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Below 70? The 15-15 rule

All forDiabetes

Epidemiology of Disordered Gastrointestinal Function and Impact of Chronic Gastrointestinal Symptoms

All for DiabetesPublished August 3, 20061 min read

Key points

  • Patients with diabetes mellitus commonly complain of gastrointestinal symptoms, including chronic abdominal pain and bowel dysfunction, for which there is no structural cause.
  • In addition, aspects of quality of life have attracted increased interest in the past few years, as it has been shown that gastrointestinal problems can impair well-being and daily life in diabetes.
  • It is now widely recognised, although only relatively recently, that complications involving the gastrointestinal tract represent an important cause of morbidity in patients with diabetes mellitus.
  • However, epidemiological studies of these problems remain sparse and the data are conflicting.

Introduction

Patients with diabetes mellitus commonly complain of gastrointestinal symptoms, including chronic abdominal pain and bowel dysfunction, for which there is no structural cause.

It is now widely recognised, although only relatively recently, that complications involving the gastrointestinal tract represent an important cause of morbidity in patients with diabetes mellitus. However, epidemiological studies of these problems remain sparse and the data are conflicting.

In addition, aspects of quality of life have attracted increased interest in the past few years, as it has been shown that gastrointestinal problems can impair well-being and daily life in diabetes.

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.