What reason is sudden hypoglycemia

summary

Now we should understand the cause of hypoglycemia. We should understand it anyway. There are many causes of hypoglycemia: excessive secretion of insulin by pancreas, excessive use of insulin or other hypoglycemic drugs in diabetics, pituitary or adrenal diseases, abnormal storage of carbohydrates or release of glucose by liver, etc. What's the cause of sudden hypoglycemia.

What reason is sudden hypoglycemia

First, type 1 diabetes must be treated with insulin replacement therapy because of the absolute lack of insulin. In the long-term treatment process, severe hypoglycemia can also occur. Studies have shown that almost all patients with type I diabetes have different regulatory disorders of anti hypoglycemic hormones, that is, the response of glucagon and epinephrine to hypoglycemia is decreased. Therefore, if the insulin level is relatively or absolutely increased due to excessive insulin dose, excessive activity and not eating in time, it is easy to cause hypoglycemia.

Second: when patients with type 2 diabetes use sulfonylureas and other drugs, especially the elderly, liver and kidney dysfunction, the use of glibenclamide and chlorfenuron can cause hypoglycemia attacks, and the possibility of combined use of insulin hypoglycemia is increased. The hypoglycemia caused by sulfonylureas lasts for a long time, can occur repeatedly, and can not be treated with glucagon, because glucagon can stimulate insulin secretion in patients with type 2 diabetes, making hypoglycemia more difficult to correct.

Third: drinking can lead to postprandial hypoglycemia (mostly 3-4 hours after drinking), which is caused by stimulating insulin secretion; it can also cause fasting hypoglycemia (about 8-12 hours after drinking), which is caused by not eating food after drinking, depletion of liver glycogen and inhibition of liver gluconeogenesis. Alcohol can also delay the response of adrenaline and glucagon to hypoglycemia, so we should avoid drinking too much or too fast when fasting or starvation, especially in patients with liver disease.

matters needing attention

Many extrapancreatic tumors may be accompanied by hypoglycemia. In addition to the primary manifestations of extrapancreatic tumor, hypoglycemia caused by extrapancreatic tumor is similar to insulinoma. Generally, the condition is serious, and it is often seen in fasting, starvation or autonomy, and it is not easy to prevent the occurrence of multiple eating.