Which statement about the management of hypoglycemia is most accurate?

• A. Sugary food or drink for responsive patients
• B. Glucagon should never be used
• C. Seizures are not a concern
• D. Insulin can be given immediately

Answer: (A)

The main idea is how to treat hypoglycemia when the patient is conscious and able to swallow. In this situation, giving a sugary food or drink is the most effective first step because fast-acting carbohydrates raise blood glucose quickly and are easy to administer in a dental setting without injections or IV access. After giving the carbohydrate, recheck the patient’s status in about 10–15 minutes and repeat treatment if symptoms persist or blood glucose remains low.

Glucagon is a rescue option but only for severe hypoglycemia or when the patient cannot swallow; it should not be dismissed as never used. Seizures can occur with hypoglycemia and represent a serious concern, underscoring the need for prompt treatment. Giving insulin immediately would worsen the low blood sugar, so it is not appropriate in this scenario.