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Hypoglycaemia (Low Blood Sugar)

Low blood sugar (hypoglycaemia) is not usually caused by GLP-1 treatment on its own. It can happen if you have diabetes and take certain diabetes medicines alongside your GLP-1 treatment (injection or tablet), such as insulin or a sulfonylurea like gliclazide. Due to this risk our service is not suitable for patients with Type-1 diabetes or on a sulphonylurea such as gliclazide or insulin.

What does it feel like?

Symptoms can include:

  • Shaking
  • Sweating
  • Weakness
  • Dizziness
  • Hunger
  • Confusion
  • A fast heartbeat

What should I do?

Seek medical attention as soon as possible.

If you have symptoms of low blood sugar, follow the hypoglycaemia advice from your healthcare professional and take a source of fast-acting sugar if you are able to. 

Take 15 to 20g of fast-acting sugar straight away, such as glucose tablets, a small glass of fruit juice or a sugary drink. Avoid chocolate at first, as the sugar is absorbed more slowly. Check again after 15 to 20 minutes and repeat if you are still low. Then eat a longer-acting carbohydrate, such as a sandwich, biscuits or fruit.

When should I contact Simple Online Pharmacy?

If you take insulin or a sulfonylurea such as gliclazide alongside your GLP-1 treatment and not currently experiencing low blood sugar, please let us know so a pharmacist can review your treatment.

If you have had low blood sugar, please also contact us once you have received medical advice, so our Clinical Team can review your treatment.

When should I speak to my GP or NHS 111?

Contact NHS 111 or your GP for same-day assessment if you think you   are experiencing low blood sugar.

When should I call 999 or go to A&E?

If you become confused or drowsy, call 999 immediately.

If you collapse or lose consciousness, anyone with you should call 999.

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