Table 2.

Proactive questions related to hypoglycemia

When did the event(s) occur? (daytime vs overnight) Under what circumstances did they occur? (missed meal, following exercise, excess medication) What were the symptoms? What was the blood glucose reading? How did patient treat the hypoglycemia? Did the patient require assistance from another person in order to reverse the hypoglycemia? Did the hypoglycemic event re-occur later within a 24-hour period? What was done? (eg, carbohydrates ingested, follow-up blood glucose monitoring) How soon did hypoglycemia resolve? (Blood glucose levels rose to >70 mg/dL) How fearful is the patient or the family of hypoglycemia? Do they test before driving? Do patients “stack insulin” (re-bolus rapid insulin analog within 3 hours of a similar injection)? At what glycemic level does the patient perceive hypoglycemia? (If <50 mg/dL, patient may have hypoglycemia-associated autonomic failure).