It’s important for those with type 2 diabetes to watch for signs of hypoglycemia, or insulin shock, and to know what to do if they occur.
By Margaret O'Malley Medically Reviewed by Kelly Kennedy, RD
Hypoglycemic symptoms are important clues that you have low blood glucose.
An episode of hypoglycemia, or low blood glucose, comes on very suddenly. It can happen during or after strenuous exercise, or when you delay a meal. Most people with type 2 diabetes learn to recognize their hypoglycemic symptoms. These include:
Sweating
Weakness
Anxiety
Trembling
Fast heartbeat
Inability to think straight
Irritability
Grouchiness
Hunger
Headache
Sleepiness
Hypoglycemic episodes can also happen while you are asleep. Symptoms include:
Crying out or having nightmares
Waking up to find your pajamas or sheets are damp from perspiration
Feeling tired, irritable, or confused after you wake up
What to Do if Your Blood Sugar Is Low
If you think your blood glucose may be too low, check your level using your testing equipment. If your blood glucose is less than 70 mg/dL, then you are probably having a hypoglycemic reaction.
Hypoglycemia is usually mild and can be treated quickly and easily by eating or drinking a small amount of glucose-rich food. Always carry something to eat in case a hypoglycemic episode happens, such as sugar or glucose tablets, fruit juice, or hard candy. Ask your doctor or certified diabetes educator (CDE) for suggestions about the best form of emergency glucose to have on hand for your particular situation.
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