How do you treat hypoglycemia in a responsive patient?

• A. CPR if no sign of life
• B. IM glucagon injection for uncooperative/unresponsive pts followed by sugary drink when they come around
• C. Sugary food or drink for responsive patients
• D. Measure blood glucose level

Answer: (C)

The main idea here is to raise the blood glucose quickly by using a fast-acting carbohydrate while the patient is still able to swallow. When someone who is hypoglycemic is responsive, give about 15–20 grams of carbohydrate by mouth—common and effective options include a small glass of fruit juice or regular (non-diet) soda, glucose tablets, or a sugary snack. The goal is rapid improvement, so after about 10–15 minutes reassess symptoms or measure blood glucose if you have that capability. If the level is still low, repeat the carbohydrate dose. Once the patient’s symptoms resolve, offer a longer-acting carbohydrate to prevent another drop and arrange appropriate follow-up. If the patient becomes unconscious or cannot swallow, different steps are needed, such as seeking urgent help and using parenteral glucose or glucagon as directed by protocol.