What is hypoglycemia?
Hypoglycemia means low blood sugar (glucose). The blood glucose
levels in healthy individuals fluctuate depending greatly on the duration of
fasting. The normal range is 70 to 120 mg/dl after an overnight (12 hours) fast.
In healthy men, the blood glucose can drop to 55 mg/dl after 24 hours of fasting
and to 48 mg/dl after 72 hours of fasting. In healthy women, glucose levels can
be as low as 35 mg/dl after only 24 hours of fasting.
Since blood glucose levels can fluctuate widely in healthy subjects, and
symptoms of hypoglycemia can be vague and nonspecific, establishing the
diagnosis of hypoglycemia as the cause of symptoms is often difficult. When
symptoms of hypoglycemia occur together with a documented blood glucose under 45
mg/dl, and the symptoms promptly resolve with the administration of glucose, the
diagnosis can be made with more certainty.
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