What is happening?

What to do

1. Diabetes with shaking, sweating, hunger or confusion: measure glucose if possible. Do not delay treatment for their suspected usual hypo.
2. If measuring: below4mmol/L or below70mg/dL are low-sugar warning thresholds. Check device units. Do not wait for a meter with their usual hypo symptoms.
3. Child with diabetes: use their plan for sugar amount, only awake and swallowing safely. No plan or unable to swallow: get help now. Do not force sugar into the mouth.
4. Only an awake adult swallowing safely: 15–20 g glucose as labelled. Without glucose, a sugary drink or juice. No diet/zero-sugar drinks.
5. No improvement in10minutes, seizure or no longer swallowing safely: emergency help now. Do not wait for another test. Repeat sugar only while awake and swallowing safely.
6. Recheck after 15 minutes. If not improving, get emergency help and repeat sugar only if still awake and swallowing safely.
7. After improvement and safe swallowing, offer a snack or their next meal to maintain glucose.
8. If unresponsive: call emergency services. If breathing is abnormal, start CPR with dispatcher guidance.
9. Unresponsive: call now. Own glucagon only if available and you know its plan/label use. Do not delay indicated CPR.
10. After severe/repeated episodes, ask diabetes team to review. Prescribed glucagon: only someone who knows that product. Nasal and injectable differ. Do not delay call or CPR.