Administer 15–20 g of glucose per os

• ○If repeat blood glucose is <70 mg/dL in 15 min, repeat glucose ingestion until blood glucose is >100 mg/dL

If patient is unable to tolerate per os, administer:

• ○Intravenously dextrose 50% 50 mL or, if there is no intravenous access present, intramuscular 1 mg glucagon

• ○Intravenous 10–20% Dextrose infusion if hypoglycemia persists

Discontinue temporarily causative hypoglycemic agent in diabetic patient

• ○Consider octreotide if sulfonylurea overdose is suspected

Review and adjust hypoglycemic therapy in patients with diabetes

• ○Consider using antidiabetic medications with low hypoglycemia risk

• ○Reduce insulin dose in patients with insulin-dependent diabetes

• ○Refer for diabetes education if indicated

Optimize nutrition

Implement ambulatory self-monitoring of blood glucose