Glucose is a sugar that comes from the foods we eat, and it's also formed and stored inside the body. It's the main source of energy for the cells of our body, and is carried to each cell through the bloodstream. Our brains depend on glucose to function, even when we're sleeping.
The blood glucose level is the amount of glucose in the blood. When these levels (also called blood sugar levels) drop too low, it's called hypoglycemia (pronounced: high-poe-gly-SEE-me-uh). Very low blood sugar levels can cause serious symptoms that need to be treated right away.
People with diabetes can have low blood sugar levels because of the medicines they have to take to manage their diabetes. They may need a hormone called insulin or diabetes pills (or both) to help their bodies use the sugar in their blood.
These medicines help take the sugar out of the blood and get it into the body's cells, which makes the blood sugar level go down. But sometimes it's a tricky balancing act and blood sugar levels can get too low.
People with diabetes need to keep their blood sugars from getting too highor too low. Keeping blood sugar levels in a healthy range means balancing when and what they eat, and when they exercise with when they take medicines.
Some things that can make low blood sugar levels more likely are:
Also, some things may increase how quickly insulin gets absorbed into the bloodstream and can make hypoglycemia more likely. These include:
All of these situations increase the chances that a person may get hypoglycemia.
Different people may feel low blood sugar levels differently. People with low blood sugar may:
If you have diabetes, try to remember how your body reacts when your blood sugar levels are low. It may help you figure out when you're having a low blood sugar level more quickly the next time.
The warning signs of hypoglycemia are the body's natural response to low blood sugar levels. When blood sugar levels fall too low, the body releases the hormone adrenaline, which helps get stored glucose into the bloodstream quickly. This can make someone:
If the hypoglycemia isn't treated, more serious symptoms may happen, such as drowsiness, confusion, seizures, and loss of consciousness.
The only way to know for sure if you're having a low blood sugar level is to test. Blood sugar levels can be tested with a blood glucose meter . This computerized device measures and displays the amount of glucose in a blood sample. But if you can't quickly check your blood sugar level, it's important to treat yourself for hypoglycemia immediately to prevent symptoms from getting worse.
Sometimes a person with diabetes may have symptoms of low blood sugar levels, but blood sugar levels are not actually low. This is a called a false reaction. The hormone adrenaline (mentioned above) is not just released when blood sugar drops too low — it's also released when blood sugar levels fall quickly when they're too high. If you're having a false reaction, you might actually have blood sugar levels in a healthy range but feel as if you have low blood sugar. Testing blood sugar levels before treating yourself for hypoglycemia can help you figure out if you're having a false reaction.
Some people with diabetes don't actually notice the typical signs of low blood sugar levels. For them it's even more important to check blood glucose levels often and take extra precautions to prevent low blood sugar (see our prevention tips below). If you're having trouble feeling the symptoms of low blood sugar, let your diabetes health care team know.
Your diabetes health care team will give you guidelines for treating low blood sugar levels, depending on your symptoms. If you can, try to test your blood sugar levels to make sure that your symptoms are because of hypoglycemia. If you can't test blood sugar immediately, don't delay in treating your symptoms — you can always check your blood sugar after you've taken steps to get your blood sugar back up into the normal range.
When blood sugar levels are low, the goal is to get them back up quickly. To do that, you should take in sugar or sugary foods, which raise the blood sugar level quickly. Your health care team might suggest that you:
Sometimes, blood sugar levels can get so low that you may not be awake enough to eat or drink something to get them back up. When this happens, you may need a glucagon shot.
Glucagon (pronounced: GLOO-kuh-gon) is a hormone that helps raise blood sugar levels quickly. Your parents, teachers, and coaches should all know how to give glucagon shots in case of a low blood sugar emergency or at least know to call 911. Your doctor can prescribe a glucagon kit, which should be kept in a place where the people who are close to you can easily find it.
Also, you should always wear a medical identification bracelet or necklace and/or carry an ID that says you have diabetes. That way, if you are not feeling well, whoever's helping you — even if the person doesn't know you — will know to call for medical help. This medical identification also can also include your doctor's phone number or a parent's phone number.
By knowing what causes low blood sugar levels and being prepared, you can lessen the chance that you'll have them. But no matter how well they take care of themselves, people with diabetes will sometimes have low blood sugar levels.
Here are some other tips to help you avoid low blood sugar levels:
Alcohol and drugs can cause major problems with your blood sugar levels, so avoiding them is another way to prevent diabetes problems. Drinking can be particularly dangerous — even deadly — for people with diabetes because it messes up the body's ability to keep blood glucose in a normal range. This can cause a very rapid drop in blood glucose in people with diabetes. Drug or alcohol use is also dangerous because it may affect someone's ability to sense low blood sugar levels.
You should also check your blood sugar — and treat hypoglycemia, if needed — before you drive. Make sure you have some form of sugar handy in the car to use if you get low at any time while driving. If you do feel low, immediately pull over safely to the side of the road and treat your hypoglycemia — and don't start to drive again until your symptoms are gone. You also should test your blood sugar before activities during which a low blood sugar reaction could be especially dangerous, such as skiing, swimming, or rock climbing.
Learning how to recognize the signs of low blood sugar levels and get them back to normal is an important part of caring for diabetes. Keeping track of your blood sugar levels and recording lows when they occur will help you and your diabetes health care team keep your blood sugar levels in a healthy range.
Reviewed by: Steven Dowshen, MD
Date Reviewed: May 4, 2018
