If you are experiencing symptoms like shaking, sweating, rapid heartbeat, and irritability, it may be a result of either anxiety or low blood sugar.
It is important to pay attention to these symptoms and consult with a healthcare professional for proper evaluation and diagnosis. Anxiety can be managed through relaxation techniques, therapy, and in some cases, medication. Low blood sugar can be addressed by consuming a balanced diet with regular meals and snacks, monitoring blood sugar levels, and working with a healthcare provider to develop a treatment plan.
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02/05/25 10:22:00 AM
February 05, 2025
Recognizing if you are more prone to low blood sugar is crucial in identifying health concerns, as stated by an expert from VCU Health. (Getty Images)
By Leigh Farmer
Shaking, sweating, rapid heartbeat, and irritability – are they symptoms of anxiety or low blood sugar?
The signs of mental and physical health issues can be surprisingly similar. In the case of anxiety compared to low blood sugar, the symptoms can overlap.
Both anxiety and diabetes are common conditions. More than 40 million adults have an anxiety disorder, while 38 million American adults have diabetes, according to reports from respected health organizations.
VCU Health News discussed this issue with Priyanka Majety, M. D., the adult outpatient diabetes director for VCU Health, who provided insights on determining the best course of action for those experiencing symptoms.
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Both anxiety and low blood sugar trigger the body’s fight or flight response, leading to similar physical sensations such as shakiness, sweating, rapid heartbeat, and difficulty concentrating.
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If a patient does not have a history of diabetes or low blood sugar, anxiety may seem like the more probable cause due to its prevalence in society. However, anxiety and low blood sugar can coexist, making the situation more complex.
Understanding if you are at a higher risk for hypoglycemia is crucial. Various factors like alcohol consumption, insulin use, age, kidney issues, liver problems, and bariatric surgery history can indicate a more serious medical condition. Moreover, certain diabetes medications can elevate the risk of hypoglycemia, especially in patients with additional risk factors.
It is important to monitor your blood sugar levels regularly, especially if you have any of the risk factors mentioned above. Additionally, maintaining a healthy diet, staying physically active, and following your healthcare provider’s recommendations can help lower your risk of hypoglycemia. If you experience symptoms of low blood sugar, such as dizziness, confusion, or sweating, it is important to seek medical attention promptly.
In addition to measuring blood glucose levels, symptoms of hypoglycemia may include shakiness, dizziness, sweating, confusion, and irritability. If left untreated, severe hypoglycemia can lead to seizures, loss of consciousness, and even coma. It is important for individuals with diabetes to always carry a source of fast-acting sugar, such as glucose tablets or fruit juice, to quickly raise blood sugar levels in case of an emergency.
It is also crucial for individuals with diabetes to work closely with their healthcare team to properly manage their condition and prevent episodes of hypoglycemia. This may involve adjusting medications, monitoring blood sugar levels regularly, following a balanced diet, and incorporating regular physical activity into their routine.
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If uncertain about the cause, addressing low blood sugar first is recommended as untreated hypoglycemia can lead to severe complications. Consuming fast-acting carbohydrates like fruit juice or glucose tablets can rapidly alleviate hypoglycemia. Remember, “The Rule of 15” – consume 15gm of carbohydrates and wait 15 minutes to recheck your blood glucose level.
If symptoms persist, anxiety may be the underlying issue. Practice calming techniques like deep breathing or seek professional help for cognitive-behavioral therapy. In severe cases, medication may be necessary. It is essential not to ignore anxiety.
In addition to addressing hypoglycemia and anxiety, it is important to maintain a balanced diet and regular exercise routine to support overall health. Monitoring blood sugar levels consistently and seeking medical guidance when needed is crucial for managing both hypoglycemia and anxiety effectively.
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In both scenarios, consulting a healthcare provider for evaluation is crucial to determine the cause. A proper diagnosis is fundamental for effective long-term treatment. Individuals facing recurrent symptoms should seek a thorough evaluation from their healthcare provider.
People with diabetes or conditions leading to frequent hypoglycemia must monitor their blood glucose levels diligently. Continuous glucose monitoring (CGM) devices can be beneficial in identifying patterns of low blood sugar in some cases.
Keeping track of when symptoms occur, along with details like recent meals, stress levels, physical activity, and improvements, can help recognize patterns.
Hypoglycemia, known as a “hypo,” is an abnormally low glucose level in the blood (less than four millimoles per litre).
When your glucose level is too low, your body lacks the energy needed for its functions.
Hypoglycemia is commonly associated with diabetes and can occur if a diabetic individual takes excess insulin, skips a meal, or exercises intensely.
In rare instances, individuals without diabetes may experience hypoglycemia due to malnutrition, excessive drinking, or certain medical conditions like Addison’s disease.
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Insulin users are at higher risk of experiencing nocturnal hypoglycemia.
Symptoms may include fatigue, sweating, and feeling hungover.
Taking too much insulin or hypoglycemia medication can lead to low blood sugar levels.
In type 1 diabetes, managing glucose levels requires a balance of insulin, diet, and exercise.
Hypoglycemia can be triggered by delayed meals, lack of carbohydrates, or excessive alcohol intake.
Reactive hypoglycemia in non-diabetics may result from excessive insulin production after meals.
Other causes include fasting, alcohol, certain medications, and illnesses affecting organs like the liver.
It is possible to treat hypoglycemia once symptoms are detected.
Immediate treatment involves consuming sugary foods or drinks, followed by longer-acting carbohydrates.
In severe cases leading to unconsciousness, a glucagon injection may be required.
If glucagon is unavailable or ineffective, call emergency services after 10 minutes.
Following medication and meal plans can help prevent hypoglycemia.
Regular monitoring of blood glucose levels is crucial for managing diabetes and detecting hypoglycemia promptly.
Exercise and alcohol consumption can increase the risk of hypoglycemia in diabetics.
Prompt recognition and treatment of hypoglycemia symptoms are vital.
Carrying identification with your medical condition is recommended for quick assistance.
Having sugary items and necessary medications on hand is essential for managing hypoglycemia on the go.
Preventing nocturnal hypoglycemia is important to avoid daytime episodes.
Strategies may include keeping sugary snacks nearby and monitoring glucose levels.
Hypoglycemia poses risks, especially while driving, so precautions should be taken.
Individuals using insulin for diabetes should inform authorities and monitor blood sugar levels before driving.
Avoid driving for 45 minutes after treating hypoglycemia and have rapid-acting carbohydrates on hand.
If experiencing hypoglycemia while driving, safely pull over and treat before continuing.
For multiple episodes requiring assistance, it is a legal requirement to stop driving and inform the authorities.
Group two drivers must cease driving group two vehicles after a single episode of hypoglycemia requiring assistance.
Inform your healthcare team if you have trouble recognizing or frequently experience hypoglycemia.
Visit the GOV.UK website for more information on hypoglycemia and driving.