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Doctor insights on: Hypoglycemia Panic Attacks

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I have suffered from panic attacks on & off over the last few years. When I get one, my hr can get up to 150. Is this normal?

I have suffered from panic attacks on & off over the last few years. When I get one, my hr can get up to 150. Is this normal?

Yes: Hopefully this resolves in 30 minutes or so. It may even slow some in 10. Some folk experience even higher heart rates during an attack, and do not incur permanent damage, so don't worry about that. However, CBT therapy can offer a chance to learn skills to avoid, reduce and manage stress, anxiety and panic. It can be a good investment in your quality of life. Best! ...Read more

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Panic (Definition)

Panic is a psychological and somatic state of anxiety usually involving extreme fear, characterized by symptoms such as shortness of breath, rapid pounding heartbeat, sometimes dizziness or light-headedness, tunnel vision, a sense of unreality, and a feeling of needing to escape from ...Read more


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I've been experiencing random panic attacks about once a quarter for three years. Also, have hypoglycemia. Zoloft (sertraline) doesn't help. Any link?

I've been experiencing random panic attacks about once a quarter for three years. Also, have hypoglycemia. Zoloft (sertraline) doesn't help. Any link?

Panic attacks: First, zoloft (sertraline) is far from the only medicine that can help with panic attacks. For further options, you could see a psychiatrist who would have additional suggestions. Hypoglycemia can produce some similar symptoms to panic attacks -- such as sweating, weakness, faint feelings, etc. If you're also diabetic on Insulin it's important to work with your family doctor for optimal management. ...Read more

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Symptomatically speaking, how can you tell the difference between a panic attack and hypoglycemia (had eaten oatmeal and honey 1.5hr previously)?

Sugar: The difference is your blood sugar level is low in hypoglycemia while panic attacks will have normal blood sugar level. If hypoglycemia is the problem, the synptoms should go away quickly after you eat something. Get a glucometer and check your blood sugar during these episodes and you will have your answer. ...Read more

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What’s the best therapy/treatment for panic attacks?

Panic: Best therapy is combination of cognitive behavior therapy, relaxation, breathing exercises, and medications to block panic attacks. ...Read more

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I have been taking Xanax (alprazolam) for several years because I have severe panic attacks. 1 mg 3x''s a day. I don't think it is working anymore. ?

I have been taking Xanax (alprazolam) for several years because I have severe panic attacks. 1 mg 3x''s a day. I don't think it is working anymore. ?

Maybe not enough: Most likely the xanax (alprazolam) is still having some effect. Probably it is just not working well enough. Other treatments that are often helpful include serotonin antidepressants (sri's like prozac, zoloft, lexapro) and cognitive behavioral therapy. You should talk to your doctor. But don't abruptly stop the xanax (alprazolam). ...Read more

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How low does blood sugar have to go to experience anxiety? I start feeling pretty bad in the 70's and have been having anxiety and panic attacks.

How low does blood sugar have to go to experience anxiety? I start feeling pretty bad in the 70's and have been having anxiety and panic attacks.

Hypoglycemia: Anxiety is a frequent symptom of hypoglycemia. 70 is the lowest threshold of what is considered the normal range of blood sugar. So, if you are feeling hypoglycemic at around 70, you may be sensitive to fluctuations in your blood sugar levels. Have an evaluation with your physician. Make sure to keep a quick release glucose product with you to help bring your sugars back into normal range quickly. ...Read more

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How to cure panic attacks?

Panic: Attacks can be brought under control & the anxiety into recovery stage, with cognitive behavior therapy, life style changes, and medications for symptomatic control. ...Read more

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Are panic attacks permanent?

Not necessarily: They should resolve with proper treatment. A combination of medication and cognitive behavior therapy has the best outcome. ...Read more

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Dr. Alan Ali
1,137 doctors shared insights

Panic Attack (Definition)

Panic disorder is a type of anxiety disorder in which someone has repeated attacks of intense fear that something bad will occur when not expected. The person lives in fear that ...Read more