Prevention strategies for hypoglycemia include which measures?

• A. Only sugar intake
• B. Blood glucose monitoring, carbohydrate supplementation, insulin adjustments
• C. No monitoring
• D. Increase insulin dose

Answer: (B)

Preventing hypoglycemia is about actively managing glucose levels with three integrated steps: regular blood glucose monitoring, timely carbohydrate management, and thoughtful adjustments to insulin dosing. Regular monitoring—whether with finger-stick checks or continuous glucose monitoring—gives you real-time or near-real-time data to spot patterns and intervene before levels drop too low. Carbohydrate supplementation provides a rapid source of glucose when readings fall or are about to fall, and it’s especially important during situations like exercise, missed meals, or insulin on board. Adjusting insulin delivery—by tailoring meal-time boluses, delaying or reducing doses, or changing basal rates—helps keep glucose within a safe range and prevents lows from occurring.

Relying on sugar alone misses the broader strategy of prevention and doesn’t provide the ongoing feedback you need to prevent lows. No monitoring removes the essential information that signals a low is developing, making prevention unreliable. Increasing the insulin dose would raise the risk of hypoglycemia rather than prevent it, since more insulin pushes glucose down.