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low blood sugar also known as hypoglycemia is a clinical situation characterized by a reduced blood glucose level which may lead to a multitude of signs and symptoms normal fasting blood glucose level is between 70 to 100 milligrams per deciliter the precise glucose level at which an individual with hypoglycemia becomes symptomatic is highly variable although a plasma glucose level below 50 milligrams per deciliter is considered to be the threshold nevertheless hypoglycemia is extremely fatal and may lead to death within a matter of time causes of hypoglycemia are varied however it is seen most often in diabetic patients major causes of hypoglycemia include the following medication overdose especially anti-diabetic medications such as insulin infections alcohol intake dietary changes that restrict glucose intake metabolic changes activity changes prolonged fasting insulin secreting tumors such as insulinomas gastrointestinal problems bariatric surgery and liver disease in some cases th