What is a Hypo?

Read and download our factsheet What is a Hypo? or watch our video animation for a quick guide to Hypoglycaemia, symptoms, causes, and how to help someone who is having a hypo.

What is hypoglycaemia?

Hypoglycaemia is when someone has very low blood sugar, sometimes it’s known as having a hypo. Hypoglycaemia mostly occurs in people with diabetes, when their blood sugar drops below 4mmol/l. 00.

Symptoms can include:

  • Sweating or shaking
  • Feeling confused, anxious, or irritable
  • Feeling dizzy, tired, or weak
  • Tingling lips or heart palpitations
  • Blurred or tunnel vision
  • Slurred speech

With severely low blood sugar someone may:

  • Experience a seizure or fit
  • Pass out

What causes hypoglycaemia?

The cause of a hypo is not always known, but common causes are:

  • Taking too much insulin
  • Not eating enough carbohydrates
  • Missing or skipping meals
  • Drinking alcohol
  • Exercising

How to treat hypoglycaemia

If you or someone you know has hypoglycaemia symptoms, take fast-acting carbs like glucose tablets, sweets, or juice, then rest.
Check blood sugar after 10–15 minutes; if still low, repeat with more fast-acting carbs.
Once levels return to normal, eat a slow-acting carb, such as a sandwich.
If someone becomes unconscious, don’t give food or drink, place them in the recovery position and call an ambulance.

This is not intended as medical advice. Sources: NHS Diabetes.org NHSInform Mayo Clinic