The symptoms of binocular upward gaze can be seen in epileptic-like seizures of hypoglycemia, mainly manifested as a shallow comatose state with moist, cyanotic skin, foaming at the corners of the mouth, binocular upward gaze, loss of light reflex in both pupils, neck tonicity, coarse breath sounds in both lungs, and strong heart sounds. How is upward gaze diagnosed? Perform a rapid glucose measurement in patients with unexplained impairment of consciousness (or epilepsy). If there is abnormal hypoglycemia, glucose should be pushed immediately For those with episodic (especially in fasting) psycho-neurological abnormalities, convulsions, behavioral abnormalities, impaired consciousness or coma, especially for diabetic patients treated with insulin or oral hypoglycemic drugs, the possibility of hypoglycemia should be considered and blood glucose should be checked promptly. It is worth noting that some patients with hypoglycemia have normal blood sugar and no hypoglycemic symptoms at the time of consultation, and often only show the sequelae of chronic hypoglycemia, such as hemiplegia, dementia, epilepsy, mental disorders, and children with significantly low IQ. Food poisoning occurs when eating sugarcane with toxins, and sugarcane poisoning mostly occurs in spring. The clinical manifestations of sugarcane poisoning are nausea, vomiting, and diarrhea that appear soon. Some have black stools, some have headache, dizziness, diplopia, and in severe cases, convulsions, simultaneous upward gaze of both eyes, dilated pupils, and closed teeth, and the lighter ones recover quickly, while the mortality rate of the heavier ones is quite high.