Managing your blood sugar

Toujeo® releases insulin gradually, giving you stable levels of insulin all day and all night to help manage your blood sugar.

However, even if you're very careful about your diet and exercise, and you take your medicines as prescribed, there may be times when your blood sugar level climbs above or falls below where you and your doctor want it to be. When this happens, it's called hyperglycemia (high blood sugar) and hypoglycemia (low blood sugar).

If you experience out-of-range blood sugar levels:

Diabetes Planning Plan Ahead With Your Doctor

Always discuss with your doctor what to do if your blood sugar levels are outside of your recommended target range. Consider carrying your blood sugar meter with you so you can check your levels as often as your doctor recommends

Diabetes Support Reach Out

Ask family, friends, and your healthcare team for help and support

Doctor Instructions Follow Instructions

By planning ahead, reaching out for support, and following your doctor’s directions, you can move toward your blood sugar goals. When your blood sugar levels are out of range, continue focusing on the plan set by your HCP

What are some of the signs of high blood sugar (hyperglycemia)?

If your blood sugar level climbs too high, you may experience symptoms of hyperglycemia, some of which may include:

  • Increased hunger
  • Feeling tired
  • Frequent urination
  • Blurred vision
  • Increased thirst
  • Slow-healing cuts or sores
  • Dry mouth
  • Dry, itchy skin

High blood sugar can be caused by:

  • Taking less insulin than prescribed
  • Injecting the wrong dose of insulin
  • Eating too much
  • Medicines that impact insulin's ability to affect blood sugar
  • Too little activity
  • Stress or illness
    The only way to know for sure whether or not you have hyperglycemia is to check your blood sugar level.

    How to manage high blood sugar

    If your blood sugar levels are out of your recommended range, talk to your doctor about:

    • Adjusting your meal plan or physical activity routine
    • Adjusting your medicines
    • Deciding what a high blood sugar level is for you and when you should call your doctor

What are some of the signs of low blood sugar (hypoglycemia)?

If your blood sugar level gets too low, you may experience the symptoms of hypoglycemia, some of which can include:

  • Weakness
  • Nervousness
  • Confusion
  • Shakiness
  • Dizziness
  • Hunger
  • Sleep related problems, such as nightmares, sweating and feeling tired

Low blood sugar can be caused by:

  • Not eating enough food
  • Getting too much exercise
  • Taking too much medicine
  • Drinking alcohol
  • Illness
  • Stress

It is important to know that you may not feel any symptoms and still have low blood sugar. The only way to know for sure whether or not you have hypoglycemia is to check your blood sugar level.
Hypoglycemia Rule of 15

Follow the Rule of 15* to manage hypoglycemia

If you feel low, check your blood sugar level. Is it in your target range? If you're low, follow the Rule of 15.

1 Check your blood sugar

2 Eat 15-20 grams of fast-acting carbohydrates

  • Glucose tablets or gel (available at pharmacies)
  • Hard candy (not chocolate)
  • 4 oz (1/2 cup) of juice or regular (not diet) soda

3 Wait 15 minutes and check your blood sugar again

4 Repeat if your blood sugar is still too low

5 Wait another 15 minutes and then have a snack if your next scheduled meal is more than one hour or two away

6 If you're still struggling to get within your target range, contact your healthcare professional.

Remember: You may not feel better instantly after eating your 15 grams of carbs, but be patient with your body and give it the full 15 minutes! Your instinct may be to keep eating until you feel better, but that can make your blood glucose shoot way up.

*Per American Diabetes Association

Talk to your doctor about when you should contact him or her if experiencing symptoms of high or low blood sugar.


Toujeo (insulin glargine injection) 300 Units/mL COACH