What is the hypoglycemic reaction level for a person using insulin daily who has not eaten and is found unconscious?

In the context of diabetes management, particularly for individuals using insulin, hypoglycemia is recognized as a critical concern. A hypoglycemic reaction occurs when blood glucose levels fall to a point that can lead to significant neurological impairment or even loss of consciousness.

In this scenario, the individual is noted to have not eaten and is found unconscious. This is critical information because insulin administration without food intake can lead to dangerously low blood glucose levels. When a person is unconscious, they are unable to respond or protect themselves from the effects of low blood sugar, which indicates a severe hypoglycemic state.

Severe hypoglycemia is characterized by unconsciousness, seizures, or the need for assistance from others. In these situations, immediate medical intervention is required, often in the form of glucagon administration or intravenous glucose, as the person cannot safely ingest food or drink to restore blood sugar levels on their own.

This situation is contrasted with mild or moderate hypoglycemia, where individuals may experience symptoms such as sweating, shaking, irritability, confusion, or palpitations but still retain the ability to treat themselves by consuming carbohydrates.

Thus, the level of hypoglycemia for this individual, who uses insulin daily, has not eaten, and is found unconscious, is