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Women’s Health Library

Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Low Blood Sugar Level Record

Overview

Use this form to record a low blood sugar level problem. Fill out a record each time this happens. Take the completed form(s) to the doctor. If you (or your child with diabetes) is having low blood sugar problems, the diabetes medicine dose may need to be adjusted or the medicine may need to be changed.

Date: ____________ Time: __________

Time that the last dose of medicine was given and the amount:

Symptoms, if any:


How long symptoms lasted:

Blood sugar levels during the problem:

Activity before low blood sugar:

Kind and amount of glucose or sucrose tablets or solution or other quick-sugar food that was taken:


Was glucagon given? __ Yes __ No

Was emergency care needed? __ Yes __ No

Credits

Current as of: October 2, 2023

Author: Healthwise Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

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Telehealth & COVID-19

Telehealth Visits are available. Request by calling (650) 239-5303 or  click “Request Appointment” above. We have a secure HIPAA compliant platform that allows me discuss your health matters privately. If you need an in person visit, please know we are using CDC guidelines of distancing patients and disinfecting. Masks are mandatory for all staff and patients. Dr Serrato does not see COVID patients here nor those with any respiratory symptoms. Your safety is of the utmost concern to me.… Continue Reading