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Below 70? The 15-15 rule

All forDiabetes

Application of the Nutritional Guidelines

All for DiabetesPublished August 5, 20061 min read

Key points

  • Since diabetes is a life-long disease that affects all groups of the population, irrespective of age, culture or socio-economic status, it is vitally important to identify the most appropriate approach to the application of the nutritional guidelines, from the outset.
  • UKPDS showed that the first three months were vitally important in determining response to dietary intervention.
  • Dietetic intervention requires an appropriate level of knowledge, experience and skill if dietary habits and eating behaviour are to be adjusted, effectively.
  • The Clinical Standards Advisory Group (CSAG) in the UK recommended that all newly diagnosed patients should be offered a dietetic consultation within four weeks of diagnosis and that non-crisis dietetic review should be available, annually, to all people with diabetes.

Since diabetes is a life-long disease that affects all groups of the population, irrespective of age, culture or socio-economic status, it is vitally important to identify the most appropriate approach to the application of the nutritional guidelines, from the outset. Dietetic intervention requires an appropriate level of knowledge, experience and skill if dietary habits and eating behaviour are to be adjusted, effectively. The Clinical Standards Advisory Group (CSAG) in the UK recommended that all newly diagnosed patients should be offered a dietetic consultation within four weeks of diagnosis and that non-crisis dietetic review should be available, annually, to all people with diabetes.

UKPDS showed that the first three months were vitally important in determining response to dietary intervention. Currently in the UK one current issue of dietary management in diabetes care is the under-provision of dietetic services in diabetes care.

The content on this site is for information only and is not a substitute for professional medical advice, diagnosis or treatment. If someone with diabetes is confused, unconscious or cannot swallow, call 911 or your local emergency number.

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Low blood sugar

Below 70? Use the 15-15 rule.

Hypoglycemia can happen to anyone who takes insulin or certain diabetes tablets. Treat it straight away. If someone is confused, unconscious or can’t swallow, don’t give food or drink: use glucagon if it is available and call 911 or your local emergency number.

Common signs

  • Shaking or trembling
  • Sweating, clammy skin
  • Fast heartbeat
  • Dizziness
  • Hunger
  • Confusion or irritability
  1. STEP 115 gTake fast-acting sugar4 oz (½ cup) of juice or regular soda, 4 glucose tablets, or 1 tablespoon of sugar or honey.
  2. STEP 215 minWait, then recheckStill below 70 mg/dL? Take another 15 g and check again.
  3. STEP 3SnackOnce back in rangeEat a meal or snack if your next one is more than an hour away.

Based on American Diabetes Association guidance. Your care team may give you a different plan, for example for children or after severe lows. Outside the US, call your local emergency number.