1. Try to recognise symptoms and prevent such episodes. Take sugar in water or juice immediately. Those who are travelling can take chocolates or peanut candy.

2. If a diabetic wakes up in the middle of the night with hunger or sweating, the dosage of the medications needs to be readjusted, and it is better to consult the physician or diabetologist

3. Those who are sick or whose intake of food is poor need to readjust the dose of medication.

4. It is preferable to maintain HbA1C at 7%, particularly if one has associated coronary artery disease.

Aggressive blood sugar lowering by diet or medicines is a thing of the past. Optimal blood sugar lowering is the aim, as hypoglycaemia is found to increase cardiovascular events and mortality.

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Diabetics — beware of low sugars November 14, 2011