Low blood sugar

Also called Hypoglycaemia or Hypo

Low blood sugar (hypoglycaemia or a "hypo") is when the level of sugar in your blood drops too low, usually below 4mmol/L. It mainly affects people with diabetes who take insulin or some diabetes tablets, especially after missing a meal, exercising more than usual or drinking alcohol. It is rare in people without diabetes.

Last updated Nov 9, 2026

What it is

It is treated by having a sugary drink or glucose tablets, then a snack. Severe hypos may need a glucagon injection.

Frequent hypos mean treatment may need adjusting, and they can affect whether it is safe to drive.

Common signs

  • Sweating and shaking
  • Feeling hungry
  • Tingling lips
  • Feeling anxious or irritable
  • Fast heartbeat
  • Blurred vision
  • Confusion or drowsiness

How it is usually diagnosed

  • Finger-prick or continuous glucose readings

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Blood sugar logs or CGM reports
  • Notes on hypo episodes
  • Diabetes clinic letters

Questions to ask your doctor

  • Why am I having hypos?
  • Does my treatment need changing?
  • What are the rules for driving?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Someone with low blood sugar who is unconscious, having a seizure, or too drowsy to eat or drink: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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