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hypoglycemia

A blood glucose level below normal, under 70 mg/dL.

hy-poh-gly-SEE-mee-uh noun

Word parts

hypo- belowglyc/o sugar, glucose-emia in the blood

What it means

Too little glucoseGLOO-kohsA simple sugar that is the body's main source of energy.gluc/o sweet, sugar-ose sugarFull entry (sugar) in the blood. It is most common in people with diabetes who take insulinIN-suh-linA hormone made by the pancreas that lets the body's cells take in glucose, also made as a medicine.Full entry or some oral diabetes drugs, especially after a missed meal, extra exercise or alcohol. Signs can come on quickly: shakiness, sweating, a fast heartbeat, hunger, irritability and confusion, and, if it goes lower, seizures or loss of consciousness.

For the nurse

Check the blood glucose when a client has these signs. If the client is awake and can swallow, many agency protocols use the 15-15 rule: give 15 grams of fast-acting carbohydrate, recheck in 15 minutes and repeat until above 70 mg/dL, then give a snack or meal. A client who cannot swallow safely gets IV dextrose or glucagon as ordered. Teach clients to carry a quick sugar source.

In a chart

"Client diaphoretic and shaky; glucose 54 mg/dL; 4 oz juice given, recheck 88 mg/dL."

Remember it

Cold and clammy, need some candy.

At a glance

Normal rangeFasting blood glucose 70–100 mg/dL [3.9–5.6 mmol/L]; below 70 mg/dL [3.9 mmol/L] is hypoglycemia.
Everyday wordslow blood sugar
Spanishhipoglucemia
Also writtenhypoglycaemia, hypoglycemic, low blood sugar

Easy to confuse with

hyperglycemia

A blood glucose level above normal, over 100 mg/dL when fasting.

Related terms

insulin

A hormone made by the pancreas that lets the body's cells take in glucose, also made as a medicine.

diabetes mellitus

A long-term disease in which blood glucose stays high because the body makes too little insulin or cannot use it well.

hypo-

A word beginning that means under, below or less than normal.

glucose

A simple sugar that is the body's main source of energy.

blood glucose

The amount of sugar (glucose) in the blood at the time it is measured.

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