The standard protocol for treating mild to moderate hypoglycemia is the “Rule of 15”:
- Consume 15 Grams of Quick-Acting Carbohydrate: This should be pure glucose that your body can absorb immediately. Ideal sources include:
- Glucose tablets (the quickest and most accurate).
- $1/2$ cup (4 ounces) of fruit juice (like apple or orange).
- $1/2$ can of regular (not diet) soda.
- 5 or 6 pieces of hard candy or jelly beans.
- Wait 15 Minutes: Allow time for the glucose to enter your bloodstream.
- Recheck Blood Sugar: Use your glucometer to test your level.
- Repeat if Necessary: If your blood sugar is still below 70 mg/dL, repeat the process (consume another 15 grams of carbs, wait 15 minutes, and recheck).
- Eat a Meal: Once the level is stable (above 70 mg/dL), consume a meal or snack that contains both carbohydrates and protein to prevent another immediate drop.
If symptoms persist or worsen, or if the individual loses consciousness, seek medical attention immediately and call emergency services.
Preventing the Plunge: Long-Term Strategies
Preventing hypoglycemia requires consistency, vigilance, and collaboration with your healthcare team.
Monitor Blood Sugar Regularly
This is the single most important preventive step. Regularly check blood sugar levels as instructed by your doctor, especially before meals, before exercise, and before bedtime. Monitoring allows you to catch slight drops before they become symptomatic.
Eat Regular and Balanced Meals
Skipping meals or delaying them is a prime cause of hypoglycemia, especially for those on insulin or oral medications. Eat balanced meals and snacks at consistent times. Ensure your meals contain a mix of carbohydrates (for energy), protein, and healthy fats (to slow digestion and prevent rapid crashes).
Adjust Medication in Collaboration with Your Doctor
Dosage mistakes, taking too much insulin, or taking medication at the wrong time are frequent causes of severe hypoglycemia. Work closely with your doctor to adjust medication or insulin doses based on your lifestyle, diet, and glucose monitoring results. Never adjust doses yourself without professional guidance.
Stay Active, Plan Ahead
Regular physical activity can help manage blood sugar levels and increases insulin sensitivity. However, exercise burns glucose, increasing the risk of hypoglycemia. Always check your blood sugar before and after activity, carry quick-acting carbs with you, and adjust insulin/food intake accordingly before extended or intense workouts.
By recognizing the signs early and adhering to a rigorous monitoring and nutrition plan, you can significantly reduce the risk and severity of hypoglycemia, maintaining a safer, healthier quality of life.
