Dre Chantal Ducasse

Symptoms of hypoglycemia

Neurogenic (autonomic)       

  • Trembling
  • Palpitations
  • Sweating
  • Anxiety
  • Hunger
  • Nausea
  • Tingling 

Neuroglycopenic

  • Difficulty concentrating
  • Confusion
  • Weakness
  • Drowsiness
  • Vision changes
  • Difficulty speaking
  • Headache
  • Dizziness

Recommendations of treatment of hypoglycemia by the Canadian Diabetes Association Clinical Practice Guidelines Expert Committee.

Mild to moderate hypoglycemia should be treated by the oral ingestion of 15 g carbohydrate, preferably as glucose or sucrose tablets or solution. These are preferable to orange juice and glucose gels [Grade B, Level 2 (35) ]. Patients should retest BG in 15 minutes and re-treat with another 15 g carbohydrate if the BG level remains <4.0 mmol/L [Grade D, Consensus]. Note: This does not apply to children. See Type 1 Diabetes in Children and Adolescents, p. S153, and Type 2 Diabetes in Children and Adolescents, p. S163, for treatment options in children.


Severe hypoglycemia in a conscious person should be treated by oral ingestion of 20 g carbohydrate, preferably as glucose tablets or equivalent. BG should be retested in 15 minutes and then re-treated with another 15 g glucose if the BG level remains <4.0 mmol/L [Grade D, Consensus].

Reference:Hypoglycemia - Canadian Diabetes Association Clinical Practice Guidelines Expert Committee

http://guidelines.diabetes.ca/Browse/Chapter14.aspx

Dear patients and Health Care Providers, we recommend you, to consult the Canadian Diabetes Association web site for complete information on hypoglycemia.

1. Lows and Highs: blood glucose levels

Click on the link above to access the document from the Canadian Diabetes Association web site.

http://www.diabetes.ca/documents/about-diabetes/Lows_and_Highs_7.pdf

2. Hypoglycemia - Canadian Diabetes Association Clinical Practice Guidelines Expert Committee.

Click on the link above to access the document from the Canadian Diabetes Association web site.

http://guidelines.diabetes.ca/Browse/Chapter14.aspx