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DEAR DR. DONOHUE: I am 13 years old and would like you to say something about hypoglycemia. My mom believes we both have it. Whenever I haven't eaten for a while, I get headaches, stomachaches and nausea. I also feel very warm, weak and shaky. Eating sugary foods makes it worse. I also get nervous easily. My blood sugar levels have been checked, and diabetes is not indicated. What would you recommend? -- M.P. ANSWER: Low blood sugar -- hypoglycemia -- produces many of the symptoms you describe: trembling, sweating, nausea, dizziness, headache and confusion. The trouble is that many other things produce the same symptoms -- anxiety, for example. The proof that hypoglycemia is the cause demands that three rules be observed: hypoglycemia symptoms appear, the blood sugar at the time the symptoms appear is below 50 to 60 mg/dL (2.8 to 3.3 mmol/L), and the symptoms go away when blood sugar returns to normal.
A 12-year-old Latino boy arrived at a Boston emergency department with dizziness anda headache. The patient, whom I'll call Raul, had limited proficiency in English; his mother spoke no English, and the attending physician spoke little Spanish. No medical interpreter was available, so Raul acted as his own interpreter. His mother described his symptoms: "La semana pasada a el le dio mucho mareo y no tenía fiebre ni nada, y la familia por parte de papá todos padecen de diabetes." (Last week, he had a lot of dizziness, and he didn't have fever or anything, and his dad's family all suffer from diabetes.) "Uh hum," replied the physician. The mother went on. "A mí me da miedo porque el lo que estaba mareado, mareado, mareado y no tenía fiebre ni nada." (I'm scared because he's dizzy, dizzy, dizzy, and he didn't have fever or anything.) Turning to Raul, the physician asked, "OK, so she's saying you look kind of yellow, is that what she's saying?" Raul interpreted for his mother: "Es que si me vi amarillo?" (Is it that I looked yellow?) "Estaba como mareado, como pálido" (You were like dizzy, like pale), his mother replied.
*********
DISCLAIMER: This information is not
presented as being from a medical practitioner and is for educational and
informational purposes only. The content is not intended to be a substitute for
professional medical advice, diagnosis, or treatment. Always seek the advice of
your physician or other qualified health provider with any questions you may
have regarding a medical condition. Never disregard professional medical advice
or delay in seeking it because of something you have read.
Since natural and/or dietary supplements are not
FDA approved they must be accompanied by a two-part disclaimer on the product
label: that the statement has not been evaluated by FDA and that the product is
not intended to "diagnose, treat, cure or prevent any disease."
*********
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