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Hypoglycaemia (Low Blood Glucose)

Low blood glucose occurs with the pump for the same reasons it did when you were not on the pump.

Not Enough Food
Too Much Insulin
More Exercise Than Usual
Illness, Travel, Stress

As you know, you cannot always avoid a low. It is important that you establish a routine to follow when your blood glucose is low. If you have a routine, you are sure to have something available to treat a low and you are less likely to over-treat and cause your blood glucose to go up too much.

It is best to use something that you can always carry with you. Choose a food that is all carbohydrate because it will be very fast acting. Try not to choose chocolate or other high fat foods. They will not work fast enough and you may also end up over-treating your lows. The suggested amount of carbohydrate to start with is 15 grams. Don't keep eating until you feel better. Eat the required amount and stop. The feelings will pass and you will be grateful that you did not overdo it.

Some people with diabetes know when their blood glucose is low and some do not. If you are a person who is not aware of hypoglycaemia, it is important to test your blood glucose more often. Everyone with diabetes should test before driving a car to assure safety on the road. Blood glucose should be above 5.6 mmol/l before driving and at bedtime.

Hypoglycaemia Protocol:
The Rule Of 15

If blood glucose is 3.9 mmol/l or below:

	Treat with 15 grams of carbohydrate
	Check blood glucose again in 15 minutes; if not above 3.9 mmol/l, repeat treatment

The following have 15 grams of carbohydrate:

	Glucose tablets - three, 5 gram tablets or four, 4 gram tablets
	110 ml of juice or carbonated drink (not diet)
	6 lifesavers
	1 tablespoon of table sugar or honey