Chronic disease that leads to an imbalance of blood sugar and insulin. Blood sugar can become very high or very low. If you are uncertain of whether blood sugar is high or low, it is best to give sugar. The effects of low blood sugar are more harmful to the body than high blood sugar. If low blood sugar is the issue, improvement in symptoms can occur within 10-15 minutes. If no improvement is noted, high blood sugar may be the problem. Regardless, prompt medical treatment is required.

SIGNS AND SYMPTOMS

• Altered mental status
• Anxiety/trembling
• patron may appear drunk
• Drowsiness/difficulty waking up
• Seizures
• Unresponsiveness
• A strong, fruity breath odor
• Pounding heart
• Weak
• Fainting
• Pale/sweaty

TREATMENT FOR HYPOGLYCEMIA

• If victim is a known diabetic and is responsive: give glucose tablets or dietary sugars (candy, fruit snacks, orange juice, skittles). 
• Activate EMS if victim does not improve within 10-15 minutes.
• If victim is unresponsive or unable to swallow, do not give anything to eat; ACTIVATE EMS immediately.