This information is for people who may help you if you are too weak or confused to treat your own low blood sugar from diabetes. Make a copy for your partner, coworkers, and friends. If your child has diabetes, you need to provide a copy for teachers, coaches, and other school staff.
View a slideshow of steps for preparing a glucagon injection and a slideshow for giving a glucagon injection.
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Make sure the person can swallow.
- Lift the person's head so that it will be easier for the person to swallow.
- Give the person ½ teaspoon of water to swallow.
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If the person can swallow the water without choking or coughing:
- Give him or her 4 oz of liquid (juice or soda pop) from the list of quick-sugar foods.
- Check the person's blood sugar level using his or her blood sugar (glucose) meter.
- Wait 10 to 15 minutes.
- Offer the person more quick-sugar food if he or she is feeling better but still has some symptoms of low blood sugar.
- Check the blood sugar level again.
- Offer the person a snack (such as cheese and crackers or half of a sandwich) if it is more than 30 minutes before a meal.
- If the person becomes more sleepy or lethargic, call 911 or other emergency services.
- Stay with the person until his or her blood sugar level is 70 milligrams per deciliter (mg/dL) or higher or emergency help comes.
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If the person chokes or coughs on the water:
- Do not try to give the person foods or liquids, because they could be inhaled.
- Give the person a shot of glucagon if one is available. Follow the directions given with the glucagon medicine.
- After you give the glucagon shot, immediately call 911 for emergency care.
- If emergency help has not arrived within 5 minutes and the person is still unconscious, give another glucagon shot.
- Check the person's blood sugar level using his or her blood sugar (glucose) meter.
- Stay with the person until emergency help comes.
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If the person is unconscious but not having a seizure:
- Turn the person on his or her side, and make sure the airway is not blocked.
- Give the person a shot of glucagon if one is available. Follow the directions given with the medicine.
- After you give the glucagon shot, immediately call 911 for emergency care.
- If emergency help has not arrived within 5 minutes and the person is still unconscious, give another glucagon shot.
- Check the person's blood sugar level using his or her blood sugar (glucose) meter.
- If the person becomes more alert, carefully give a quick-sugar food or liquid.
- Check the person's blood sugar level again.
- Stay with the person until emergency help comes.
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If the person is unconscious and is having a seizure:
- Get the person in a safe position, such as lying flat on the floor. Turn the person's head to the side.
- Do not try to give him or her anything to eat or drink or put anything in the mouth.
- If glucagon is available, give the person a shot of glucagon when the seizure stops.
- After you give the glucagon shot, immediately call 911 for emergency care.
- If emergency help has not arrived within 5 minutes and the person is still unconscious, give another glucagon shot.
- Stay with the person until emergency help comes.
Credits
| Author | Caroline Rea, RN, BS, MS |
| Editor | Susan Van Houten, RN, BSN, MBA |
| Associate Editor | Michele Cronen |
| Associate Editor | Pat Truman, MATC |
| Primary Medical Reviewer | Caroline S. Rhoads, MD - Internal Medicine |
| Specialist Medical Reviewer | Matthew I. Kim, MD - Endocrinology & Metabolism |
| Last Updated | August 14, 2007 |



