How to Manage Lows on the iLet

When you’re starting the iLet, you may still have some low glucose levels as the iLet learns how much insulin to give you.

Your iLet will reduce or stop insulin dosing in response to low or falling CGM glucose levels.

If you go low, you will still need to treat with rapid-acting carbs, but it’s important to not take more carbs than needed. This can cause your glucose to respond too much, leading to a high glucose level and triggering more insulin dosing from the iLet.

Gummy snacks for low blood sugar

If you experience a low glucose level:

  • Check glucose level with a fingerstick blood glucose meter.
  • Treat with up to 15 grams of rapid-acting carbohydrates (or less) Your iLet will have likely already decreased and/or stopped insulin dosing.
  • Always wait and give your glucose level a chance to respond to the rapid-acting carbohydrates before treating again.
  • Check a fingerstick blood-glucose reading approximately 15 minutes after treating. Your fingerstick glucose reading may show a rise in glucose level before your CGM glucose rises.
  • Treat again with rapid-acting carbohydrates if your glucose level remains low.
  • Continue to monitor your glucose until it remains above 70 mg/dl.

If your iLet predicts your glucose level will be low soon, treat with some rapid-acting carbohydrates to try to prevent a hypoglycemic event from happening. You may not need the full amount of carbohydrates you would usually use if you were already low.

If you see your CGM glucose level dropping, but your glucose is still above 100 mg/dl, do not treat with rapid-acting carbohydrates right away. Monitor your CGM glucose levels and be patient.  The iLet has a fall rate alert that will let you know if your glucose is below 100mg/dL and dropping quickly so you’ll know it’s an appropriate time to take carbs,

REMEMBER

If you have the Low Glucose alerts turned on, the iLet will notify you and you can treat with rapid-acting carbs as needed. Keep all alerts on and at a volume where you can hear them. Set CGM app alarms to mirror iLet alarms.

For more information, please click here to access the iLet Quick Reference Guide or User Guide.

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