Treatment Overview
You can treat a sudden (acute)
episode of
hypoglycemia by eating or drinking some form of sugar
to return your blood sugar to a normal range. This treatment is usually all
that is necessary for an isolated episode of hypoglycemia, such as from
prolonged fasting or strenuous exercise without adequate food.
Hypoglycemia caused by a long-term (chronic) health condition requires
treatment of the long-term health condition.
Treatment of acute hypoglycemia
- If you are conscious and able to respond when
symptoms develop, eat or drink some form of sugar. Drink fruit juice or sugared
(non-diet) soda pop or eat sugar in the form of candy, cubes, or tablets, or
other
quick-sugar foods
- Make sure your family
members, coworkers, and others close to you are aware that you may have
episodes of hypoglycemia, so they can help you.
Emergency treatment for people who do not use insulin
usually does not require
glucagon, but it may be needed in rare cases.
- Tell the people close to you that they should call 911
or other emergency services if you become sleepy or unconscious. They
also should seek emergency help if you are not unconscious but they do not know
how to give you an injection of glucagon. Always have a medical alert bracelet
or tag with you. Medical alert jewelry can be bought in pharmacies or on the
Internet.
- Severe cases of hypoglycemia may require hospitalization.
You may be given additional glucose in a vein (intravenously) until your blood
sugar level is stable in the normal range. This could take several days,
depending on the cause.
- Future episodes of low blood sugar may be
avoided by changing the behavior or situation that led to the hypoglycemia. If
medicine causes hypoglycemia, you may be able to stop
using it or change how it is used. Talk to your doctor about how to avoid
future episodes of low blood sugar.
- It is important to remember that low blood sugar may be only
temporarily corrected with acute treatment, and you may need additional
treatment. If you have a glucose meter, you should recheck your blood sugar
level in 10 to 15 minutes. If you do not have a blood glucose meter, you should
be alert for the return of low blood sugar symptoms and be prepared to seek
emergency care.
Treatment of hypoglycemia caused by another condition
If you have low blood sugar caused by a chronic health condition, your
symptoms will be treated the same as those of acute hypoglycemia. After you
have recovered from the immediate symptoms, you will need treatment for the
condition that is causing hypoglycemia. In many situations, after the cause is
identified, new episodes of hypoglycemia can be prevented.
Low
blood sugar may have a long-term cause that can be cured, such as some
endocrine disorders or diseases of the
liver,
adrenal glands, or
pancreas. Effective long-term treatment of an
insulin-producing tumor in the pancreas (insulinoma) usually requires
surgery.
Even if the condition that is causing your hypoglycemia
is not curable, treatment often can prevent episodes of low blood sugar. Talk
to your doctor about whether you can modify your diet (what, when, or how much
you eat), change the dosage or types of medicines you take, or modify your
physical activity (such as when and how hard you exercise).
This
type of management is most common for people who have diabetes, other chronic
health conditions that may require long-term treatment (liver disease,
kidney failure, or endocrine disorders), and inherited
enzyme or hormone deficiencies. It may also be useful for people who have
alcohol-related illnesses.