Hypoglycemic encephalopathy is a serious condition that occurs at glucose levels below 50 mg/dL and is characterized by coma or stupor that persists even after blood sugar levels have normalized[1]. The brain relies on circulating glucose as its primary source of energy, so hypoglycemia impairs central nervous system function[1]. Patients with type 1 diabetes are at increased risk of recurrent hypoglycaemia due to a reduced counterregulatory response, which may lead to impaired hypoglycaemic awareness (IAH)[1]. A case report describes a 42-year-old man with type 1 diabetes who was in a hypoglycemic coma with a Glasgow Coma Scale score of 3, with neuroimaging confirming hypoglycemic encephalopathy[1]. The patient improved after intravenous dextrose and supportive care[1]. Early recognition of symptoms is key to prevent irreversible brain cell death and to minimize complications[1]. Impaired awareness of hypoglycemia causes serious consequences, including inability to work and impaired quality of life[1].