 [ Symptoms ] why do my hands shake involuntarily it happens when i am trying to do something precise like pour sugar in my cup it also happens after i have eaten something so my blood sugar is not low and i do drink but i have ruled out delirium tremors i had eaten something tonight and then when i went to bring my chicken wings to the table i dropped them on the floor when i had to drive because my gf was too tired my anxiety was through the roof i feel like my anxiety goes hand in hand with my shaky hands but i do not know the cause [ Disease ] this may be an advanced warning sign of parkinson is if it continues through the next day or so you need to see a doctor now that i have got you worked up it really might not be that bad are you getting enough sleep drinking a lot of coffee these are the most common causes of shaky hands lack of sleep may also contribute to anxiety if this is not the case you may want to evaluate any prescription or recreational drugs that you use i remember trying an maoi once and my hands got shaky i was sweating like mad and got really anxious i was even on the lowest prescription dose many chemicals interact with our nervous system and it all comes down to genetics you may need to stop drinking entirely to get a full and correct evaluation