A hypoglycemic patient who is conscious and can swallow. What is the recommended oral glucose dose?

• A. 15-20 g of fast-acting carbohydrate (glucose gel, tablets, or juice).
• B. 5-10 g of carbohydrate.
• C. 25-30 g of carbohydrate.
• D. 50 g of carbohydrate.

Answer: (A)

When someone with hypoglycemia is awake and can swallow, the goal is to raise blood glucose quickly with a small amount of fast-acting sugar. The recommended dose is about 15-20 grams of fast-acting carbohydrates, such as glucose tablets or gel, or a small amount of juice or regular soda. These simple sugars are absorbed rapidly, so you typically see an improvement within about 10-15 minutes. After giving the dose, recheck the patient’s status and blood glucose; if still low or symptoms persist, repeat the dose once. Using too little (like 5-10 g) may not correct the hypoglycemia promptly, while too large a dose (25-30 g or more) isn’t necessary initially and can complicate monitoring. Only give oral glucose to someone who can swallow and is alert; if the patient cannot swallow or is vomiting or unconscious, use alternative treatments per protocol.