How to take action when you see hypoglycemia symptoms 
 TIMESLEDGER   |   QNS.COM   |   NOV. 19 - NOV. 25, 2021 29  
 Everyone needs blood sugar  
 (glucose) because it provides  
 essential fuel for the body and  
 mind. However, for people  
 with diabetes, getting the right  
 amount  of  glucose  is  critical  
 because low blood sugar, also  
 known as hypoglycemia, can  
 lead  to  stupor,  confusion,  loss  
 of consciousness, seizures or  
 other severe complications. If  
 you or a loved one has diabetes,  
 it’s  important  to  understand  
 the warning signs of hypoglycemia  
 and what to do during a  
 low blood sugar emergency. 
 “Hypoglycemia occurs  
 when blood sugar levels fall  
 lower  than  normal  and  can  
 lead to life-threating complications,” 
  said Felice A. Caldarella, 
  MD, MBA, FACP, CDCES,  
 FACE, president of The American  
 Association of Clinical  
 Endocrinology (AACE). “Hypoglycemia  
 causes approximately  
 100,000  emergency  room  visits  
 per year in the U.S., and diabetics  
 are at the highest risk of  
 experiencing a low blood sugar  
 episode.” 
 In addition to having diabetes, 
  Dr. Caldarella shares other  
 common risk factors for hypoglycemia: 
 Age: Speak with your  
 health  care  team  to  find  out  
 how this may affect you. 
 Diet: Having irregular eating  
 habits, such as skipping a  
 meal or eating less than usual  
 (if using a sulfonylurea, which  
 is a medication that causes insulin  
 to  be  secreted  from  the  
 pancreas regardless of what  
 your blood sugar level is or  
 insulin). 
 Activeness:  Increasing  
 your physical activity, especially  
 without enough nutrition. 
 Drinking: Consuming an  
 excessive amount of alcohol. 
 To  spread  the  word  about  
 hypoglycemia, the AACE team  
 created The Lowdown on Low  
 Blood Sugar campaign. For  
 people with diabetes, low blood  
 sugar  typically  occurs  when  
 blood sugar levels fall below 70  
 mg/dl,  though  this  may  differ  
 from person to person. It’s key  
 to understand the symptoms of  
 hypoglycemia  and  what  to  do  
 during an episode. 
 Mild hypoglycemia symptoms 
 * Nausea and dizziness 
 * Fast heartbeat 
 * Sweating and/or chills 
 * Clamminess 
 * Unusual irritability or  
 moodiness 
 Actions to take 
 If you or a loved one are experiencing  
 mild symptoms of  
 hypoglycemia, act quickly by  
 following the “Rule of 15” by  
 eating  15  grams  of  high  sugar  
 foods, drinks or medications to  
 get your blood sugar back up.  
 Then re-check your blood sugar  
 after 15 minutes. If your blood  
 sugar is still low, consume another  
 15 grams of carbohydrates  
 and check your blood sugar  
 again after 15 minutes. If your  
 blood sugar fails to return to  
 normal levels after two tries of  
 the Rule of 15, you could experience  
 severe symptoms and may  
 need medical attention. 
 Severe hypoglycemia symptoms: 
 * Blurred or impaired vision 
 * Coordination problems or  
 clumsiness 
 * Tingling or numbness in  
 the lips, tongue or cheeks 
 * Color draining from the  
 skin 
 * Confusion 
 * Seizures 
 Actions to take 
 If you or a loved one has severe  
 hypoglycemia symptoms  
 and have access, administer  
 hypoglycemic rescue therapy  
 via injected or nasal glucagon  
 as  prescribed  by  your  doctor. 
   Do  not  inject  insulin,  as  
 this will further lower blood  
 sugar. If you start to feel very  
 sleepy or your blood sugar  
 falls  below  70  mg/dL,  have  
 someone take you to the hospital  
 immediately or call 911 for  
 medical assistance. 
 Hypoglycemia can sneak up  
 on you. It might be the day you  
 skipped a meal, exercised more  
 than usual, or took too much of  
 the wrong medication. Know  
 the symptoms and work with  
 your health care team, including  
 endocrinologists, to come  
 up with a treatment plan that  
 is right for you, which may include  
 substituting medications  
 known to potentially produce  
 low blood sugar reactions with  
 other ones that do not. 
 Endocrinologists are specially  
 trained doctors that are  
 qualified to diagnose and treat  
 diabetes and hormone-related  
 diseases and conditions, including  
 hypoglycemia. If you’re experiencing  
 any of the symptoms  
 listed, speak with your health  
 care professional to adjust medications  
 accordingly. You may  
 even consider scheduling an appointment  
 with an endocrinologist  
 in your area. 
 A network of support 
 Did you know 31% of severe  
 low blood sugar related events  
 happen outside the home? Fiftyseven  
 percent of patients experience  
 lows at least once a night,  
 and one-third of adults with diabetes  
 worry about driving safely  
 because of serious problems  
 from low blood sugar. That’s  
 why it’s important for you, your  
 family and friends to all know  
 the signs and symptoms of a low  
 blood sugar emergency and how  
 to manage it. 
 Support for hypoglycemia  
 provided by: Lily Diabetes, Novo  
 Nordisk, Sanofi, Medtronic. 
 Visit www.bloodsugarlows. 
 com to learn more about  
 hypoglycemia. 
 — Courtesy of BPT 
 HEALTH 
 
				
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