What should I do if the person is having frequent hypoglycaemic episodes?
• Ensure that people are aware of the warning signs of hypoglycaemia and how to treat and prevent it. • Review the person’s meal and physical activity patterns. Advise the person to: • Eat regular meals and not to miss meals. • Make changes to calorie intake to match changes in activity levels. • Reduce alcohol consumption, if appropriate. • Review the person’s medication: • Ensure the dose and timing of medication is appropriate. • If the person is taking a sulfonylurea with a long duration of action (e.g. chlorpropamide or glibenclamide), change to one with a shorter duration of action (e.g. gliclazide). • If the person is taking an insulin secretagogue, consider reducing the dose. • If the person is taking insulin, consider adjusting the dose — reduce insulin dose by 2–4 units and test frequently until no further episodes of hypoglycaemia occur. • If taking both a sulfonylurea and insulin, reduce dose of or stop the sulfonylurea. • If the person is taking a pre-mixed human insulin p
