Low blood sugar

Low blood sugar (<70 mg/dL) causes shakiness, sweating, palpitations, hunger, confusion, and — if severe — loss of consciousness. In people on insulin or sulfonylureas, it usually means medication is too aggressive for current intake or activity. In people not on diabetes meds, recurrent hypoglycemia can point to reactive hypoglycemia, dumping syndrome after bariatric surgery, adrenal insufficiency, or rarely insulinoma. Clindle evaluates the pattern, orders targeted labs, adjusts diabetes regimens, and refers to endocrinology when the cause is unclear.