Type 2 Diabetes and Hypoglycemia

Type 2 Diabetes and Hypoglycemia

The concern (“can I have low blood glucose with type 2 diabetes?”) is typical, and it’s simple to see why it’s of concern.

Can I Have Hypoglycemia with Type 2 Diabetes?

In 2014, results from the DAWN2 study were announced. It was the biggest study of its kind (15,000 participants) on the “fears & requirements of individuals with diabetes and their households.” One outcome stuck out: The gravest worries belong to low blood sugar level, specifically during the night. Approximately 69% of the participants share this fear!

So! Can you have low blood sugar with type 2 diabetes? Yes! Obviously! But let’s think about who precisely is at risk — and why.

It’s typical to believe:

Type 1 diabetes = at risk for lows
Type 2 diabetes = not at risk for lows

But that isn’t really fix at all, so we should clean it from our mind.

So… what do I have to know?

Possibly it’s more accurate to state that individuals with type 2 diabetes who take particular types of medication are more at risk for lows. We’re getting closer! But to obtain to the reality, we need to have a look at someone without diabetes. Is it possible for them to have lows, too?

In theory yes, especially if doing lasting physical activities without proper food intake. Furthermore, severe stress and binge drinking are likewise typical causes of low blood glucose for individuals without diabetes.

However, it’s quite rare due to the fact that as quickly as BG’s drop below 80 mg/dl (4.4 mmol/L), the natural counterregulatory system begins, raising blood sugar back to normal levels.

I’ve never experienced hypoglycemia (an expensive word for low blood glucose), even though I am extremely active and eat a rather low carbohydrate diet.

See also: Hyperglycemia: Causes, Symptoms, Treatment

Low blood glucose risks with insulin and sulfonylureas

There are various types of drugs used to manage diabetes. They are put into different classes depending on how they work.

Enviably, those who handle their blood sugar level with diet and exercise don’t need to worry much. The risk of hypoglycemia is the very same as non-diabetics.

Reassuringly, those who just take drugs that restrict the amount of sugar released from the liver and slow down the absorption of carbohydrates in the intestines (Metformin, for example), also have a very low risk.

Those using insulinotropic representatives (sulfonylureas like Glipizide, Glyburide, and so on), which stimulate or affect the production of insulin, need to be especially cautious, as does anyone using insulin.

Shockingly, while insulin-dependent diabetics experience much more low blood glucose, it is the patient group utilizing sulfonylureas who have more severe low blood sugar level requiring emergency assistance. That might eventually be because those utilizing insulin comprehend the risks for lows and are often better prepared for them.

Hypoglycemia symptoms with normal glucose levels

There is such a thing as pseudo-hypoglycemia. This occurs when glucose levels are continuously high for a very long time then are all of a sudden reduced to normal. It’s as if the body ends up being accustomed to the higher range then stresses when levels drop to normal, reacting with hormonal agents like cortisol and adrenaline.

Info: Hypoglycemia is generally specified as blood sugar levels below 70 mg/dl (or 4.0 mmol/L). However, your doctor might offer you a various blood sugar number that is considered too low for you.

Also read: Type 2 Diabetes Symptoms

What should I do if I experience a hypoglycemia?

Low blood sugar level can be treated quickly with quick acting glucose. If you are at risk for lows, you should always have something quickly and sweet with you. Glucose tabs, for example, are offered at any pharmacy, are relatively budget friendly, and are developed to digest quickly and raise blood sugar quick.

Other choices are fruit juice, regular (non-diet) soda, sweets (prior to glucose tabs, Life Savers were literal!), or other sources of carbs. It is essential that whatever you use to treat the low does not include a lot of fat or fiber, which slows digestion and takes longer to raise blood sugar.

The general standards are to eat 15-20 grams of glucose or basic carbs then examine your blood sugar level again in 15 minutes. If you are still low, repeat.

If you experience low blood sugars typically, talk to your doctor. Together, you’ll be able to figure out why they are happening and after that make adjustments, so they do not occur so often.

What are the symptoms of low blood sugar? How do I know I’m experiencing a low blood sugar level?

All this discuss lows, and we haven’t informed you what to look out for! Embarassment on us.

The symptoms and signs of low blood sugars can vary a lot, and can even be different each time. The American Diabetes Association has a detailed list:

Signs and Symptoms of Hypoglycemia

  • Shakiness
  • Nervousness or anxiety
  • Sweating, chills and clamminess
  • Irritability or impatience
  • Confusion, including delirium
  • Rapid / fast heartbeat
  • Lightheadedness or dizziness
  • Hunger or nausea
  • Sleepiness
  • Blurred / impaired vision
  • Tingling or numbness in the lips or tongue
  • Headaches
  • Weakness or fatigue
  • Anger, stubbornness, or sadness
  • Lack of coordination
  • Nightmares or crying out during sleep
  • Seizures
  • Unconsciousness

As noted, these can take place quickly. And did you see that a person symptom is confusion? And another is unconsciousness? That’s why it’s important to treat low blood sugar rapidly. You need to take care as fast as possible, or you might not have the ability to assist yourself.


Low blood sugars can be scary, but they don’t need to be something to be afraid of. Now you know a little more about them, why they happen, what to look for, and how to treat them. Being knowledgeable and prepared will assist keep you safe.

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