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Several factors can increase your chances of hypoglycemia unawareness: Repeated episodes of hypoglycemia Going low while sleeping Exercise Drinking alcohol Having specific diabetes complications (like neuropathy ) Having chronic kidney or liver disease Taking certain medications Age (hypoglycemia unawareness is common in people over age 65) Diabetes duration (people who have had diabetes for longer are more likely to experience it) How to treat low blood sugar If you notice that your blood sugar is low, it’s important to treat it right away to prevent it from dropping even further, even if you aren’t experiencing symptoms