What should I do if I lose weight and experience low blood sugar

Reducing weight to low blood sugar can be improved by adjusting diet, eating regularly, supplementing sugar, monitoring blood sugar, and seeking medical evaluation. Hypoglycemia is usually caused by excessive dieting, excessive exercise, nutritional imbalance, metabolic abnormalities, medication effects, and other reasons.

1. Adjust diet

Reduce calorie deficit, consume no less than 130 grams of carbohydrates per day, choose low glycemic index foods such as oats and whole wheat bread, and pair them with high-quality protein and dietary fiber. Avoid fasting for long periods of time, with no more than 4 hours between meals. During weight loss, it is not recommended to consume less than 1200 calories per day. You can consult a nutritionist to develop a personalized plan.

2. Regular Meal

Fixed daily meal times, using a three meal two-point mode, with additional meals in the morning and afternoon. You can choose sugar free yogurt with nuts or half an apple as an extra meal, which can maintain blood sugar stability and control total calories. One hour before bedtime, you can supplement 10 grams of slow-release carbohydrates such as low-fat milk to prevent low blood sugar at night. When experiencing symptoms of low blood sugar such as palpitations and tremors, immediately consume 15 grams of quick acting sugar, such as 4 fruit candies or 150 milliliters of sugary drinks, and retest blood sugar 15 minutes later. Take glucose tablets or honey bags with you when you go out. diabetes patients should strictly follow the doctor's instructions. After the symptoms are relieved, it is necessary to follow up with appropriate protein foods.

4. Monitor blood glucose

During weight loss, monitor fingertip blood glucose on an empty stomach every morning and before meals to maintain a fasting blood glucose level of not less than 4.0mmol/L. Record the correlation between blood glucose fluctuations and diet and exercise, and identify triggering factors. Using a dynamic blood glucose meter can obtain more comprehensive data, but it needs to be interpreted by a professional physician.

5. Medical evaluation

Repeated hypoglycemia requires screening for pathological factors such as insulinoma and adrenal insufficiency. endocrinology department can conduct OGTT test, insulin release test and other examinations. If diagnosed with organic disease, the weight loss plan should be suspended and priority should be given to treating the underlying disease. Those who use hypoglycemic drugs need to adjust their medication plan. During weight loss, it is recommended to choose gentle aerobic exercises such as brisk walking and swimming, and avoid exercising on an empty stomach. Weight loss should not exceed 0.5-1 kilogram per week, and body fat percentage should not be lower than the lower limit of health. Regularly conduct body composition analysis to ensure that muscle mass is not lost. Seek medical attention promptly when experiencing persistent symptoms such as dizziness and fatigue to avoid serious consequences such as cognitive impairment. Long term strict dieting may lead to anorexia nervosa and requires psychological counseling.