If not treated promptly a mild hypoglycemic reaction can quickly progress to a severe state:

Behavior/personality changes

• Seizures, convulsions 
• Extreme tiredness/fatigue
• Sudden crying 
• Restlessness
• Confusion  
• Inability to swallow
• Dazed Appearance   
• Unconsciousness/coma
• Jerking movements

Treatment of Severe Hypoglycemia

Severe hypoglycemia is rare, but can be life threatening, if not treated promptly:

• Follow Emergency Care Plan
• Place student on his or her side
• Lift chin to keep airway open
• Inject glucagon if provided for in the student’s Emergency care Plan
• Never attempt to give food or put anything in the student’s mouth
• Identify someone to call 911, and then call parent/guardian
• The student should respond to the glucagon in 10 to 20 minutes
• Remain with the student until help arrives
• When the student regains consciousness after the glucagon injection, they may feel nauseated or vomit.

Prevention of Severe Hypoglycemia                      

• Eat balanced meals and snacks
• Keep snacks on hand
• Check blood glucose regularly, especially during physical activity
• Administer insulin correctly
• Early recognition of mild symptoms

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