Low blood sugar during weight loss usually manifests as symptoms such as hunger, palpitations, sweating, dizziness, and fatigue. Losing weight and hypoglycemia may be related to factors such as excessive dieting, hyperinsulinemia, pre diabetes, islet cell tumor, adrenal cortex dysfunction, etc., usually manifested as palpitations, tremors, blurred vision, blurred consciousness, coma and other symptoms. It is recommended to seek medical attention promptly to identify the cause and adjust diet and exercise plans under the guidance of a doctor.

1. Hunger
The most common early symptom of low blood sugar during weight loss is a significant sense of hunger, accompanied by a feeling of stomach emptiness. This situation is often caused by prolonged lack of food intake or insufficient carbohydrate intake, leading to a decrease in blood sugar levels. The body transmits hunger signals by stimulating gastric acid secretion and gastrointestinal peristalsis, reminding to replenish energy in a timely manner. It is recommended to choose whole wheat bread with moderate glycemic index and pair it with nuts as an extra meal to avoid drastic fluctuations in blood sugar levels.
2. Panic and sweating
Autonomic nerve excitation can cause symptoms such as palpitations and cold sweats, which are stress reactions caused by hypoglycemia. When blood sugar is below 3.9mmol/L, the body activates the sympathetic nervous system to release adrenaline, leading to increased heart rate and pale and damp skin. Carrying glucose tablets with you can quickly relieve symptoms, but it is important to note that repeated episodes may indicate organic diseases such as pancreatic islet cell tumors.
3. Dizziness and fatigue
Insufficient glucose supply to the central nervous system can lead to dizziness, inattention, and limb weakness. Brain tissue relies on blood sugar for energy supply, and cognitive function declines when blood sugar drops sharply. Patients with diabetes are more likely to suffer from excessive insulin use. It is recommended to monitor finger tip blood glucose, and eat 15g sugary food immediately when symptoms occur.

4. Blurred vision
Retinal cells are sensitive to hypoglycemia and may experience blurred vision or diplopia. This is a manifestation of hypoglycemia affecting the visual center and eye muscle regulation function, commonly seen in weight loss populations who have been strictly controlling their sugar intake for a long time. Be alert to the risk of hypoglycemic coma when accompanied by pale complexion and cold sweat, and drink sugary drinks in a timely manner and lie down to rest.
5. Consciousness disorders
Severe hypoglycemia may lead to blurred consciousness, abnormal behavior, and even coma. When blood sugar is below 2.8 mmol/L, cerebral cortex function is impaired, leading to symptoms such as delirium and convulsions. This situation is common in patients with pancreatic islet cell tumors or improper use of insulin, and immediate intravenous infusion of 50% glucose injection is required for rescue.

To prevent weight loss and hypoglycemia, it is necessary to maintain regular three meals, each containing an appropriate amount of high-quality protein and complex carbohydrates. Monitor blood sugar before and after exercise, and avoid high-intensity training on an empty stomach. Patients with diabetes should adjust the hypoglycemic program according to the doctor's advice, and carry the diabetes identification card and first aid candy with them. Frequent hypoglycemia requires complete insulin release testing and other examinations to rule out organic diseases. In daily life, you can choose staple foods such as oats and quinoa with low glycemic index, and combine them with a small and frequent diet to stabilize blood sugar levels.
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