Your Risk Factors
Age up to +2 pts
Currently using insulin up to +2 pts
Hypoglycemic episodes in past 6 months up to +3 pts
HbA1c below 6.0% up to +2 pts
Kidney function (eGFR) up to +2 pts
Duration of diabetes up to +1 pt
Taking a sulfonylurea up to +1 pt

e.g. glipizide, glyburide, glimepiride, gliclazide

Cognitive impairment or dementia up to +2 pts
Your Risk Score
0
out of 15 points
Low Risk
Low Risk Score 0-3
Medium Risk Score 4-7
High Risk Score 8-15
Risk Factor Points
How This Works

This score is based on validated clinical risk factors associated with hypoglycemia in people with diabetes. Each factor independently raises the likelihood of low blood sugar events:

Score = Sum (age>=65: +2) + (insulin: +2) + (hypo history: 0/+1/+3) + (A1c<6%: +2) + (eGFR<60: +2) + (duration>10yr: +1) + (sulfonylurea: +1) + (cognitive impairment: +2)

Why these factors matter: Older adults have reduced counter-regulatory hormone responses. Insulin and sulfonylureas directly lower blood glucose. Prior hypoglycemia blunts awareness of future episodes (hypoglycemia-associated autonomic failure). Impaired kidney function slows glucose production and drug clearance. Very tight control (A1c < 6%) leaves little buffer before levels drop too low.

Recognition symptoms: Shakiness, sweating, rapid heartbeat, confusion, irritability, and blurred vision. Severe hypoglycemia can cause unconsciousness - knowing your risk helps you prepare.

! Medical Disclaimer
This calculator is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider or a qualified diabetes educator regarding your personal hypoglycemia risk and management plan. Individual results may vary.