Severe Hypoglycemia

Insulin reaction symptoms consistent with hypoglycemia that could not be treated by the person with diabetes alone, but required the attention and assistance from another person who aided with oral carbohydrate, injected glucagon intramuscularly, or glucose intravenously, for which hospital admission may have followed. Causes include lack of care or alertness and diabetes education, human error, improper combination of insulin, alcohol use, and hypoglycemia unawareness. Severe hypoglycemia includes all episodes in which neurologic impairment was severe enough to prevent self-treatment, and possibly causing seizures, convulsions or coma.