BACK TOTOP Browse A-ZSearchBrowse A-ZABCDEFGHIJKLMNOPQRSTUVWXYZ0-9 E-mail FormEmail ResultsName:Email address:Recipients Name:Recipients address:Message: Print-FriendlyBookmarksbookmarks-menuLow blood sugar - self-careHypoglycemia - self care; Low blood glucose - self careLow blood sugar is a condition that occurs when your blood sugar (glucose) is lower than normal. Low blood sugar may occur in people with diabetes who are taking insulin or certain other medicines to control their diabetes. Low blood sugar can cause dangerous symptoms. Learn how to recognize the symptoms of low blood sugar and how to prevent them.Low blood sugarLow blood sugar is a condition that occurs when the body's blood sugar (glucose) decreases and is too low. Blood sugar below 70 mg/dL (3. 9 mmol/L) i...ImageRead Article Now Book Mark Article What is Low Blood Sugar?Low blood sugar is called hypoglycemia. A blood sugar level below 70 mg/dL (3.9 mmol/L) is low and can harm you. A blood sugar level below 54 mg/dL (3.0 mmol/L) is a cause for immediate action.You are at risk for low blood sugar if you have diabetes and are taking any of the following diabetes medicines:Insulin Glyburide (Micronase), glipizide (Glucotrol), glimepiride (Amaryl), repaglinide (Prandin), or nateglinide (Starlix) Chlorpropamide (Diabinese), tolazamide (Tolinase), acetohexamide (Dymelor), or tolbutamide (Orinase) You are also at increased risk of having low blood sugar if you have had previous low blood sugar levels.Recognizing Low Blood SugarKnow how to tell when your blood sugar is getting low. Symptoms include:Weakness or feeling tired Shaking Sweating Headache Hunger Feeling uneasy, nervous, or anxious Feeling cranky Trouble thinking clearly Double or blurry vision Fast or pounding heartbeatSometimes your blood sugar may be too low even if you do not have symptoms. If it gets too low, you may:Faint Have a seizure Go into a comaSome people who have had diabetes for a long time stop being able to sense low blood sugar. This is called hypoglycemic unawareness. Ask your health care provider if wearing a continuous glucose monitor and sensor can help you detect when your blood sugar is getting too low in order to help prevent symptoms.Check Your Blood Sugar OftenTalk with your provider about when you should check your blood sugar every day. People who have low blood sugar need to check their blood sugar more often.Check your blood sugarIf you have diabetes, check your blood sugar level as often as instructed by your health care provider. Record the results. This will tell you how ...ImageRead Article Now Book Mark Article The most common causes of low blood sugar are:Taking your insulin or diabetes medicine at the wrong time Taking too much insulin or diabetes medicine Taking insulin to correct high blood sugar without eating any food Not eating enough during meals or snacks after you have taken insulin or diabetes medicine Skipping meals (this may mean that your dose of long-acting insulin is too high, so you should talk to your provider) Waiting too long after taking your medicine to eat your meals Exercising a lot or at a time that is unusual for you Not checking your blood sugar or not adjusting your insulin dose before exercising Drinking alcohol Preventing Low Blood SugarPreventing low blood sugar is better than having to treat it. Always have a source of fast-acting sugar with you.When you exercise, check your blood sugar levels. Make sure you have snacks with you. When you exerciseExercise is an important part of managing your diabetes. If you are obese or overweight, exercise can help you manage your weight.ImageRead Article Now Book Mark Article Talk to your provider about reducing insulin doses on days that you exercise. Ask your provider if you need a bedtime snack to prevent low blood sugar overnight. Protein snacks may be best.Do not drink alcohol without eating food. Women should limit alcohol to 1 drink a day and men should limit alcohol to 2 drinks a day. Family and friends should know how to help. They should know:The symptoms of low blood sugar and how to tell if you have them. How much and what kind of food they should give you. When to call for emergency help. How to inject glucagon, a hormone that increases your blood sugar. Your provider will tell you when to use this medicine. If you have diabetes, always wear a medical alert bracelet or necklace. This helps emergency medical workers know you have diabetes.When Your Blood Sugar Gets LowCheck your blood sugar whenever you have symptoms of low blood sugar. If your blood sugar is below 70 mg/dL, treat yourself right away.1. Eat something that has about 15 grams (g) of carbohydrates. Examples are:3 glucose tablets One half cup (4 ounces or 237 mL) of fruit juice or regular, non-diet soda 5 or 6 hard candies 1 tablespoon (tbsp) or 15 mL of sugar, plain or dissolved in water 1 tbsp (15 mL) of honey or syrup2. Wait about 15 minutes before eating any more. Be careful not to eat too much. This can cause high blood sugar and weight gain. 3. Check your blood sugar again.4. If you do not feel better in 15 minutes and your blood sugar is still lower than 70 mg/dL (3.9 mmol/L), eat another snack with 15 g of carbohydrates.You may need to eat a snack with carbohydrates and protein if your blood sugar is in a safer range -- over 70 mg/dL (3.9 mmol/L) -- and your next meal is more than an hour away.Ask your provider how to manage this situation. If these steps for raising your blood sugar do not work, call your doctor right away.Talk to Your Doctor or NurseIf you use insulin and your blood sugar is frequently or consistently low, ask your doctor or nurse if you:Are injecting your insulin the right way Need a different type of needle Should change how much insulin you take Should change the kind of insulin you take Do not make any changes without talking to your doctor or nurse first.Sometimes hypoglycemia can be due to accidently taking the wrong medicines. Check your medicines with your pharmacist.When to Call the DoctorIf signs of low blood sugar do not improve after you have eaten a snack that contains sugar, have someone drive you to the emergency room or call 911 or the local emergency number. Do not drive when your blood sugar is low.Get medical help right away for a person with low blood sugar if the person is not alert or cannot be woken up as this is a medical emergency.Open ReferencesReferencesAmerican Diabetes Association Professional Practice Committee; Draznin B, Aroda VR, et al. 6. Glycemic Targets: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(Suppl 1):S83-S96. PMID: 34964868 pubmed.ncbi.nlm.nih.gov/34964868/.Cryer PE, Arbeláez AM. Hypoglycemia. In: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Textbook of Endocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020:chap 38.AllVideoImagesTogMedical alert bracelet - illustration People with diabetes, seizure disorders, or heart disease should always wear a medical alert bracelet or necklace that emergency medical workers will be able to find. Medical identification products can help ensure proper treatment in an emergency.Medical alert braceletillustrationGlucose test - illustration A person with diabetes constantly manages their blood's sugar (glucose) levels. After a blood sample is taken and tested, it is determined whether the glucose levels are low or high. If glucose levels are too low carbohydrates are ingested. If glucose in the blood is too high, the appropriate amount of insulin is administered into the body such as through an insulin pump.Glucose testillustrationMedical alert bracelet - illustration People with diabetes, seizure disorders, or heart disease should always wear a medical alert bracelet or necklace that emergency medical workers will be able to find. Medical identification products can help ensure proper treatment in an emergency.Medical alert braceletillustrationGlucose test - illustration A person with diabetes constantly manages their blood's sugar (glucose) levels. After a blood sample is taken and tested, it is determined whether the glucose levels are low or high. If glucose levels are too low carbohydrates are ingested. If glucose in the blood is too high, the appropriate amount of insulin is administered into the body such as through an insulin pump.Glucose testillustrationA Closer Look Diabetes(Alt. 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Dhaliwal, MD, board-certified in Diabetes, Endocrinology, and Metabolism, Springfield, VA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- © 1997- All rights reserved. A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.Content is best viewed in IE9 or above, Firefox and Google Chrome browser.