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Low blood sugar signs: what to watch for and what to do
Low blood sugar signs include shakiness, hunger, tiredness, dizziness, confusion, irritability and a fast heartbeat. For many people with diabetes, low means under 70 mg/dL. Treat with 15 to 20 g of fast carbohydrate and recheck in 15 minutes. Payarmin is a supplement, not a treatment for lows.
Written by the Payarmin meter deskUpdated · 4 min read

What are the signs of low blood sugar?
The common signs are shakiness, hunger, tiredness, dizziness, confusion, irritability and a fast or irregular heartbeat (NIDDK, Low Blood Glucose).
For many people with diabetes, a reading under 70 mg/dL counts as low. Severe lows can bring seizures or loss of consciousness.
| Sign | Typical feel |
|---|---|
| Shakiness | Trembling hands, inner jitters |
| Confusion | Slow thinking, trouble with simple tasks |
| Fast heartbeat | Pounding or skipping |
What should you do when you see low blood sugar signs?
Check your reading if you can, then take 15 to 20 g of fast carbohydrate and recheck in 15 minutes (NIDDK, Low Blood Glucose).
- Shaky or jitteryShaking hands, feeling nervous
- Tired or irritableSudden tiredness or a short temper
- Hungry, nauseousSudden strong hunger
- Dizzy, confusedTrouble thinking or speaking clearly
- Fast heartbeatPounding or racing pulse
15-15For many people with diabetes, a low is under 70 mg/dL. Have 15-20 g of fast carbohydrate (juice, glucose tablets), then recheck in 15 minutes.
Call 911For a low with fainting, a seizure or trouble swallowing safely. Do not give food or drink to someone who is unconscious.
Signs and steps from NIDDK (NIDDK, Low Blood Glucose). Insulin, sulfonylureas and meglitinides can cause lows; supplements may add to them (ADA, Vitamins & Supplements).
Who is most likely to have lows, and where do supplements fit?
People on insulin, sulfonylureas or meglitinides are the ones most likely to have lows (NIDDK, Low Blood Glucose).
The ADA adds that some supplements can cause lows when combined with diabetes drugs (ADA, Vitamins & Supplements). Chromium, for example, may add to insulin and diabetes pills (NIH ODS, Chromium). Payarmin carries 0.7 mcg of it.
Do not stop it for a supplement. If you take a diabetes drug, show your pharmacist the full label first.

Payarmin: from $49 a bottle30 mL · 2, 3 or 6 bottles · free US shipping on 3 and 6 · 60-day results-or-refund guarantee
See packsWhen are low blood sugar signs an emergency?
Call 911 for a low with fainting, a seizure or trouble swallowing safely.
A supplement label cannot guide an emergency. Our side-effects reading and the fit check cover the routine questions.
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FAQ01
Low blood sugar: quick answers
Can you have low blood sugar without diabetes?
It is possible, but the 70 mg/dL line we cite applies to many people with diabetes (NIDDK, Low Blood Glucose). If you have repeated shaky or confused spells, see a doctor rather than guessing. No supplement should be your first step.
Can a supplement cause low blood sugar signs?
Some can when combined with diabetes drugs, the ADA warns (ADA, Vitamins & Supplements). Payarmin has no published trial, and most doses are hidden, so a pharmacist should see the label if you use insulin or similar medicine.
How long should you wait after the 15-15 step?
Recheck after 15 minutes. If you are still low, take another 15 to 20 g of fast carbohydrate and recheck again (NIDDK, Low Blood Glucose). If symptoms worsen or do not clear, get medical help.
Who wrote this02
Written and reviewed by
Pages built from the label, the sales page and linked NIH, FDA, CDC, FTC and peer-reviewed sources.
Last updated . Read our editorial standards, and the way we check reviews. This website is a U.S. retail partner for Payarmin, not the manufacturer or the label's distributor. Buying through our order links earns us money.
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