Symptoms like confusion, sweating, and dizziness are occurring because the client is experiencing hypoglycemia.
Hypoglycemia, also called low blood sugar, is a fall in blood sugar to levels below normal, typically below 70 mg/dL. Whipple's triad is used to properly identify hypoglycemic episodes. It is defined as blood glucose below 70 mg/dL, symptoms associated with hypoglycemia, and resolution of symptoms when blood sugar returns to normal.
Hypoglycemia may result in headache, tiredness, clumsiness, trouble talking, confusion, fast heart rate, sweating, shakiness, nervousness, hunger, loss of consciousness, seizures, or death. Symptoms typically come on quickly.
The most common cause of hypoglycemia is medications used to treat diabetes such as insulin, sulfonylureas, and biguanides. Risk is greater in diabetics who have eaten less than usual, recently exercised, or consumed alcohol.
Other causes of hypoglycemia include severe illness, sepsis, kidney failure, liver disease, hormone deficiency, tumors such as insulinomas or non-B cell tumors, inborn errors of metabolism, several medications, and alcohol.[1][3][2] Low blood sugar may occur in otherwise healthy newborns who have not eaten for a few hours.
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