Hypoglycemia (Low Blood Sugar - The 15/15 Rule)
What is Hypoglycemia?
Hypoglycemia means blood sugar is too low (usually below 70 mg/dL). It happens when there is too much insulin and not enough glucose.
Symptoms:
- Mild: Shaking, sweating, fast heartbeat, anxiety, hunger.
- Moderate: Confusion, dizziness, blurred vision, difficulty concentrating.
- Severe: Seizures, loss of consciousness.
The 15/15 Rule (Treatment):
If your blood sugar is low:
- Eat 15 grams of fast-acting carbs: 4 glucose tablets, 1/2 cup juice, 1 tablespoon honey, or 3-4 hard candies.
- Wait 15 minutes.
- Recheck blood sugar. If still low, repeat.
DO NOT: Use chocolate, peanut butter, or ice cream. Fat slows absorption.
What if someone can't swallow or is unconscious?
- Glucagon Injection: A rescue medication given by injection or nasal spray (Baqsimi). Every person on insulin should have this at home.
- Call 911.
Causes in People with Diabetes:
- Too much insulin.
- Skipping a meal.
- More exercise than usual.
- Alcohol (blocks liver glucose release).
Resources:
- American Diabetes Association: www.diabetes.org