SAY THIS
After the new dose this morning, did you feel any shakiness, sweating, sudden hunger, or dizziness — especially around mid-morning?
हिंदी translation prompt
"आज सुबह नई dose लेने के बाद, क्या आपको कोई कंपकंपी, पसीना, अचानक भूख, या चक्कर आया — खासकर 10–11 बजे के आसपास?"
Coach note: Patient up-titrated from 22 → 26 U at 07:00. Peak insulin effect window is roughly 09:30–11:30. Listen for: "shakiness," "trembling," "sweating," "headache," "blurry vision," or anything atypical for the patient. Do not lead — let them describe it in their own words first.
RECORD THEIR RESPONSE
1
No symptoms at all — felt normal
continue to step 4 · site reaction screening
Continue
2
Felt slightly weak / hungry but no other symptoms
likely mild · capture timing and food context · continue
Soft note
3
Definite hypo symptoms — shakiness/sweating/dizziness
open hypoglycaemia sub-protocol · capture glucose reading at the time · escalate to MD if severe
Escalate
4
Lost consciousness / needed assistance / required food
severe hypoglycaemia · trigger AE intake · MD alert · 24-hour reporting clock starts
AE event
↓
Skip / patient evasive · note & revisit at next call
flag for follow-up · do not force
Defer