How To Treat Heart Palpitations And Shaking Hands

Heart palpitations and hand tremors can be concerning symptoms, and the first step in treating them is identifying the underlying cause. One of the most common and easily treatable reasons for these symptoms is low blood sugar, or hypoglycemia. If someone experiences these symptoms, checking blood glucose levels is a good starting point. True hypoglycemia occurs when blood sugar drops below 4.0 mmol/L, and in more severe cases, it can fall below 2.8 mmol/L. However, some people—especially those with diabetes—may experience symptoms of shakiness and palpitations even when their blood sugar levels are within the normal range. This is known as pseudohypoglycemia, which occurs when a diabetic person's blood sugar drops quickly from a high level, such as from 15 mmol/L to 8.5 mmol/L.

Effective Ways To Manage Hypoglycemia

For both true and pseudo hypoglycemia, consuming a fast-acting source of sugar is often the most effective solution. Sweetened beverages, particularly small 125 mL juice packs, provide a quick and manageable way to raise blood sugar levels. Glucose tablets are also an excellent option due to their rapid absorption and effectiveness. For people with diabetes, it's important to balance sugar intake to avoid overcorrection, which can lead to spikes in blood sugar.

Carrying glucose-rich snacks like fruit candies or glucose tablets can be very helpful for individuals prone to sudden episodes of heart palpitations and shaking. While chocolate is a popular choice, it's not the best option for treating low blood sugar because it contains fats that slow down sugar absorption. Therefore, it should not be considered a first-line treatment for acute hypoglycemic symptoms.

When The Cause Is Psychological

Role Of The Sympathetic Nervous System

Another common cause of heart palpitations and trembling hands is an overactive sympathetic nervous system. This typically occurs during moments of stress, fear, or anxiety. When someone is nervous or under emotional pressure, the body releases adrenaline, which can lead to a racing heart and shaky hands.

If these symptoms occur frequently or interfere with daily life, it may be a sign of an anxiety disorder or chronic stress. In such cases, professional evaluation at a medical facility is recommended. A healthcare provider may refer the patient to a psychologist or psychiatrist for further assessment and treatment. Cognitive behavioral therapy (CBT), relaxation techniques, and in some cases, medication, can be effective in managing these symptoms and improving overall well-being.