Systems and methods for providing sensitive and specific alarms indicative of glycemic condition are provided herein. In an embodiment, a method of processing sensor data by a continuous analyte sensor includes: evaluating sensor data using a first function to determine whether a real time glucose value meets a first threshold; evaluating sensor data using a second function to determine whether a predicted glucose value meets a second threshold; activating a hypoglycemic indicator if either the first threshold is met or if the second threshold is predicted to be met; and providing an output based on the activated hypoglycemic indicator. The system (100) can include a continuous analyte sensor system (8), sensor electronics (12), a continuous analyte sensor (10), and other devices and/or sensors such as medicament delivery pump (2) and glucose meter (4) that can couple with one or more devices (14, 16, 18, and/or 20).