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Conditions and Diseases > Hypoglycemia Forum > hypoglycemia seizure misdiagnosed as epilepsy
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Q: hypoglycemia seizure misdiagnosed as epilepsy
asked by: quilterof5 on March 3rd, 2009
New User
I used to have the usual shaky sweating episodes releived by eating then slowly I stoped being aware of the symptoms and would if busy have no awareness of hypo coming on...This is how I think I got to the point if having seizures...I would space out if I didn't eat something every 3 hrs and when given OJ or glucose tabs I would "come back" ...In Dec. I had 2 seizures both times after not eating much during the day(just not real hungry and busy) and after having trouble sleeping the nights before. the first one occured at work in a high school classroom and the school nurse who I had seen before about low blood sugar(was 20 once!) said it was 40 then gave me glucose and by the time I left school it was 120(after juice and granola bar also)...She did say the emt's first gave me oxygen and I came to enough to swallow the glucose. The second time was similar but appeared more tonic clonic...I was just eating breakfast and when emt's checked upon arrival 30 min later BS was 82(after food I had been eating started digesting)BS was I am sure lower at seizure time....
Neurologist put me on Keppra and MRI showed nothing 20 minEEG showed nothing and in 2 weeks a video EEG is planned....I will be surprised if anything shows unless they try to induce hypoglycemic reaction....Since the second seizure I have been eating much more frequently through out the day and have had no spacy hypoglycemic episodes and I don't think Keppra would have affected that...I have a log of Blood sugar a month ago and now these next two weeks will keep another log to compare....my average was around 85 bs...so there were low numbers in there many 50-60's...hopefully I will show doc that now the average is in a more normal range.

The neorologist pays no attention to the low blood sugar info I have given him but I do have an appt with an endocrinologis...1st available is in May ..hate waiting that log and being on seizure meds when I may not need them ....what would I expect from a visit to the endo? Thanks..glad to have found this site!
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Stan
replied on March 3rd, 2009
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I was very happy with my endocrinologist. They will likely give you a GTT if you haven't had one and test your Hemaglobin A1-C. They may do some other tests as well including allergy tests. After that, they may give you a free meter with strips whenever you want to track your sugar levels over about a three month period. They'll likely also suggest proper eating and such. I was very happy with my experience.
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Jazzdude
replied on March 11th, 2009
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Hey quilterof5... I'm now going through pretty much the same thing as you. I collapsed at work in November of '08 with a BS reading of 30. The first time this has ever happened. I was taken to a local hospital and ended up seeing a neuro [neurologist] who seems to think I'm seizure prone to begin with. My dad's a diabetic and I know that low BS can trigger seizures. My neuro has me on 1000mg/day of Keppra as a "preventative measure." My primary care physician mentioned to me about seeing an endocrinologist, which I plan on shortly. This whole thing is new for me. So for now, I've been making a point of eating snacks throughout the day to help keep the BS readings up. Normal BS readings for me are in the 70s. Lately, I've been having readings in the mid 50s to the 70s. Hopefully I can find out what's changing and how to deal with it...
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