When symptoms of hypoglycemia occur, is it most effective to respond first according to the ’15-15 rule’?

1. The Golden Time for Hypoglycemia First Aid
Hypoglycemia is an emergency that requires immediate action. What and how much you eat at this time can determine whether your blood sugar recovers effectively or shoots up into hyperglycemia. The ’15-15 rule’ is the most standard and effective first-aid method for hypoglycemia used worldwide.

2. What is the ’15-15 Rule’?
This rule consists of two ’15s’.
– The First 15: Consume ’15 grams of simple carbohydrates.’ Simple carbs are sugars that can be absorbed most quickly by the body to raise blood sugar rapidly.
– Examples: Half a cup (4 oz) of juice, 3-4 hard candies, a tablespoon of sugar or honey.
– The Second 15: After consuming the 15g of simple carbs, wait ’15 minutes’ and then check your blood sugar again.

3. Why Not Chocolate or Ice Cream?
Chocolate and ice cream contain a lot of ‘fat’ in addition to sugar. The fat content actually slows down the absorption of sugar in the stomach, making them unsuitable for rapidly raising blood sugar in an emergency. The key to treating hypoglycemia is ‘fast absorption,’ so you must choose fat-free simple carbs.

4. Action After 15 Minutes
If the blood sugar checked after 15 minutes is still below 70 mg/dL, repeat the 15-15 rule once more. Once the blood sugar returns to the normal range, it is good to have an additional small snack containing complex carbohydrates and protein (e.g., crackers and cheese, a cup of milk) to prevent it from dropping again.

Summary: In a hypoglycemic emergency, it is crucial to remember the ’15-15 rule’ and respond quickly and effectively by consuming 15 grams of fat-free simple carbohydrates.


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대한당뇨병학회 https://diabetes.or.kr/
질병관리청 https://www.kdca.go.kr/
국립보건연구원 https://nih.go.kr/
대한영양사협회 https://www.dietitian.or.kr/
대한내분비학회 https://www.endocrinology.or.kr/
대한스포츠의학회 https://www.sportsmed.or.kr/
대한신경과학회 https://www.neuro.or.kr/english/
대한정신건강의학회 https://www.knpa.or.kr/
대한치주과학회 https://www.kperio.org/main/main.php/
대한수면의학회 https://www.sleep.or.kr/html/?pmode=intro/
대한신장학회 https://www.ksn.or.kr/

미국당뇨병학회 https://diabetes.org/
영국당뇨병학회 https://www.diabetes.org.uk/
미국안과학회 https://www.aao.org/
미국치과의사협회 (American Dental Association) https://www.ada.org/
국제항공운송협회 (IATA) https://www.iata.org/
미국 질병통제예방센터 (CDC) https://www.cdc.gov/
미국심장협회 (American Heart Association) https://www.heart.org/
세계보건기구 (WHO) https://www.who.int/
국제표준화기구 (ISO) https://www.iso.org/
인슐린 제조사 https://www.lilly.com/
미국소화기학회 (American Gastroenterological Association) https://www.gastro.org/
미국식품의약국 (FDA) https://www.fda.gov/
미국족부의학회 (American Podiatric Medical Association) www.apma.org/
미국 산부인과 학회 (American College of Obstetricians and Gynecologists) https://www.acog.org/
미국대사수술학회 (American Society for Metabolic and Bariatric Surgery) https://asmbs.org/

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