Coping with Hypoglycemia

Hypoglycemia is one of the more dangerous complications associated with diabetes medication. It can lead to falls, hospitalization, and even loss of consciousness. In most cases, these events can be prevented through early recognition of symptoms, proper medication adjustments, and professional guidance.

As part of our ongoing efforts to improve the quality and safety of medication therapy, we are proud to launch an innovative project aimed at identifying patients at risk of hypoglycemia.

Leumit pharmacists are undergoing specialized training to recognize patients at risk and provide professional support, while dispensing medications at the pharmacy.

During the consultation, the pharmacist reviews with you how to use your medications, including dosage, timing, and nutrition, and provides clear guidance on recognizing, preventing, and managing hypoglycemia.

If necessary, the pharmacist will refer you for further guidance from a nurse or for assessment and treatment adjustment by your physician.

Leumit pharmacists - here for you, saving lives.

What is hypoglycemia?

Hypoglycemia occurs when blood sugar levels drop below normal—less than 70 mg/dL.

Important to know:
This condition can cause unpleasant symptoms and may be dangerous if not treated promptly. However, with the right knowledge, it is manageable.

How to recognize hypoglycemia

Hypoglycemia can present differently in each person.

Common symptoms include:

Sudden hunger
Weakness or fatigue
Rapid heartbeat
Sweating
Tremors (hands or body)
Dizziness or headache
Confusion or difficulty concentrating
Mood changes or irritability
Blurred vision
Anxiety or fear

In severe cases, symptoms may include:

Loss of consciousness
Seizures

Steps for managing hypoglycemia

Identification and Monitoring

Check your blood sugar level. If it is below 70 mg/dL, follow the steps below:

Immediate Treatment

Try one of the following:

Half a glass of water with 3 teaspoons of sugar
3 teaspoons of honey or 2 dates
3–4 glucose tablets or candies (e.g., toffee or gummy candies)

Wait and Retest

Wait 15 minutes:

Recheck blood sugar
If still below 70 mg/dL, repeat Step 2 and then Step 3 as needed

Stabilization

(Only needed if the event occurs before bedtime or during the night)

After blood sugar has risen above 70 mg/dL:

Eat a light snack containing complex carbohydrates (e.g., a slice of bread or a cracker). If awake and alert, this step is usually not needed—just repeat Steps 2 and 3 until the episode resolves

Try to identify the cause of the hypoglycemic episode and discuss it with your doctor

In case of emergency

If someone with hypoglycemia has lost consciousness:

Do not give food or drink by mouth

Use a glucagon injection if available

Call for immediate medical assistance

Preventing hypoglycemia

Sugar Level Monitoring- Check blood sugar more frequently on days with physical activity or routine changes
Use of Freestyle Libre 2 - For patients on short or long-acting insulin for more than 6 months
Adjust Treatment - Follow your doctor’s guidance and adjust medications according to your activity level
Glucagon kit - Keep a glucagon injection kit at home if needed

Helpful tips

Always carry sugar packets, a sweet snack, glucose tablets, or dates with you
Share information about symptoms and treatment with family and friends
Talk to your doctor about any significant hypoglycemic events

Proper diabetes management allows for a full and healthy life.
For more information, speak with the pharmacists at your local Leumit pharmacy.

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