This document provides guidance on treating low blood sugar, including what to do if someone is unconscious or seizing. It discusses the contents of a "go bag" for treating low blood sugar, such as glucose tabs, juice boxes, candy, glucose gel/honey packets, and Glucagon. It outlines the "Rule of 15" for treating low blood sugar - giving 15 grams of carbohydrates, waiting 15 minutes, then rechecking blood sugar and repeating if needed. It provides instructions for using gel/honey if the person cannot eat or swallow, and using Glucagon if they are unconscious or seizing. The document also briefly discusses guidelines for treating high blood sugar.

1. B R A N T F O S T E R
&
K I M O A S
“Sweet & Low”

2. Short recap
 How low is low?
 When do we take action?
 What action do we take?
 After action analysis (learning from events)

3. Time to Act!
 Tools: The “Go Bag” usually has everything in it. Get
familiar with the contents.
 What’s usually in it?
 Glucose tabs
 Juice box
 Candy? (not chocolate)
 Glucose gel / honey packets
 Glucagon®

4. What to do, what to do?!?
 Establish a good , reliable blood glucose reading.
 “Rule of 15”
 If you can feed them:
 15grams of carbohydrates
 Wait 15 minutes
 Recheck BG
 If below target, repeat process
 If before a meal , these carbs DO NOT COUNT
towards the meal count!

5. What if they can’t eat?
 Use the Gel / Honey
 Yell for help Call 911 if advised to ahead of time
 Lay person on their side
 Squeeze the lower cheek full of gel or honey and massage into
their gums
 Wait 15 mins and recheck then feed them!

6. Don’t Panic!
 What if… unconscious or seizing?
 Dial 911!
 Gel/honey
 Glucagon®
 Review Glucagon
 Recap with Scenarios

7. Glucagon ®
 Unconscious or seizing
 Bright red or orange plastic case.
 Prefilled syringe with a vial
 4 steps on inside of cover
 Deep Intramuscular injection
 Roll on side for potential vomiting

8. Highs
 When to act depends on your physician
recommendations.
 Predetermined upper threshold.
 Checking for ketones
 Calling for help
 Usually outlined in a survival manual or sick day
flowsheet.