Things that may increase the chance of hypoglycemia while taking diabetes medicine are:
Taking too much medicine
Eating too little at meals, delaying or missing meals
Unplanned intense exercise
Sickness like cold or flu
Symptoms may start slowly or quickly. It may cause:
Tingling feeling around the mouth
As hypoglycemia worsens, it may cause:
A change in behavior or confusion
Poor control of movements
Loss of consciousness
Sensitivity to low blood glucose may change over time. Early symptoms may start to fade if you have a lot of events. This will make it harder to feel when glucose starts to fall.
The doctor may suspect hypoglycemia based on your health and symptoms. Glucose levels can be measured with a quick blood test. A device pricks a finger to draw a drop of blood. A machine will measure the glucose in the blood drop.
Other tests may need to be done if you do not have diabetes. This may include checking your blood glucose levels after fasting.
Treatment will bring blood glucose levels back to normal. Other steps may be needed to keep it from happening again. Quick care can stop further health problems.
Low blood sugar can be increased quickly with:
Sugary drink or food such as:
Sugared soft drink
Table sugar in water
Honey or corn syrup
A snack or meal can then help to keep levels stable.
Very low levels can make someone pass out. Immediate care is needed. Treatment may include:
Glucagon—a hormone that raises blood sugar levels
Care will be given until blood glucose is stable.
Managing Future Events
Hypoglycemia may happen again in those at risk. To lower risk of more events:
Learn what early symptoms are. They can vary from person to person. Take quick steps to fix low blood glucose.
Wear a medical alert bracelet or ID.
Following treatment plan may help prevent some hypoglycemia.
Hypoglycemia (low blood glucose). American Diabetes Association website. Available at: https://www.diabetes.org/diabetes/medication-management/blood-glucose-testing-and-control/hypoglycemia. Accessed February 12, 2021.
Hypoglycemia in diabetes. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/hypoglycemia-in-diabetes/. Accessed February 12, 2021.
Hypoglycemia in persons without diabetes. EBSCO DynaMed website. Available at: https://www.dynamed.com/approach-to/hypoglycemia-in-adults-approach-to-the-patient-without-diabetes. Accessed February 12, 2021.
Low blood glucose (hypoglycemia). National Institute of Diabetes and Digestive and Kidney Diseases website. Available at:https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/low-blood-glucose-hypoglycemia. Accessed February 12, 2021.
Last reviewed February 2021 by
EBSCO Medical Review Board
Marcin Chwistek, MD
Last Updated: 2/12/2021
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