• Eating meals late or skipping meals
• Not eating the whole meal or enough carbohydrates
• Being more active than usual
• Taking more medicine than needed
  
• Drinking alcohol without eating
  
• Any combination of the above
  

• Weakness or shaking
• Moist skin, sweating
• Fast heartbeat
• Dizziness
  
• Sudden hunger
  
• Confusion
  
• Pale skin
  
• Numbness in mouth or tongue
  
• Irritability, nervousness
  
• Unsteadiness
  
• Nightmares, bad dreams, restless sleep
  

You might pass out if your hypoglycemia is not treated.

• Test your blood sugar level, if possible. If you think your blood sugar is low but are unable to test your blood, treat with one of the following:
  1. ½ cup fruit juice
  2. 3 glucose tablets
  3. 5 solid candies
  4. ½ cup non-diet soda
     
  5. 1 tube instant glucose gel
     
  6. 3 peppermint candies
• Wait 15 minutes. If your symptoms do not lessen, retest if possible. If your blood sugar is less than 70 mg/L (3.9 mmol/dl), repeat treatment. 
• If your next meal is more than ½ hour away, follow up with a small snack such as one of the following:
  1. ½ sandwich
     
  2. 28 grams (1oz) cheese with four to six crackers
  3. 1 tbsp. peanut butter with four to six crackers
• If you still do not feel better, call your doctor or 999.
  
• Record this episode. Write down the date and time your low blood sugar occurred, any possible causes, and what you did to treat it.

• Have both a sugar, such as hard candy, and a starch, such as peanut butter or cheese crackers, with you at all times.
  
• Treat the symptoms early.
• Always carry a diabetes ID in your purse or wallet.
• Be sure your family, friends, and co-workers know what they can do to help you.
  
• Check your blood sugar level before, during, and after exercise/increased activity.
  
• Talk to your doctor if you have more than one episode of low blood sugar.
  
• Learn about diabetes. Talk to your doctor and diabetes educator, and arrange a personal treatment plan.