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moderateMedical

Diabetic emergency

Most diabetic emergencies are low blood sugar — and they respond fast to simple sugar. If you're unsure, treat for low blood sugar. It won't harm them if you're wrong.

For children:

  • Step 2Give fast-acting sugar if conscious: Children need smaller amounts — typically 10 grams. Check the child's written diabetes care plan if available.
Steps

5 steps

  1. 1

    Recognize low blood sugar

    Signs: shaking, sweating, pale skin, confusion, irritability, rapid heartbeat, headache, weakness, or acting 'drunk'. This is the most common diabetic emergency.

    Important: High blood sugar develops slowly over hours or days and needs hospital treatment. If ever in doubt — treat for low blood sugar first.
  2. 2

    Give fast-acting sugar if conscious

    If conscious and able to swallow: give 15 to 20 grams of fast-acting sugar. Options: 4 glucose tablets, 4 oz orange juice, 4 oz regular soda (not diet), or 1 tablespoon of honey.

  3. 3

    Wait 15 minutes, then recheck

    Have them sit quietly. After 15 minutes, if still symptomatic, give another dose of fast-acting sugar. Once improved, give a small snack with protein and complex carbohydrate.

    Tip: Glucose tablets work fastest. Chocolate is slow due to fat content — use juice or tablets in an emergency.
  4. 4

    If unconscious — recovery position and 911

    Roll into recovery position on their side. Call 911 immediately. If a glucagon kit is available and you are trained to use it, administer it now.

    Important: Never give food, liquid, or anything by mouth to an unconscious person — they cannot swallow safely.
  5. 5

    If no improvement in two rounds — call 911

    If symptoms don't improve after two attempts, if unconscious, or if unsure what's happening — call 911.

Kit

What you'll need

  • Glucose tablets (essential kit item)
  • Orange juice or regular soda
  • Glucagon kit if person carries one
  • Phone for 911
Related

Medical

Guidance only — in any emergency, call 911.