Step-by-step guide for treating low blood sugar. Know the signs, act fast, stay safe.
The standard protocol for conscious patients who can swallow safely
Eat 15g fast carbs
Juice, glucose tablets, regular soda or sugar. See the food list below.
Wait 15 minutes
Do not eat more. Sit down and rest while your blood sugar rises.
Recheck blood sugar
If still below 70 mg/dL, repeat step 1. If above 70, eat a small snack.
Eat a small snack
Once above 70, eat crackers with peanut butter or half a sandwich to keep sugar stable.
If blood sugar does not improve after two full cycles of the 15-15 rule, or if symptoms worsen, seek emergency medical help immediately.
Each of these contains approximately 15 grams of fast-acting carbohydrates — the right amount for the 15-15 rule:
These raise blood sugar too slowly for an emergency:
Glucagon is an emergency medication (injection or nasal spray) that raises blood sugar rapidly when a person cannot eat or drink safely. Use it when someone is unconscious, having a seizure or cannot swallow.
Ask your doctor about keeping a glucagon kit at home. Make sure your family knows how to use it.
Eat regular meals and snacks. Never skip a meal after taking insulin or diabetes medication.
Check your blood sugar before and after exercise and before driving. Use a CGM if available.
Exercise lowers blood sugar. Eat a carbohydrate snack before intense activity and recheck after.
Always carry glucose tablets, juice or sugar with you — in your bag, car and desk.
Make sure family, friends and colleagues know you have diabetes and what to do in a hypo.
If hypos are frequent, talk to your doctor — your insulin dose or timing may need adjusting.
Medical disclaimer: This guide is for informational purposes only and does not replace medical advice. Always follow the treatment plan given by your doctor or diabetes care team. In a medical emergency, always call your local emergency services.
Eat or drink 15 grams of fast-acting carbohydrates, wait 15 minutes, then recheck your blood sugar. If it is still below 70 mg/dL (3.9 mmol/L), treat again with another 15g. Repeat until above 70 mg/dL, then eat a small snack to keep blood sugar stable.
Mild: shakiness, sweating, hunger, dizziness, palpitations. Moderate: confusion, blurred vision, slurred speech, weakness, irritability. Severe: seizures, unconsciousness, inability to swallow or respond. Symptoms can appear suddenly — always carry fast-acting carbs.
Fast-acting carbs: 150ml of fruit juice or regular soda, 3–4 glucose tablets, 1 tablespoon of sugar or honey, 4–5 hard candies, or 3–4 sugar packets. Avoid fat-containing foods like chocolate during a hypo — fat slows sugar absorption.
Call emergency services immediately if the person: loses consciousness or cannot be woken up, has a seizure, cannot swallow safely, does not improve after two full 15-15 rule cycles, or if you are unsure about their safety. Never leave an unconscious person alone.
Glucagon is an emergency medication (available as an injection kit or nasal spray) that raises blood sugar rapidly when a person is unconscious or cannot swallow. It should be part of every insulin-dependent diabetic's emergency kit. Even after using glucagon, call emergency services and have the person eat carbs when conscious.
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