When you feel exhausted and your doctor can’t find a cause, you may be told that you have hypoglycemia. Then your doctor must look for the cause because low blood sugar is the result of something going wrong in your body.

Your brain gets more than 98 percent of its energy from sugar in your bloodstream. There is only enough sugar in your bloodstream to last about three minutes, so your liver constantly releases sugar from its cells into your bloodstream. But your liver can store only enough sugar to last 12 hours at rest, so it must manufacture new sugar from protein and other energy stores.

When blood sugar levels drop, you may feel anxious, shaky, sweaty, hungry, a tingling in your skin or your heart may beat rapidly. More severe symptoms include confusion, a sensation of warmth, weakness or fatigue, loss of memory and in its extreme, seizures and passing out. As you suffer repeat attacks of low blood sugar, they affect you less and your symptoms lessen.

There are two types of low blood sugar. The first type occurs when your blood sugar rises too high, causing your pancreas to release a large amount of insulin that drops your blood sugar too low. The second type is a slow drop in blood sugar caused by your liver running out of stored sugar. Doctors used to think that insulin-induced hypoglycemia follows meals and that your liver running out of sugar doesn’t follow meals, but they now know that both types can occur any time.