Below the Surface

Below the Surface is an online campaign which aims to shine a spotlight on the reality of hypoglycaemia (hypos) for people living with diabetes.

Did you know... Typically, people living with diabetes experience mild hypoglycaemia two to three times a week?  Despite this, many people struggle to recognise the signs and symptoms of a hypo, even in themselves.

The video campaign challenges people to look below the surface because things aren't always as they seem.

Hypos can affect people in many different ways; they can occur at any time and in any place.  Symptoms can also vary and may include a pounding heart, trembling, hunger, blurred vision, irritability, diminished inhibitions and in extreme cases; confusion and disorientation, intense nightmares, seizures, or loss of consciousness.

Watch the Below the Surface film to learn more about the varying symptoms of hypos and see how they can easily be misinterpreted.   Remember for people with diabetes, every hypo looks and feels different...


You can also watch the individual film clips below.


Look again.  Every hypo looks and feels different

It's easy to avoid eye contact with people who are acting unusual in public, especially if they seem confused or disorientated.  However, confusion and blurred vision are common symptoms of a hypo.



Did you spot the symptoms?

Everyone knows the feeling of fatigue when playing sports or exercising, but for people with diabetes, it may be something more.  Unplanned or intense exercise may lead people with diabetes to experience a hypo, which may cause pounding heart, dizziness, tiredness and/or sweating.



Did you know...

Irritability is a common symptom of hypoglycaemia.  It's important to understand this if you know someone with diabetes and to recognise that their behaviour might be the result of a hypo.




Things aren't always as they seem...

For people experiencing a hypo, dizziness and disorientation can be a real problem; in some instances, the effect can be strikingly similar to a person who is intoxicated.  Don't forget to look below the surface, things aren't always what they seem.  Every hypo looks and feels different.


This page is intended for UK healthcare professionals only
UK/WB/0916/0043   September 2016

Practical information and resources

Download the Hypo Journal and find out where to access more information on hypos

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Barriers to communication

For information on the barriers to talking about hypoglycaemia

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Impact of hypoglycaemia

Information about the impact of hypoglycaemia

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Hypo Hub

Access information, resources and practical guidance on how to manage hypoglycaemia (hypos)

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TALK Hypos

Awareness campaign and information on day and night-time hypoglycaemia

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