Hypoglycemia is the scariest part of living with diabetes. The sweating, shaking, confusion, and risk of passing out make lows something every insulin user has to think about, and for many people, fear of lows can actually get in the way of good management.

In this episode of on Optimizing Diabetes Tech, we go deep on hypoglycemia from every angle. We cover the most common reasons lows happen in the first place, how to use your CGM alerts and pump settings to catch drops before they become dangerous, and why the standard "rule of 15" for treating lows may not be the right approach for people on automated insulin delivery (AID) systems. We also get into overnight lows, compression hypoglycemia, exercise-related drops, and how to treat a low going into a meal without sending your glucose sky-high afterward. Plus, Gary shares what the research is saying about glucagon and why dual-hormone pumps may change the game entirely.

ODT is our recurring series focused on using diabetes technology more effectively. Each episode, I am joined by CDCES Gary Scheiner, the Founder of Integrated Diabetes Services, where we dive deep into practical topics and answer listener questions.

If you are looking to upgrade your diabetes treatment, I highly recommend the team at Integrated Diabetes Services, where Gary and his team provide personalized diabetes coaching, insulin pump setup and optimization, and CGM and open source AID training. I have worked with them myself on optimizing settings on Loop. Let them know we sent you. Watch this week's episode with the video below or listen with the podcast player above.

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Disclaimer: Diabetech content is not medical advice—it’s for educational purposes only. Always consult with a physician before making changes to your healthcare.