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Emergency hypoglycemia tip if you can’t swallow fluids

Answered byDr. Kiran Kumar GollaMBBS, MD (General Medicine), DM (Endocrinologist)
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Patient's Query

During severe hypoglycemia, I'm sometimes unable to swallow juice or even water. Someone suggested rubbing glucose gel on my gums. Is that a safe practice? What's the best immediate action in this scenario?

Doctor Answers

Dr. Kiran Kumar Golla
Dr. Kiran Kumar Golla
Endocrinologist

Applying glucose gel or paste inside the cheek (buccal area) is safe and allows some glucose absorption through oral tissues, helpful when swallowing is difficult.

However, never force gels or liquids if unconscious, as choking could occur. Instead, use glucagon injections for severe lows. Ensure family or friends are trained in glucagon use, and always carry an emergency glucagon kit.

Wear medical alert identification so bystanders can provide prompt assistance. If severe lows occur frequently, consult your doctor immediately to adjust your diabetes management plan.

References:

  1. Cryer, P. E. (2013). Mechanisms of Hypoglycemia-Associated Autonomic Failure. New England Journal of Medicine, 369(4), 362–372.
  2. American Diabetes Association. (2023). Hypoglycemia Management. Diabetes Care, 46(Suppl 1).
  3. Yale, J. F., et al. (2018). Hypoglycemia risk and prevention. Canadian Journal of Diabetes, 42(Suppl 1), S104–S108.
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Disclaimer: The information provided in this Q&A is for educational purposes only and should not be considered as medical advice. Always consult with a qualified healthcare professional for personalized medical guidance and treatment recommendations.