What to Do During a Low Blood Sugar Episode

Recognizing the Signs of Hypoglycemia

A low blood sugar episode (hypoglycemia) can come on quickly and feel alarming. Common symptoms include shakiness, sweating, dizziness, confusion, rapid heartbeat, and intense hunger. If you or someone nearby shows these signs and has diabetes, acting fast is critical.

The 15-15 Rule: Your First Line of Defense

The American Diabetes Association recommends the 15-15 rule:

  1. Consume 15 grams of fast-acting carbohydrates immediately.
  2. Wait 15 minutes and check your blood sugar.
  3. If it's still below 70 mg/dL, repeat.
  4. Once your blood sugar stabilizes, eat a small snack with protein to prevent another dip.

What Counts as 15 Grams of Fast-Acting Carbs?

Fast-acting carbohydrates are simple sugars that your body absorbs rapidly — typically within 15 minutes. Good options include:

  • Smarties candy (glucose tablets in candy form) — one roll contains about 6g, so 2–3 rolls works perfectly
  • Glucose tablets
  • 4 oz of juice or regular soda
  • 1 tablespoon of honey or sugar

Smarties are a favorite among people with diabetes because they're affordable, easy to carry, and contain pure dextrose (a form of glucose) that absorbs quickly.

Why Carrying Fast-Acting Glucose Matters

Lows can happen anywhere — at the gym, in a meeting, on a drive. Having fast-acting carbs on hand at all times isn't just smart; it can be lifesaving. The challenge is finding a convenient, discreet way to carry them.

The SmartyPak™ Glucose Case is designed specifically for this purpose — a compact, pocket-sized case that holds a perfect dose of Smarties so you're always prepared, without the bulk of a full tube of glucose tablets.

After the Episode: What to Do Next

Once you've treated the low and your blood sugar has returned to a safe range, take a moment to think about what caused it. Was it a missed meal? More exercise than usual? A timing issue with insulin? Log the episode in your diabetes journal or app so you and your care team can spot patterns and adjust your plan.

When to Call for Help

If someone is unconscious or unable to swallow, do not give them food or drink. Call 911 immediately. This is when glucagon (either injectable or nasal spray) becomes essential — make sure someone in your life knows where it's kept and how to use it.

Being prepared starts with the basics: know the symptoms, carry fast-acting glucose, and have a plan. Shop SmartyPak cases to find a compact, reliable way to always have glucose within reach.