Abstract
Hypoglycemia in diabetic patients is an obstacle to self-management of diabetes. Severe hypoglycemia reduces quality of life and increases the risk of death in diabetic patients. Factors associated with hypoglycemia include older age, insulin use, inadequate diet, excessive exercise, and alcohol consumption. Patients who experience severe hypoglycemia may require adjustment of glycemic target and insulin dosage. Patients who frequently suffer from severe hypoglycemia may need to prepare glucagon in advance and use a continuous glucose monitor system or sensor augmented insulin pump. All diabetic patients should receive education on how to prevent and manage hypoglycemia. Healthcare professionals should identify the cause of hypoglycemia in patients visiting hospitals with severe hypoglycemia and provide appropriate patient education to prevent recurrence.
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