The OGTT relies on giving a standard glucose challenge with measurement of glucose both fasting and 2 hours after the glucose challenge. Diabetes is then defined by a fasting plasma glucose (FPG) of 7.0 mmol/L or more or a 2-hour glucose of 11.1 mmol/L or more. 8 The same test can be used to diagnose impaired fasting glucose (FPG 6.1–6.9 mmol/L) and impaired glucose tolerance (2-hour glucose 7.8–11.0 mmol/L). During pregnancy, gestational diabetes is diagnosed when the glucose values fall above 6.0 mmol/L fasting or 7.8 mmol/L at 2 hours. Low blood sugar levels can happen at night, so it’s a good idea to keep hypo treatments by your bed just in case. Some people don’t always notice the symptoms and wake up straight away. This means that your blood sugar levels may drop further and the hypo may be more severe. Diabetes UK. Having a hypo. Diabetes UK, 2017. https://www.diabetes.org.uk/Guide-to-diabetes/Complications/Hypos/Having-a-hypo.

Husband AC, et al. The effectiveness of glucose, sucrose, and fructose in treating hypoglycemia in children with type 1 diabetes. Pediatr Diabetes 2010; 11( 3): 154– 8. Rapilose® Gel must never be given to an individual who has become unconscious due to the risk of choking. Rapilose® Gel should be kept with you, or with a responsible person, at all times. Rapilose® Gel tubes have an 18-month shelf life, and can be safely stored at room temperature, i.e. less than 25°C:World Health Organisation. Definition and diagnosis of diabetes mellitus and intermediate hyperglycaemia. Report of a WHO/IDF consultation. Geneva: WHO, 2006. The Soft Drinks Industry Levy (also called the sugar tax) came into force April 2018. This is a levy that will charge soft drink manufacturers for producing soft drinks that are high in added sugar. This may affect the products you use to treat your hypo. We have more information on this sugar reduction and hypo treatments. Lucozade Ribena Suntory (LRS) has been reformulating its Lucozade drinks since 2016 to contain 50% less sugar, including their famous Lucozade Energy Original. Ribena Suntory. Health information. Lucozade Ribena Suntory, 2018. https://www.lrsuntory.com/our-brands/lucozade-energy/health/. Children may need less than 15 to 20g of a slower-acting carbohydrate. Your child's diabetes team will advise on this. Treating severe hypoglycaemia

A low blood sugar level, also called hypoglycaemia or a ‘hypo"’ is where the level of sugar (glucose) in your blood drops too low, below 4mmol/l.It can be a good idea to record your hypos, to see if there are any trends or patterns. Knowing this may help your healthcare team to find a better way to manage your blood sugar levels. Wiener K. The oral glucose tolerance test – an assessment of the quality of its performance. Ann Clin Biochem 1987; 24( Pt 5): 440– 6. Or it could be your next meal, if it’s due. You will also need to take insulin if this is the case. After treating a hypo, your blood sugar levels should return to normal after about 15 minutes, but this may vary. In some cases, you might need to repeat your hypo treatment. This is why it is important to closely monitor your blood sugar levels during this time.