One of the major limiting factors in achieving glycemic control is hypoglycemia.¹ The causes of hypoglycemia are often multifactorial, but it is commonly caused by excess insulin administration due to either an overestimation in the dosing of insulin or active insulin stacking in patients with diabetes who require insulin.² Other causes can include delayed gastric emptying due to gastroparesis, medication, exercise, or alcohol. Hypoglycemic episodes are common for patients with type 1 diabetes and those with advanced type 2 insulin-dependent diabetes. In type 1 diabetes, plasma glucose concentrations may be <50mg/dl for as much as 10% of the time.² It has also been estimated that the average patient with diabetes can suffer up to two episodes of symptomatic hypoglycemia per week and one or more episodes of severe disabling hypoglycemia per year.²