Actionsets help people take an active role in managing a health condition.  Dealing with low blood sugar in children taking only oral medication for diabetes

How? - Learn the steps involved in taking action. How do you deal with low blood sugar?

Here are some ways you can manage a low blood sugar emergency.

Be prepared

  • Keep some quick-sugar food with your child at all times. It can raise your child's blood sugar level 1.7 mmol/L in 15 minutes.
  • Know the symptoms of low blood sugar. Post a list of these symptoms where you and your child will see it often. Have your child carry a copy at all times. Add any symptoms you have noticed in your child that are not on the list. The child may not always have the same symptoms.
  • Have your child wear medical identification, such as a medical alert bracelet. People will know that your child has diabetes and can get help in case your child's blood sugar drops very low. See the Where to Go From Here section below to learn where to purchase medical identification.
  • Teach your child's caregivers how to check blood sugar. Have instructions with the blood sugar meter.
  • Post the emergency care for low blood sugar instructions in a convenient place at home and at school.

Treat low blood sugar early

Check your child's blood sugar if you think it may be low, even if you don't see any symptoms. If your child's blood sugar level is below 3.6 mmol/L:

  • If your child is alert, give him or her some quick-sugar food. Liquids will raise your child's blood sugar faster than solid foods.
    • Check your child's blood sugar after 5 minutes. It will take about 5 minutes for the sugar in the food to get into your child's bloodstream.
    • Wait another 5 to 10 minutes and check your child's blood sugar level again. If his or her blood sugar is still below 3.6 mmol/L, have your child eat or drink something that contains sugar and protein, such as milk.
  • If your child is not alert, follow the appropriate guidelines:

After the episode

  • When your child's blood sugar has returned to above 3.6 mmol/L, feed him or her a regular meal or a snack with protein, such as a turkey sandwich. This will help keep his or her blood sugar from dropping again.
  • Write down your child's symptoms and what you did. Use the low blood sugar level recordClick here to view a form.(What is a PDF document?).
  • Let your child's health professional know if your child is having frequent low blood sugar problems. His or her medicine may need to be adjusted or changed.

Test Your Knowledge

  1. To be prepared for a low blood sugar emergency, your child needs to carry:

    1. His or her oral medicines for diabetes.
    2. Some quick-sugar food.
  2. To treat low blood sugar before it becomes an emergency, your child needs to:

    1. Take an extra pill for diabetes.
    2. Eat some food that contains sugar.

Continue to Where? - Other resources and organizations that can help you take action Where to go from here
Return to Click here to view an Actionset. Dealing with low blood sugar in children taking only oral medication for diabetes



Author: Merrill Hayden
Carrie Henley
Last Updated: April 28, 2006
Medical Review: Adam Husney, MD - Family Medicine
Caroline S. Rhoads, MD - Internal Medicine
Hanan Bassyouni, MD - Endocrinology and Metabolism
Matthew I. Kim, MD - Endocrinology & Metabolism
David C.W. Lau, MD, PhD, FRCPC - Endocrinology & Metabolism
Jill Milliken, RN, CDE - Diabetes Educator

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