Should I be worried with trembling episodes

It does not happen ALL the time but I do experience the following symptoms every now and again which another site refered to as Hypoglycemia:
nervousness,
sweating,
intense hunger,
trembling,
weakness,
palpitations,
trouble speaking.

I have never been diagnosed with diabetes and no one in my family has it.  I am not overweight, I am healthy and excersice regularly.  But I ask because it happened again yesterday and I was so shaky that I could not even open the mail.  But I had recently eaten something.  Is there something else this may be?  Should I be checked for Diabetes? I had blood tests done for health insurance at the end of last year but they never said anything. Do they normally check for that?

[Anita Ramsetty, MD]

Hi,
I do think you should have some testing done. Especially if your symptoms are severe. Ideally you should have an oral glucose tolerance test which can help determine many different possibilities including diabetes, prediabetes and reactive hypoglycemia.
In the meantime, eat small mixed meals during the day(meals that contain a little protein, carbohydrate and fat) and try to avoid heavy carbohydrate loads if you can. The testing should help answer some of your questions and you can go from there.

By the way, if you ever have these symptoms while driving, please pull off the road until you feel better. Better to be safe...

Good luck and take care.