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HYPOGLYCEMIA
Blood Glucose (BG) less than 70 mg/dL or ≤ 80 mg/dL with symptoms
Always follow your healthcare provider’s guidelines first. The below guidelines are derived from The Joslin
Diabetes Center’s recommendations and may differ from your own healthcare providers guidelines.
Never leave a person who is hypoglycemic unattended!
IMPORTANT NOTES: Make sure your blood glucose is at least 100mg/dL before driving or working with dangerous machinery
or equipment. Even if you cannot check BG, do not wait to treat symptoms of hypoglycemia. Avoid hypoglycemia unawareness by
checking your BG more frequently.
The above general guidelines are drawn from Joslin Diabetes Center. For further guidance please consult with your healthcare provider
for individualized advice.
Action Plan
Never ignore the signs of low blood glucose, no matter how mild. If left untreated, severe hypoglycemia may cause seizures or
lead to unconsciousness. If loss of consciousness, inability to swallow glucose treatment or seizures are experienced or observed
take the following action immediately:
+ Give glucagon as instructed by healthcare provider
+ Call 911
+ Notify healthcare provider
+ Suspend insulin delivery
* Rapid-acting carbohydrates
such as glucose tabs, glucose
gel, juice, regular soda, honey
and corn syrup are ideal.
†
If BG remains low after
repeated treatments, notify
your healthcare provider
immediately and/or go to the
nearest emergency room.
Mild to Moderate Hypoglycemia Symptoms
+ Shakiness + Fatigue + Hunger + Unexplained sweating + Cold, clammy skin
+ Weakness + Blurred vision + Headache + Rapid heartbeat + Confusion
+ Tingling + Anxiety + Drowsiness + Dizziness + Personality change
Verify and Check BG level
If BG is greater than 80 mg/dL
Follow with a meal or snack
+ If next meal/snack is 30 mins away, take additional 15 grams of carbohydrate
+ If next meal/snack is 60 mins away, take an additional 30 grams of carbohydrate
If BG is less than 80 mg/dL or
symptoms persist repeat above steps
†
BG less than 50 mg/dL
Treat with 30 grams of
carbohydrate*
Recheck BG in 15 – 20 mins
BG less than 70 mg/dL
Treat with 15 grams of
carbohydrate*
Recheck BG in 15 mins
TROUBLESHOOTING | Hypoglycemia