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Low blood sugar on GLP-1 medicines: what helps

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Photo: Tara Clark / Unsplash

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Low blood sugar on GLP-1s

GLP-1 medicines rarely cause low blood sugar on their own, but the risk jumps when they are combined with insulin or a sulfonylurea.

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Why it happens

GLP-1 medicines boost insulin mostly when blood sugar is high, which is why low blood sugar is uncommon when they are used alone.

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When it shows up

Risk is highest when a GLP-1 is first added to insulin or a sulfonylurea, and after dose increases, when appetite drops most.

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What helps

Know the signs: shakiness, sweating, fast heartbeat, hunger, irritability, confusion or blurry vision.

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What helps

If you have a meter, check your blood sugar when symptoms appear.

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Call your doctor if

Confusion, seizure, passing out or being unable to swallow: call 911.

Want the full picture?

Hypoglycemia means blood sugar below about 70 mg/dL. It matters most for people with type 2 diabetes who also take insulin or sulfonylureas.

Tap below for the full page. Not medical advice; talk to your clinician about your care.

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