Hypoglycemia (Low Blood Sugar)

Important Information

  • Any BG less than 70 mg/dL is considered low.
  • Causes:  too much insulin, too little food, too much unplanned exercise.
  • At some point everyone will have a low blood sugar. 
  • If you can, test first to confirm low BG.
  • Treat with 15gms fast acting carbohydrate (1/2 cup juice or regular soda or 3 glucose tabs).
  • If you aren’t near your meter and you feel a low BG come on, go ahead and treat without testing.

Signs & Symptoms

Signs and symptoms can be different in each person but here are some examples of what you might see/feel:

  • Shaky 
  • Fast heartbeat 
  • Sweating 
  • Dizzy 
  • Anxious
  • Hungry 
  • Blurry vision 
  • Weakness or fatigue 
  • Headache 
  • Irritable

Treatment

Mild
(only a few symptoms)

15gm FAST ACTING SUGAR

4oz (1/2 cup) juice

4oz (1/2 cup) soda

3 glucose tabs

3-4 Starburst®

*** 15 Skittles®

******1 tablespoon honey

1 tube cake writing gel

1 tube cake writing gel (i.e. Dec A Cake – for ease of consumption and appropriate carbohydrates)

1/2- 1 tube glucose gel

Moderate
(symptoms are much stronger)

15-20gm FAST ACTING SUGAR

4-6oz juice

4-6 oz regular soda (not diet)

4-5 glucose tabs

4-5 Starburst®

*** 15-20 Skittles®

***** 1 ½ tablespoon honey

2 tubes cake writing gel

1 tube glucose gel

Severe
(passed out or having a seizure)

Glucagon injection

Glucose gel to the inside of the mouth along the gums near the cheeks

Call 911 or the emergency services in your area if the child does not respond or neither of the above treatments is available

For severe: Once the child is awake again and can swallow safely, give juice and crackers.

If on injection therapy, treatment should be followed by a small snack (crackers or granola bar and milk) if it will be longer than 1 hour until the next meal or snack.