Hypoglycemia, Diabetic

Abnormally low concentration of glucose in circulating blood of a patient with diabetes mellitus (DM); often referred to as an insulin reaction

Classification of hypoglycemia (1):

• Leve...

Discuss timing of episodes, awareness, frequency, and causes (1).

Symptoms vary considerably between individuals.

Adrenergic symptoms

• Hunger, trembling, pallor, sweating, shaking, poundi...

Glucose: pure glucose preferred; any form of CHO that contains glucose should be effective (see “Medication” section below) (1)[A].

Glucagon should be prescribed proactively t...

Diabetes Mellitus, Type 1

Algorithm: Hypoglycemia

E11.649 Type 2 diabetes mellitus with hypoglycemia without coma

E10.649 Type 1 diabetes mellitus with hypoglycemia without coma

E13.649 Oth diabetes mellitus with hypoglycemia without coma

Best treatment includes:

• Address hypoglycemia in every visit with patients at risk.

• Patient education and empowerment

• Frequent SMBG or CGM

• Flexible insulin (or other drug) regimens

• Individu...