Hypoglycemia: This condition, characterized by low blood sugar, is a common cause of cold sweats and shaking. It can occur in anyone, especially in individuals with diabetes who have taken too much insulin or skipped a meal.

Anxiety or Panic Attack: These conditions can cause physical symptoms such as cold sweats and shaking due to the body's "fight or flight" response.
Adrenal Insufficiency: A condition where the adrenal glands do not produce enough cortisol, leading to symptoms like shaking and cold sweats.
Thyroid Disorders: Both hyperthyroidism and hypothyroidism can cause tremors and sweating, although other symptoms like weight changes and mood alterations are typically present.
Medication Side Effects: Certain medications, such as beta-blockers, can cause tremors and sweating as side effects.

Cardiac Conditions: Myocardial infarction (heart attack) or cardiac arrhythmias can present with atypical symptoms like cold sweats and shaking, especially in women or diabetic patients.
Neurological Disorders: Conditions like Parkinson's disease or essential tremor can cause shaking, and while less common, should not be missed due to their significant impact on quality of life.
Septic Shock without Fever: Although fever is a common symptom of sepsis, some patients, especially the elderly or those with compromised immune systems, may present with hypothermia or without fever, making this a critical diagnosis not to miss.

Pheochromocytoma: A rare tumor of the adrenal gland that can cause episodes of sweating, shaking, and hypertension due to excessive catecholamine release.
Autonomic Dysfunction: Disorders affecting the autonomic nervous system, such as dysautonomia, can lead to a variety of symptoms including abnormal sweating and tremors.
Certain Toxins or Poisonings: Exposure to specific toxins or substances can cause a range of neurological and systemic symptoms, including cold sweats and shaking.