Classification of hypoglycemia

American Diabetes Association Workgroup on Hypoglycemia - 2005 report

Category

Criteria

Severe

Symptoms requiring active assistance of another person to treat.

Is independent of blood glucose

Documented symptomatic

Symptoms with a measured low plasma glucose, self-treated

Asymptomatic

No typical symptoms but, a measured low plasma glucose

Probable symptomatic

Symptoms typical of hypoglycemia, not accompanied by a plasma glucose determination

Pseudo/Relative

Typical symptoms of hypoglycemia with a measured PG concentration > 70 mg/dl

Canadian Diabetes Association 2013: Hypoglycemia Clinical Practice Guidelines

Category

Criteria

Severe

Individual requires assistance of another person. Unconsciousness may occur. PG < 50 mg/dl

Moderate

Autonomic and neuroglycopenic symptoms are present. The individual is able to self-treat

Mild

Autonomic symptoms are present. The individual is able to self-treat

American Diabetes Association Standards of Medical Care in Diabetes 2017

Level

Glycaemic Criteria

Description

Glucose alert value (Level 1)

≤70 mg/dL

Sufficiently low for treatment with fast-acting carbohydrate and dose adjustment of glucose-lowering therapy

Clinically significant hypoglycemia (Level 2)

<54 mg/dL

Sufficiently low to indicate serious, clinically important hypoglycemia

Severe hypoglycemia (Level 3)

No specific glucose threshold

Hypoglycemia associated with severe cognitive impairment requiring external assistance for recovery