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Loss of consciousness can occur in both hypoglycemia and hyperglycemia. The best  method of assessment is to perform blood glucose monitoring to check the exact glucose level. If  the person is experiencing severe hyperglycemia, you will notice a sweet, fruity breath smell and  rapid, deep respirations. The person may feel warm. In hypoglycemia, the skin is usually cold  and clammy. Bystanders may report that the person has just exercised extensively, just took  insulin, or has not eaten. In this case, you would administer glucagon subcutaneously. In either case call for emergency support.

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