Diabetes Forecast

5 Tips for Managing Hypoglycemia Unawareness

By Allison Tsai , , ,

Rae Danneman

People who’ve had diabetes for many years may not get their body’s warning signs of hypoglycemia, a condition known as hypoglycemia unawareness. If that sounds like you, use these strategies to help prevent severe low blood glucose, says Joanne Rinker, MS, RD, CDE, LDN, senior director for community health improvement at Population Health Improvement Partners in Waynesville, North Carolina, and a spokeswoman for the American Association of Diabetes Educators.

  1. Check your blood glucose often: when you wake up; two hours after meals; before, during, and after exercise; and possibly more if your schedule deviates from your normal routine.
  2. Keep a log. Doing so can help you discover behaviors that trigger lows. “Eventually those behaviors will become something [you] don’t do,” Rinker says.
  3. See a certified diabetes educator. He or she can help make sure your eating plan and activities fit your medication regimen in order to avoid lows.
  4. Consider a continuous glucose monitor (CGM). This can help you experiment with meal plans, exercise, medication doses, and targets and spot triggers, says Rinker. After a few weeks, you’ll likely notice patterns.
  5. Keep in mind: If you follow these strategies and successfully avoid lows for long enough, you may begin to feel the warning symptoms of hypoglycemia again.

Are you at risk for severe hypoglycemia? Find out here.

5 steps to avoiding severe lows



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