A new question is answered every 9 seconds

Frequent Hypoglycemic episodes.

Resolved Question:

Good Afternoon!

I have an appointment with my doctor in April but I'm almost positive I'm hypoglycemic--we've talked about this before with my doctor but no one here specializes in that sort of thing so I didn't get many answers. Here are my symptoms:

Currently:
Night Mares
Night Sweats
Internal Tremors
External Tremors
I throw up if I don't eat within 4 hours
I get light headed, angry, and confused if I don't eat within 4 hours.
The Morning sucks. period.
I get anxiety if I haven't eaten.
I have mood swings.
Highly Sensitive
Hunger and Nausea waves throughout the day
Insomnia.
Numbness and impatient.
Fatigue.

Basically, if I don't eat..or if I eat foods that are high in sugar/carbs..I feel horrible and freak out. The night sweats and tremors are the worst.

I hope you can shed some light on this. I'm tired of doctors telling me "it's all in my head"

Thanks!

-Lauren


Category: Endocrinologist

Ask Your Own Question

Category: Diabetologist
Dr. J Muthukrishnan is online now

Expert:  Dr. J Muthukrishnan replied 4 Days.

Hello, thankyou for psoting your query at DoctorSpring.com
I have gone through your case and understand your concern.
Please can you answer a few questions so that I can give you a better opinion.
I would like to know the following:
Have you lost or gained any weight recently?
Any hot flashes, history of diarrhea, jaundice, liver or kidney disease?
How are your menstrual cycles?

Are you on any medications?

You will need to check your blood sugar levels during the episode of your symptoms.
Further testing will need a prolonged fasting test for 24-48hrs or till you develop hypoglycemia (less than 45mg/dl).

Do revert with answers for me to discuss further.
Thankyou



Patient replied :

Hey Doc! I have gained weight recently when adding sugary items back in my diet(I try to maintain a paleo diet) but fell off the wagon with a job change being too busy. I gain weight SUPER easy. I have hot flashes and I just went back on birth control so my menstrual cycle this time is going just fine. I prefer being off of them so I may consider going off of them again. I go between bouts of diarrhea and constipation and have IBS symptoms when eating anything that spikes my sugar.

Currently I take trazadone for the insomnia and 10mg of lexapro which I've never had any issues with just because the tremors at night were crazy.

I have been checking my blood sugar and it's been fine the past few days but my symptoms have ceased quite a bit. It seems they come in spurts throughout the month.

Thanks!

Lauren


Expert:  Dr. J Muthukrishnan replied 3 Days.

Hello,
You mean to say you have hot flashes and tremors, sweating at night and menstrual delay, which has improved after starting birth control pills?
If you stop the pills and your cycles get delayed or even stop, my advise would be to for your FSH levels, which will give a clue. As your symptoms of hot flushes and tremors could be related to hormonal changes.
Or else, you will need to do a prolonged fasting test to rule out a spontaneous hypoglycemia due to Insulin excess.

I hope this has helped.
Thankyou


Patient replied :

Hello,You mean to say you have hot flashes and tremors, sweating at night and menstrual delay, which has improved after starting birth control pills?If you stop the pills and your cycles get delayed or even stop, my advise would be to for your FSH levels, which will give a clue. As your symptoms of hot flashes and tremors could be related to hormonal changes.Or else, you will need to do a prolonged fasting test to rule out a spontaneous hypoglycemia due to Insulin excess.I hope this has helped.Thankyou


Expert:  Dr. J Muthukrishnan replied 2 Days.

Hello,
You mean to say you have hot flashes and tremors, sweating at night and menstrual delay, which has improved after starting birth control pills?If you stop the pills and your cycles get delayed or even stop, my advise would be to test your FSH levels, which will give a clue. As your symptoms of hot flashes and tremors could be related to hormonal changes.Or else, you will need to do a prolonged fasting test to rule out a spontaneous hypoglycemia due to Insulin excess.I hope this has helped.Thankyou


Patient replied :

I do agree that the birth control pills may be the issue! I never even thought of that. Anyways, I took blood sugar levels today and after lunch I registered:
1 hour-154
2 hours-164
3 hours-180.

I drank a few drinks tonight for St. Patty's and after a night of drinking I register at 94. I wonder if it's the hormones :) I know I'm not crazy..but these symptoms are just terrible.

Thanks, Doc :)

Lauren


Expert:  Dr. J Muthukrishnan replied 1 Day.

Hello Lauren,
I did not mean that the birth control pills are the issue. What I was saying is that if your symptoms have improved after taking birth control pills, it is probable that your symptoms are related to hormonal changes. Hence my advise is, that if you stop the pill and you notice that you cycles are delayed, irregular or stop you will require to get your Serum FSH levels tested.
Your sugar levels post lunch (Post prandial) are slightly on the higher side. But post prandial sugar levels are not useful for diagnostic purposes. Also sugar levels tend to drop with alcohol consumption, which is normal .
Hence you need to get your fasting blood sugar levels tested after 8-10 hours fast.

Hope this has helped.
Thankyou


Dr. J Muthukrishnan
Category: Diabetologist
Experience: 
Fellowships/Training: 
1. 10th Asia-Pacific Pediatric Endocrine Society  Fellows meeting, Seoul, Korea, Oct 2008
2. Eighth ICMR Course on Genetics and Genetic Counseling – Jul 2008 – SGPGI, Lucknow
3. Annual Certificate Course on Endocrinological Laboratory Techniques at National Institute of Nutrition (ICMR) Hyderabad,India, ( Aug-Sep 2006) 
Fellowship: Endocrinology, Diplomate of National Board, National Academy of Medical Sciences, New Delhi, 2008, Medwin Hospital, Hyderabad
Senior Residency: Diplomate of National Board (General Medicine), National Academy of Medical Sciences, New Delhi, 2002
Residency: MD, General Medicine, 1997-2000, Armed Forces Medical College, 2nd position in University
Medical School: MBBS, Armed Forces Medical College, 1992
Dr. J Muthukrishnan and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.



Specialists from
UK, US, Ind,
Aus & NZ


48000+ consults
in 2015


98.1% Satisfied
users


MEDNET Board,
100% Satisfaction
guarantee

How it works


  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News

News

Make informed and better medical decisions.

Close x


Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.