Which is used for conscious hypoglycemia?

• A. Adrenaline
• B. GTN spray
• C. Glucogel
• D. Glucagon

Answer: (C)

Conscious hypoglycaemia is managed with rapid oral glucose to quickly raise blood glucose while the person can swallow. Glucogel fits this need because it’s a glucose gel that is placed in the mouth and absorbed quickly through the cheek, giving a fast rise in blood sugar. The other options aren’t appropriate for this situation: adrenaline is used in severe reactions, not for treating low blood sugar; GTN spray is for angina and has no role in correcting glucose levels; glucagon is reserved for when someone is unconscious or unable to swallow, given by injection or nasal spray to raise glucose when oral intake isn’t possible. So the correct choice is glucogel.