Low Blood Sugar

What is hypoglycaemia

Is the drop of blood glucose less than 4 (mMol / liter) and is usually accompanied by symptoms of hypoglycemia.


What are the symptoms of hyperglycaemia

In hypoglycemia the patient may experience one or more of the following symptoms:



It is possible that sometimes the patient does not feel any symptoms at all in hypoglycemia.

Hypoglycemia is considered "severe": when the patient can not help himself.

Causes of Hypoglycemia
  1. Omitting or delaying the meal after taking insulin or some types of the Oral hypoglycemic agents (The sugar pills).
  2. Eating less than the standard portion of food.
  3. Excessive Physical Exercise.
What do you do in Hypoglycemia
  1. Check your blood sugar immediately when you feel symptoms of hypoglycemia or whenever you feel unwell.(when you feel symptoms of hypoglycemia and you are unable to check your blood glucose (for e.g if the glucometer is unavailable) regard it as hypoglycemia and take the treatment accordingly)
  2. If your blood glucose level is less than 4 act immediately as follows:

Mild or moderate hypoglycemia: (usually with blood glucose level at 2.5 to 4) Take 15 grams of carbohydrates (readily absorbable) such as: 3 teaspoons or one tablespoon of sugar, or 3 / 4 glass of orange juice , or 1 / 2 glass of apple juice , or a tablespoon of honey or glucose tablets.

Severe hypoglycemia: (usually with blood glucose level less than 2.5) with no loss of consciousness: Take 20 grams of carbohydrates, such as 4 teaspoons or a tablespoon and a half of sugar, or one glass of orange juice, or 3 / 4 cup of apple juice, or a large spoon and a half of honey or glucose tablets.


In case you are not capable of swallowing (for e.g. unconscious) one of your companions should give you a glucagon injection and call the ambulance immediately (Talk to your doctor to show your family members how to give you.


Wait for 15 minutes (if your condition is stable) and then recheck your blood glucose: if your blood glucose level is still less than 4 & take another 15 or 20 grams of carbohydrates (as in step 2) and then recheck your blood glucose again after another 15 minutes.



If your next meal is after more than an hour: Take a snack containing 15 grams of carbohydrates (slowly absorbable) such as: 1 / 2 meat or cheese sandwich or 3 / 4 cup of yoghurt (sweetened or unsweetened)or 6 pieces of Crackers.

Try to identify the cause of the hypoglycemic attack to avoid its recurrence in the future.

Do not drive in the event of a hypoglycemia.

We recommend that you always carry ID indicating that you are diabetic to ensure that you receive the proper and immediate necessary treatment in cases of emergency.

Should you get frequent recurrent events of hypoglycemia (2-3 times per week) or experience a severe hypoglycemic event, Contact your doctor to help you.

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