Increased thirst and urination

Weakness, abdominal pains,
generalized aches

Heavy labored breathing
Fruit-like odor

Nausea and vomiting

Excessive sweating, faintness

Headache, hunger

Pounding of heart, trembling,
blurred vision

Loss of appetite

Irritability

Inability to awaken

Personality change

Call doctor immediately

Give patient fluids without sugar if able to swallow

Test blood frequently for sugar

Take food containing sugar
(Orange juice, sugar
sweetened soda or 6-8
lifesavers)

Do not give insulin

Do not give anything by mouth if not conscious

Call doctor

Too little insulin

Failure to follow diet

Infection, fever

Emotional stress

Too much insulin

Not eating enough food

Unusual amount of exercise

Delayed meals