Are you a doctor? No fishing just honest questionHypoglycaemia is very uncommon in non-diabetics. Many people use the term for a variety of symptoms, but in adults without diabetes or other serious medical conditions causing various metabolic imbalances, actually becoming hypoglycaemic is quite rare. He may have been fatigued and dehydrated, and suffered low blood pressure for a period with the added effects of Tramadol and alcohol, which could cause similar symptoms, but it's hard to see how an elite athlete would be "hypoglycaemic".