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Below 70? The 15-15 rule

All forDiabetes

Nutritional Recommendations in Diabetes Management – Introduction

All for DiabetesPublished August 5, 20061 min read

Key points

  • The first position statement on diet in diabetes care was made by Diabetes UK, formerly the British Diabetic Association, 20 years ago.
  • These recommendations have now been superseded by recommendations from other parts of the world including Europe and America.
  • The new recommendations promote a diet in line with healthy eating recommendations for the general population and compatible with dietary advice for people at high cardiovascular risk.
  • The recommendations liberalised the diet for people with diabetes.

The first position statement on diet in diabetes care was made by Diabetes UK, formerly the British Diabetic Association, 20 years ago. The recommendations liberalised the diet for people with diabetes. Previous advice had focused specifically on carbohydrate intake and sugar restriction.

The new recommendations promote a diet in line with healthy eating recommendations for the general population and compatible with dietary advice for people at high cardiovascular risk. Further review, 10 years later, resulted in an update that re-enforced the high-carbohydrate, low-fat diet.

These recommendations have now been superseded by recommendations from other parts of the world including Europe and America. A more recent technical review of the nutritional management of patients with diabetes also helps to put a clear perspective on dietary education 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.