Hypoglycemia develop when Blood sugar level falls below 60mg/100cc.

• Normally blood sugar level is maintained at 70-110 mg/100cc of blood.
• Generally insulin dependent patient suffer from it.
• The most important point for development of hypoglycemia symptom is rate of fall of blood sugar level rather than acute itself.

Cause

Idiopathic

Overdose of hypoglycemia agent (insulin) 

Malignant Disease 

 Hepatitic Disorders

• Cirrhosis of liver 
•  Hepatitic necrosis
•  Glycogen storage disease 

 Gastrointestinal Cause

• Post gastrectomy syndrome
•  Malabsorption syndrome 

Functional Cause

• Chronic malnutrition
• Reactive hypoglycemia 

 Drugs

• Aspirine
• Alcohol
• Quinine
•  Propranolol 

 Endocrine

• Hypopituitrism
• Myxoedema
•  Addison's disease 

 Enzyme deficiency

• Glucose 6 phosphate
• Glycogen synthetase enzyme deficiency 

 Immunologic Hypoglycemia

• Idiopathic anti-Insulin antibodies
• Antibodies to insulin receptor 

 Renal Cause

• Terminal renal failure
•  Malignant malaria 

Clinical Features

• Headache
• Giddiness
• Sweating
• Shakiness
• Feeling of Warmth
• Lack of Concentration
• Change of Behaviour
• Anxiety
• Fatigue
• Weakness
• Yawning
• Hunger
• Nausea
• Vomiting
• Difficulty in Speech
• Confusion
• Nervousness
• Coma
• camsiness
• Convulsion
• Local and General Sezier
• Intellect Disability
• Obesity (long lasting cases) 

On Examination

• Pallor, sweating, tachycardia, jerky pulse 
•  H.T. - Systolic 
•  Pulse and blood pressure more or less when come well developed.
•  History of hypoglycemic symptoms
•  Fasting blood sugar 40mg/dl or less
• Prompt recovery after taking glucose.
• Dilated pupil

Investigation

• Blood sugar estimation <40mg/dl
• Fasting blood test

Treatment

•  Give a lump of sugar immediately
• "Glucagon 25% and dextrose, 100-200cc  IV 
•  Diazoxide 300-600mg orally (insulinoma cases) 
•  Thiazides

Homeopathic medicine for hypoglycemia 

Gelsemium

Lycopodium

Ars alb

Chelidonium

Nux vomica

Carbo veg 

Gelsemium

It is very useful remedy for hypoglycemia.

General prostration.

Dizziness, drowsiness, dullness and trembling.

Slow pulse, tired feeling.

Vertigo, spreading from the occiput.

Occipital headache.

Dull, heavy ache and heaviness of the eyelid, bruised sensation.

Better compression and lying with head high.

Vision blurred and smoky.

Detected retina, glaucoma and descemetitis.

Dim sighte, pupils dilated and insensible to light.

Sensation as if it is necessary to keep in motion or else the heart's action would cease.

Palpitation, pulse soft, weak, full and flowing.

Weak slow pulse of old age.

Excessive trembling and weakness of all limbs.

Fatigue after slight excercise.

Lycopodium

Best suited to thin intellectual keen people, but of weak, muscular power.

It is a great remedy for hypoglycemia.

There is marked emaciation.

Debility in morning.

Lycopodium is especially adapted to ailments developing gradually, functional power weakens.

Lacks of vital heat, has poor circulation, cold extremities.

Intolerance of cold drink, craves everything warm.

Numbness

Limbs go to sleep

Twitching and jerking

Right foot hot, left foot cold

Hands and feets numb

Drowsy during day time

Worse by right side, from right to left, from above downward.

Better by warm food and drink and uncovered.

Arsenic alb

Confusion

Trembling

Twitching

Spasm

Weakness

Heaviness uneasiness

Cramps

It is also useful in diabetic gangrene

Anxious

Drowsiness

Worse from wet weather, after midnight, from cold food and drinks, right sided. Better from heat, warm drink.

Dose - 3rd to 30th potency. The very highest potency often yield brilliant results.

Chelidonium

Great general lethargy and indisposition to make any effort, is also marked.

Heavy, leathargy, drowsiness very marked symptom of chelidonium.

General numbness, vertigo.

Nausea, vomiting better taking  very hot water.

Prefers hot food and drink.

Icy coldness of finger tips.

Very quick and short inspiration, pain on deep inspiration.

Eating relieves temporary.

Nux vomica

Best suited to thin, spare, quick, active, nervous, irritatble.

Sensation of sudden loss in power of arms and legs, in the morning.

Arms and hand go to sleep.

Legs numb, cramps in calves and soles.

Drowsiness after meal and in early morning.

Better after a short sleep.

Convulsions

Nux vomica patient is easily chilled, avoid open air.

Hypersensitiveness

Vertigo with momentary loss of consciousness. Headache in the occiput or over the eyes, with vertigo, brain feels as if turning in a circle.

Carbo veg

The patient may be almost lifeless, but the head is hot, coldness, breath cool, pulse imperceptible, oppressed and a quickened respiration.

Must have air, must be fanned hard, must have ball windows open. This is a typical state of carbo veg. The patient faint easily, worn out and must have fresh air.

Patient is very debilitated.

Patient seems to be too weak to hold out.

General venous stasis, bluish skin and cold limbs.

Vertigo with nausea.

Head feels heavy and constricted.

A lowered vital power from loss of fluids, after drugging, after other disease, in old people with venous congestion.

Disintegration and imperfect oxidation is the keynote symptom of this remedy.

Vision of black floating spots,

Carbo veg is best suited to the person who is sluggish, fat, lazy and has a tendency to chronicity in his complaints. Blood seems to stagnate in the capillaries causing blueness, coldness. Body becomes blue and icy cold.

Limbs go to sleep easily.

Breathe cold, must be fanned.

Deep, rough voice, falling on the slightest exertion.

Complaints worse, evening, night, open air, from fat, butter, coffee.

Better from fanning cold

The selection of homoeopathic remedies based on symptom similarities and doses according to the Susceptibility of patient.

Don't take homoeopathic medicine without any prescription / without any advise of physician