What Are the Symptoms of Hypoglycaemia

Hypoglycemic symptoms and manifestations can be divided into those produced by the counter regulatory hormones (epinephrine/adrenaline and glucagon) triggered by the falling glucose, the neuroglycopenic effects produced by the reduced energy delivery to the brain and the fatigue from reduced energy delivery to the body.

Adrenergic manifestations

  • Shakiness,
  • anxiety,
  • nervousness,
  • palpitations,
  • tachycardia,
  • sweating,
  • feeling of warmth,
  • pallor,
  • coldness,
  • clamminess,
  • Dilated pupils (mydriasis),
  • feeling of numbness “pins and needles” (parasthaesia).

Glucagon manifestations

  • Hunger,
  • borborygmus,
  • nausea,
  • vomiting,
  • abdominal discomfort,
  • headache.

Neuroglycopenic manifestations – reduced energy delivery to the brain

  • Foggy brain,
  • impaired judgment,
  • nonspecific dysphoria,
  • anxiety,
  • moodiness,
  • depression,
  • crying,
  • daydreaming,
  • negativism,
  • irritability,
  • belligerence,
  • combativeness,
  • rage,
  • personality change,
  • emotional liability,
  • poor quality sleep,
  • automatic behavior,
  • also known as automatism,
  • ataxia,
  • in-coordination,
  • sometimes mistaken for “drunkenness”,
  • focal or general motor deficit,
  • paralysis,
  • hemiparesis,
  • paresthesia,
  • headache,
  • stupor,
  • coma,
  • confusion,
  • amnesia,
  • dizziness,
  • delirium,
  • staring,
  • “glassy” look,
  • double vision,
  • difficulty speaking,
  • slurred speech,
  • abnormal breathing,
  • generalized or focal seizures

These symptoms are very similar to being drunk with alcohol – which results again in poor energy delivery to the brain.

Poor energy delivery to the body

  • Fatigue,
  • weakness,
  • lethargy,
  • poor stamina,
  • blurred vision and many others!