Published on 18 September 2026

Do you know how to recognise the symptoms of a hypoglycaemic episode?

Hypo Awareness week is an annual campaign aimed at elevating awareness of hypoglycaemia among healthcare professionals in the UK, running this week 14th to 20 September.

Symptoms of low blood glucose (hypoglycaemia, “hypos”)

The lows – hypos are most commonly due to a mismatch between low blood glucose levels and high blood insulin (naturally produced or administered) levels. Low blood glucose levels cannot be used to diagnose diabetes.

Early symptoms include:

  • sweating
  • palpitations
  • tingling lips or tongue
  • shaking
  • dizziness, feeling  light-headed
  • irritability
  • hunger

Late symptoms (where the brain is more affected) include:

  • headaches
  • difficulty concentrating
  • confusion
  • blurred vision
  • speech difficulty
  • difficulty coordinating movements
  • drowsiness

Girl With CGM On Her Arm Phone 1


Low blood glucose levels can be caused by:

  • excessive or unplanned physical activity or exercise
  • reduced carbohydrate intake  (e.g. missed meals, vomiting)
  • alcohol reducing the release of glucose from the liver into the blood

Increased blood insulin levels can be associated with: 

  • increased insulin release in response to certain diabetes tablets
  • excessive insulin dose or wrong administration times, lumpy injection sites or weight loss
  • drug interactions

Always seek medical advice if concerned.

Read more in the DRWF diabetes information resource Diabetes Signs and Symptoms

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