For some, it is just their skin. Although the skin may turn pale suddenly, this can be due to the skin disease process, accompanied by various other symptoms. Usually, pale skin is a sign of anemia. Another cause of unnatural pallor is hypoglycemia. The pallor at low sugar levels is usually linked to sweating. These symptoms are consequential to skin vasoconstriction and cholinergic stimulation of the sweat glands. Therefore, it stands to reason that pallor results from blood not flowing freely to the skin.

It can be subtler than people realize and can be challenging to spot. However, if someone tells you that you look pale and weak somehow, that can be an important signal for you, particularly if you are experiencing other hypoglycaemic signs. Sudden pallor can occur before fainting, caused by insufficient blood sugar levels. This is worth keeping in mind to help prevent it from happening.

11.

Loss of Consciousness

Finally, the last symptom we will talk about is the most serious—loss of consciousness or fainting. Hypoglycaemia is when blood sugar can decline to a stage that is too low. No line comes at which you risk fainting; this is an individual apprehension. But really low sugar, like in severe hypoglycemia, can make you faint. As  stated in this article, loss of consciousness is rarely the first sign of this condition.
Patients may notice altered consciousness and progression to loss of consciousness prior to this event. However, loss of consciousness is not always predictable, putting patients at risk of falls and injury.

Hypoglycemia symptoms are nothing to be snoozed on — the health repercussions are extremely severe. Loss of consciousness may not be permanent, but it may also be degenerative since hypoglycemia can lead to a coma. If blood glucose decreases too much, nerve cells become dysfunctional, which leads to impaired consciousness and a diabetic coma. So if you see someone collapse, you better ring for the ambulance too because it could be a hypoglycaemic patient.

Sources
  • Fahad W. Ahmed, Muhammad S. Majeed, Omar Kirresh (2023). Non-Diabetic Hypoglycemia.
    https://www.ncbi.nlm.nih.gov/books/NBK573079/
  • Alfred Amendolara, Wyatt D. Magoffin, Aparna U. Naik, David Sant, John Kriak, Breniman Green, Kyle Bills (2024). Chronic Migraine May Be Associated With Postprandial Hypoglycemia in Adult Men: A Case Series.
    https://pmc.ncbi.nlm.nih.gov/articles/PMC10973797/
  • Maria A. Christou, Panagiota A. Christou, Christos Kyriakopoulos, Georgios A. Christou, Stelios Tigas. Effects of Hypoglycemia on Cardiovascular Function in Patients with Diabetes.
    https://pubmed.ncbi.nlm.nih.gov/37298308/

Updated on February 4, 2025, by Emma Harrison
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