How Hypoglycemia Unawareness Affects People with Diabetes

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Amity Island

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Relationship to Diabetes
Type 1
  • Level 1 hypoglycemia is when blood glucose is lower than 70 mg/dL (3.9mmol/l). Some people may be used to this level of blood glucose, and they may not have symptoms of hypoglycemia. However, this value alerts people about the risk for a further fall in glucose, so they can be active by consuming some carbohydrates.

  • Level 2 hypoglycemia is when blood glucose levels are lower than 54 mg/dL (3.0mmol/l.). People may have symptoms that include tremors or sweating when the glycemia is between 50 mg/dL(2.8mmol/l.) to 60 mg/dL (3.3mmol/l), but not everybody does. These levels are associated with major consequences, such as losing consciousness. If a person treated with insulin or sulfonylureas has these readings often, the treatment should be reevaluated.

  • Level 3 hypoglycemia is when a person experiences episodes that require assistance from another person for recovery because they are confused or unconscious. A blood glucose level is not required to define hypoglycemia in this setting, but with consumption of carbohydrates, or glucagon if they are unable to take something by mouth, the person will be lucid again or recover consciousness.

p.s please can someone kindly translate the values to mmol? as in the meter readings we use. Thanks

 
Last edited:
Level 1 - 70mg/dL is 3.9mmol/l
Level 2 - 54mg/dL is 3.0mmol/l.
50mg/dL is 2.8mmol/l.
60mg/dL is 3.3mmol/l
 
  • Level 1 hypoglycemia is when blood glucose is lower than 70 mg/dL (3.9mmol/l). Some people may be used to this level of blood glucose, and they may not have symptoms of hypoglycemia. However, this value alerts people about the risk for a further fall in glucose, so they can be active by consuming some carbohydrates.

  • Level 2 hypoglycemia is when blood glucose levels are lower than 54 mg/dL (3.0mmol/l.). People may have symptoms that include tremors or sweating when the glycemia is between 50 mg/dL(2.8mmol/l.) to 60 mg/dL (3.3mmol/l), but not everybody does. These levels are associated with major consequences, such as losing consciousness. If a person treated with insulin or sulfonylureas has these readings often, the treatment should be reevaluated.

  • Level 3 hypoglycemia is when a person experiences episodes that require assistance from another person for recovery because they are confused or unconscious. A blood glucose level is not required to define hypoglycemia in this setting, but with consumption of carbohydrates, or glucagon if they are unable to take something by mouth, the person will be lucid again or recover consciousness.

p.s please can someone kindly translate the values to mmol? as in the meter readings we use. Thanks



Interesting article. This stood out for me?

“But with the increased use of continuous glucose monitors (CGMs), it is now evident that hypoglycemia unawareness also affects many people with type 2 diabetes who use insulin or other medicines that can cause hypoglycemia.”

I just hope they are aware of “compression lows” & a delay/lag in recovering from a real low (hypo) with sensors reading interstitial fluid. Upto 45 minutes still reading low with the libre when the meter says otherwise. For me.
Which from the untrained eye of a non sensor user. A DSN?) Looks like I was “daisy tripping” (sub 3.5) for a full hour before treating it?
 
I use Dextrom G7 and the advise from the manual to always use blood tests when low or very high when all CGMs tend to be inaccurate. The difference with the G7 (and the G6) is that you can use your blood tests to recalibrate the sensor, so @Satan’s little helper needn't stay at less than 3.5.
 
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