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Hypoglycemia Management - Stay Safe 🚨

Overview
    • aWhat Is Hypoglycemia?
    • bWhat Happens in Your Body
    • cWhy Every Second Counts
    • 🧠Check-in
    • aEarly & Late Symptoms
    • bYour Personal Symptom Profile
    • cNight-time Lows & CGM Alerts
    • 🧠Check-in
    • aThe Treatment Protocol
    • bThe Wait & When to Modify
    • cCommon Mistakes & Preparedness
    • 🧠Check-in
    • aWhat Is Glucagon & When to Use It
    • bStep-by-Step Administration
    • cTraining Others & Preparedness
    • 🧠Check-in
    • aKnow Your Triggers
    • bPractical Prevention Strategies
    • cSpecial Situations & Daily Habits
    • 🧠Check-in
    • aWhat Is Hypoglycemia Unawareness?
    • bReversing Unawareness
    • cSafety Measures & Support Network
    • 🧠Check-in
    • aRecognizing a Low in Someone Else
    • bEmergency Response & Glucagon
    • cPreparation & Emergency Action Plan
    • 🧠Check-in
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Hypoglycemia Management - Stay Safe 🚨
Ch. 7/7 · Part 3/3
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Part 3: Preparation & Emergency Action Plan

Preparation & Emergency Action Plan

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What you'll learn

  • Prepare in advance by discussing lows with your support circle
  • Create a written emergency action plan
  • Handle special situations: school, work, driving
  • Use the Emergency Action Plan template

Talking About Lows in Advance

The best time to prepare is when everyone is calm and well. Have conversations about:

  • Where glucose and glucagon are stored — at home, work, school, in the car
  • Their typical symptoms — "When I'm low, I usually get quiet/irritable/shaky"
  • What they want you to do — "If you think I'm low, offer me juice even if I say no"
  • When to call emergency services — "If I can't swallow or I pass out, call 112 immediately"
  • Healthcare provider's contact — keep the phone number accessible

Creating a Written Action Plan

A written plan eliminates guesswork during an emergency. Post it:

  • On the fridge at home
  • In a desk drawer at work
  • In the school nurse's office
  • In the child's backpack

Family/Workplace Emergency Action Plan Template

Person with T1D: _________________ Date: _____________

Emergency contacts:

  • Healthcare provider: _________________ Phone: _____________
  • Emergency contact 1: _________________ Phone: _____________
  • Emergency contact 2: _________________ Phone: _____________

My typical low symptoms: _________________________________

Glucose supplies location: _________________________________

Glucagon location: _________________________________

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Alfred

Questions about this content?

Alfred can go deeper on any point in this section.

Glucagon type: [ ] Baqsimi nasal [ ] Gvoke auto-injector [ ] Traditional kit

If I'm conscious but low:

  1. Offer me: _________________ (juice, glucose tabs, etc.)
  2. Stay with me for 15 minutes
  3. If not improving, offer more sugar
  4. Call _________________ if concerned

If I'm unconscious or seizing:

  1. Do NOT put anything in my mouth
  2. Call emergency services: _____________
  3. Use glucagon (stored at: _____________)
  4. Turn me on my side
  5. Stay with me until help arrives

Special Situations

At School (Teachers/Staff)

  • Know the child's diabetes care plan (legally required in most places)
  • Know where supplies are kept (classroom, nurse's office, backpack)
  • Have trained personnel available during all school hours
  • Never leave a low child alone — always supervise
  • Contact parents after significant lows
  • Allow the child to eat or drink in class when needed

At Work (Coworkers)

  • Know where their supplies are (desk, locker, break room)
  • Know when to call for help (unconscious, confused, not improving)
  • Don't prevent them from treating (eating, checking glucose)
  • Respect their privacy after recovery — don't broadcast what happened
  • Don't make assumptions about what they can or can't do

When Driving

  • If you're a passenger and the driver seems low: speak up immediately
  • Help them pull over safely
  • Offer treatment
  • Encourage them to wait until BG is stable above 100 mg/dL (5.6 mmol/L) before driving again — the ADA recommends this threshold, and impaired judgment during a low is real
  • If they refuse to stop, be prepared to call for help

Scenario: The Williams Family Action Plan

The Williams family has created an action plan for their 8-year-old daughter Lily, who has T1D. They printed copies for:

  • The fridge at home
  • Lily's backpack
  • Grandma's house
  • The school nurse
  • Lily's soccer coach
  • The babysitter

Each copy includes: Lily's photo, her typical symptoms (she gets very silly and giggly), where her juice boxes are, where her Baqsimi is, and phone numbers for Mom, Dad, and Dr. Patel.

When Lily's teacher called last month because Lily was acting "hyper and unfocused," the teacher already had the plan. She offered Lily a juice box, Lily's CGM confirmed 58 mg/dL, and the situation was resolved in 20 minutes — no ambulance needed.

Warning

You could save someone's life by knowing this information. Practice with an expired glucagon kit. Your calm response helps them. It's always better to treat than wait. When in doubt, call emergency services.

Key takeaways

  • Have conversations about lows when everyone is calm — don't wait for an emergency
  • Create a written emergency action plan and post it in multiple locations
  • Schools must know the child's care plan — train teachers and have supplies accessible
  • At work: know where supplies are, don't prevent treatment, respect privacy after recovery
  • After a hypo, wait until blood sugar is stable before driving — the ADA recommends >90 mg/dL as a minimum (legal requirement in some countries)

Quick Check: Helping Someone

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If someone with diabetes is unconscious, what should you NEVER do?

Sources

  • Glycemic Goals, Hypoglycemia, and Hyperglycemic Crises — ADA Standards of Care 2026
  • Hypoglycemia (Low Blood Glucose) — ADA
  • ISPAD Clinical Practice Consensus Guidelines 2024