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[–] SomethingEthereal 0 points 12 points (+12|-0) ago 

If they seem confused by the comment, follow up with "Are you okay? Did you take your insulin?". That'll just make them cry, whether or not their blood sugar levels are low.

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[–] shart_in_a_fat_roll 0 points 5 points (+5|-0) ago 

I like this yours better. Same general idea while implying that they're diabetic.

Another variation - "Are you ok? Did you have to take the stairs today? (condescending tone)"