### Understanding Hypoglycemia in Type 2 Diabetes Hypoglycemia, or low blood sugar, is often linked to type 1 diabetes, but it can also be a significant issue for those with type 2 diabetes. This is a concern that both doctors and patients need to be aware of. According to a March 2018 article in the Journal of Clinical Endocrinology & Metabolism, researchers found that severe hypoglycemia led to 30,000 emergency room visits for people with both type 1 and type 2 diabetes in 2009. Additionally, in 2010, about 18% of Medicare beneficiaries hospitalized due to hypoglycemia were readmitted within 30 days, and 5% died within that period. #### Symptoms and Risks The American Diabetes Association (ADA) lists symptoms of hypoglycemia such as shakiness, fatigue, rapid heartbeat, and nausea. Severe hypoglycemia can lead to serious complications like diabetic coma, seizures, and even death. People with type 2 diabetes who are older than 65, on insulin, or taking sulfonylureas are at the highest risk. #### Managing Hypoglycemia To manage and prevent severe hypoglycemia, it's crucial to follow your medication regimen, regularly check your blood sugar levels, and keep hard candies or glucose tablets handy. If you experience low blood sugar, inform your healthcare provider as there are ways to reduce the incidence of hypoglycemia while maintaining good diabetes control. #### New Guidelines Researchers propose new categories for hypoglycemia to better inform treatment and prevent complications. Generally, hypoglycemia is defined as blood sugar levels dropping below 70 mg/dl. By understanding these risks and managing them effectively, people with type 2 diabetes can work towards better health outcomes.