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Loss of appetite
Sudden sweating
Have a headache
Brain fog
Fatigued
Becoming listless and unenergetic
Blacking out
Not seeing your symptoms? No worries!
Low blood sugar levels. This can be fatal as the brain depends on sugar for energy. It is usually caused by diabetes medications, but can also be caused by hormone disorders and insulin overproduction.
Your doctor may ask these questions to check for this disease:
This condition is first managed by consuming sugar quickly - options include candy, honey, table sugar, or sweet drinks. In severe cases where a patient is unconscious, a sugar-containing drip can be given via a needle in the vein. It is important to find the reason for low blood sugar, to prevent it from happening again.
Reviewed By:
Maxwell J. Nanes, DO (Emergency Medicine)
Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |
Hidetaka Hamasaki, MD (Endocrinology)
Dr. Hamasaki graduated from the Hiroshima University School of Medicine and the Graduate School of Medicine, Jichi Medical University. He completed his residency at the Department of Diabetes, Endocrinology and Metabolism, National Center for Global Health and Medicine Hospital and the Department of Internal Medicine, Kohnodai Hospital, National Center for Global Health and Medicine. He has served in the National Center for Global Health and Medicine Hospital and Kohnodai Hospital and joined Hamasaki Clinic in April 2017. Dr. Hamasaki specializes in diabetes and treats a wide range of internal medicine and endocrine disorders.
Content updated on Dec 5, 2025
Following the Medical Content Editorial Policy
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Q.
Why Am I Sleepy After Eating? 5 Health Warnings for Women 65+
A.
There are several factors to consider; in women 65+, feeling sleepy after eating is often from normal digestion or large, carb-heavy meals, but it can also warn of blood sugar swings, post-meal low blood pressure, thyroid problems, or heart and circulation issues. If drowsiness is sudden, intense, or comes with dizziness, shakiness, chest discomfort, shortness of breath, or fainting, speak with a doctor promptly and seek urgent care for severe symptoms. See the complete guidance below for practical meal fixes, key warning signs, and when to get tests that can affect your next steps.
References:
* Vlachopoulou, E., Daskalopoulou, S. S., & Vachon, M. (2019). Postprandial glucose excursions and subjective feelings of fatigue in middle-aged and older adults with type 2 diabetes. *Experimental Gerontology*, *124*, 110629.
* Roberts, C. G., & Ladenson, P. W. (2004). Hypothyroidism and the elderly: a review. *Journal of the American Geriatrics Society*, *52*(7), 1164–1172.
* Bross, R., Solem, C. T., & Auerbach, M. (2011). Anemia in older adults: etiology, assessment, and management. *Seminars in Hematology*, *48*(4), 307–319.
* Ancoli-Israel, S. (2010). Obstructive sleep apnea in the elderly: a growing concern. *Sleep Medicine Clinics*, *5*(2), 279–289.
* Maher, R. L., Hanlon, J., & Hajjar, E. R. (2014). Clinical consequences of polypharmacy in older people. *Expert Opinion on Drug Safety*, *13*(10), 1335–1345.
Q.
Blood Sugar Over 65: Preventing Spikes & Senior Diabetes
A.
After 65, blood sugar can swing due to reduced insulin sensitivity, less muscle, slower digestion, medications, and routine changes; typical goals are fasting 80 to 130 mg/dL and after meals below 180 mg/dL, personalized to avoid both highs and dangerous lows. Steadier control comes from balanced higher fiber meals paired with protein and healthy fats, safe activity like walking and light strength work, medication reviews, better sleep and stress management, and right-sized monitoring; there are several factors to consider, including subtle low sugar symptoms, when to call a doctor, which drugs can affect readings, and how often to check, so see the complete guidance below.
References:
* American Diabetes Association. Glycemic targets for older adults with diabetes: a position statement of the American Diabetes Association. Diabetes Care. 2021 Mar;44(3):802-811. PMID: 32900762.
* Le Roux MC, Matson C, Strain WD. Diabetes in older adults: An update. J Am Geriatr Soc. 2023 Feb;71(2):333-345. PMID: 36762283.
* Kim KS, Kim DJ, Kim JY, Kim YJ, Kim YK, Kim HS, Choi MK, Cho YW. Lifestyle Interventions for Diabetes Prevention in Older Adults: A Systematic Review. J Gerontol A Biol Sci Med Sci. 2021 Apr 2;76(4):e115-e124. PMID: 32924151.
* Munshi MN. Management of Type 2 Diabetes in Older Adults. Med Clin North Am. 2022 Mar;106(2):299-317. PMID: 35057053.
* Abdelhafiz AH, Sinclair AJ. Postprandial glucose in older people with type 2 diabetes: a narrative review. Diabet Med. 2022 Oct;39(10):e14885. PMID: 35824551.
Q.
Women’s Glucose Guide: Balancing Blood Sugar and Health
A.
Balanced glucose supports women’s energy, mood, hormones, heart health, and pregnancy, and it naturally shifts with the menstrual cycle, pregnancy, perimenopause, menopause, and PCOS. There are several factors to consider; see below to understand key symptoms of highs and lows, everyday habits for stable blood sugar, who should get tests like fasting glucose, A1C, or tolerance testing, and urgent warning signs that should guide your next healthcare steps.
References:
Mauvais-Jarvis F, K Harmony J, Majzoub JA, Naftolin F. Sex differences in glucose homeostasis: from metabolism to disease. Nat Rev Endocrinol. 2020 Apr;16(4):211-224. doi: 10.1038/s41574-019-0312-6. Epub 2020 Feb 4. PMID: 32015509.
Tsilidis KK, Kontopantelis E, Zafiropoulos A, Dastmalchi S, Kyriacou A, Karageorgiou V, Dimopoulos K, Petridou ET. Sex differences in insulin resistance: a mechanistic update. Horm Mol Biol Clin Investig. 2022 Jun 29;43(3):141-158. doi: 10.1515/hmbci-2022-0002. PMID: 35767576.
Ma R, Wang X, Liu R, Zhang C. The Long-Term Consequences of Gestational Diabetes on Women's Health: A Systematic Review and Meta-Analysis. J Clin Endocrinol Metab. 2023 Apr 6;108(4):947-957. doi: 10.1210/clinem/dgad015. PMID: 37021319.
Prapas N, Papanicolaou A, Zacharakis D, Kotsa K. Polycystic ovary syndrome and insulin resistance. Curr Opin Endocr Met Res. 2022 Apr;23:100318. doi: 10.1016/j.coemr.2022.100318. Epub 2022 Apr 20. PMID: 35473130.
Dieli-Conwright CM, Tseng CH, Castillo AD, Sweeney EM, Lee K, Batey NL, Pado-Schwartz K, Hong E, Hurez V, Sattler FR. Postmenopausal changes in body composition and glucose metabolism: a review of the literature. Menopause. 2020 Apr;27(4):460-466. doi: 10.1097/GME.0000000000001476. PMID: 31980839; PMCID: PMC7153678.
Q.
Why do I get low blood sugar even when I eat?
A.
You might experience low blood sugar after eating due to a condition called reactive hypoglycemia, where your body releases too much insulin after meals. See below to understand more.
References:
Altuntaş Y. (2019). Postprandial Reactive Hypoglycemia. Sisli Etfal Hastanesi tip bulteni, 32377086.
https://pubmed.ncbi.nlm.nih.gov/32377086/
Hofeldt FD. (1989). Reactive hypoglycemia. Endocrinology and metabolism clinics of North America, 2645126.
https://pubmed.ncbi.nlm.nih.gov/2645126/
Hart S, Abraham S, Franklin RC, Twigg SM, & Russell J. (2011). Hypoglycaemia following a mixed meal in eating disorder .... Postgraduate medical journal, 21389022.
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1Yeoh E, Choudhary P, Nwokolo M, Ayis S, Amiel SA (Year). Interventions That Restore Awareness of Hypoglycemia in Adults With Type 1 Diabetes: A Systematic Review and Meta-analysis. Diabetes care.
https://pubmed.ncbi.nlm.nih.gov/26207053/Choudhary P, Rickels MR, Senior PA, Vantyghem MC, Maffi P, Kay TW, Keymeulen B, Inagaki N, Saudek F, Lehmann R, Hering BJ (Year). Evidence-informed clinical practice recommendations for treatment of type 1 diabetes complicated by problematic hypoglycemia. Diabetes care.
https://pubmed.ncbi.nlm.nih.gov/25998294/Cryer PE, Davis SN, Shamoon H (Year). Hypoglycemia in diabetes. Diabetes care.
https://pubmed.ncbi.nlm.nih.gov/12766131/