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Diabetes Teaching Center at the University of California, San Francisco
As the term implies, low blood sugar, or hypoglycemia, occurs when your brain and body are not getting enough sugar. For most people whose blood sugar is kept in the near normal range, less than 70 mg/dl can be considered low, or hypoglycemic. When you have type 2 diabetes and are treated with insulin releasing pills (sulfonylureas, meglitinides, or nateglinide) or insulin, you are at risk for low blood sugars or hypoglycemia. It is very unlikely for individuals with type 2 diabetes who are only treated with lifestyle changes or blood sugar normalizing medications to have a low blood sugar.
Recognizing low blood sugar is important. Why? So that you can take steps to prevent a medical emergency.
First symptoms of low blood sugar:
Severe symptoms of low blood sugar requiring immediate medical attention:
Despite all the safety planning, you still may get a low blood sugar when you are treated with insulin releasing pills (sulfonylureas, meglitinides, or nateglinide) or insulin. So always wear your medical alert identification. And if you are taking insulin, have family members or friends trained to use a Glucagon Emergency kit.
Sometimes people treated with insulin releasing pills or insulin lose the ability to detect a low blood sugar – a condition known as hypoglycemic unawareness.
Your brain has a trigger point that tells it when to release stress hormones from other organs in the body. When there are frequent low blood sugars, this set point gets reprogrammed to lower and lower blood sugar levels. And the stress hormones – which cause blood sugar levels to rise and cause symptoms – aren’t released until the blood sugar is dangerously low.
Because the symptoms of low blood sugar alert you to the problem, not having any symptoms requires that you be especially vigilant. Remember: Frequent monitoring is the only way to know if you are low and need to take corrective action.
Keep in mind, too, that hypoglycemic unawareness is not a permanent condition. For many people, symptoms of low blood sugar will return and act as your warning signal once you stop having chronic low blood sugars.
Taking control of your bloods sugars means knowing what to do and when. It’s always best to get specific recommendations from your health care provider, but in general:
When you the 1 last update 04 Jul 2020 are experiencing mild hypoglycemic symptoms, the immediate treatment is:When you are experiencing mild hypoglycemic symptoms, the immediate treatment is:
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*Glucagon Emegency Kits for 1 last update 04 Jul 2020 are a prescription drug from your doctor – training is required to use the kit properly. The glucagon injection should help your liver release sugar and thereby raise the blood sugar level.*Glucagon Emegency Kits are a prescription drug from your doctor – training is required to use the kit properly. The glucagon injection should help your liver release sugar and thereby raise the blood sugar level.
HAVE YOUR GLUCAGON EMERGENCY KITS READY –AND TELL OTHERS WHERE THEY ARE.
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