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There are many ways to deal with an insulin reaction. Many adults use candy, fruit juice or soft drinks. But with children, the specially made glucose products are an excellent alternative for four reasons:

1. No matter how good they might taste, no one will confuse these products for candy. Since children with diabetes often struggle with diet and use food as a weapon in their relationship with their parents, emergency glucose products will not be a factor in food problems.
   
   
2. Since they won't be confused for candy, they won't disappear without your knowledge, leaving you potentially without emergency glucose in an emergency.
   
   
3. Emergency glucose products deliver precise dosages, allowing you better control when you need it most. This also helps at school with teachers.
   
   
4. Emergency glucose products are packaged to last. Some have a shelf life of five years. You'll never have to worry about something being stale.

Emergency glucose isn't any good if you don't have it with you. The The Quick-Fix Keychain attaches to your key ring and holds four round emergency glucose tablets (e.g., DEX4). Highly Recommended.

The table below lists both tablet and gel emergency glucose products. Gels are very good for infants and toddlers, since no chewing is required. Gels and cake frosting are also essential for groggy children who are having a severe insulin reaction and might spit out a tablet or choke on it as they chew. The gels will have an effect even if placed in the mouth and rubbed into the cheek and gums.

Emergency Glucose for Treatment of Hypoglycemia

Product	Mfr	Carbs	Cals	Flavors	Package
Cake Frosting (small tube)	Several vendors	3-4 gm per tube	25 calories per tube	Various flavors and colors	Single tube
Dex4	Can-Am Care Corp. 800.461.7448	4 gm per tablet	17 cals per tablet	Grape, lemon, orange, raspberry, watermelon	10-tablet tubes or 50-tablet bottle
DextroEnergy	Can-Am Care Corp. 800.461.7448	3 gm per tablet	12.5 cals per tablet	Black currant, lemon, natural, orange & raspberry	14 tablet package
Glutose Gel	Paddock Labs, Inc. 612.546.4676	15 gm per dose	60 cals per dose	Lemon	Three-dose tube or three one-dose bottles
Glutose Tablets	Paddock Labs, Inc. 612.546.4676	5 gm per tablet	20 cals per tablet	Lemon	12 tablets per box; on a blister card.
Insta-Glucose	Medicool, Inc. 800.654.1565	24 gm per dose	96 cals per dose	Cherry	Single dose plastic tube or three-tube Tri-Pak. Tubes are not resealable.
Instant Glucose Tablets	Diabetes Assn. of Greater Cleveland 216.591.0800	4 gm per tablet	13 cals per tablet	Orange	10 tablets per plastic tube
Lifesavers Candy	Nabisco Foods Winston-Salem, NC (USA)	2 gm per candy	8 cals per candy	Wintergreen (reviewed here)	Due to their almost world-wide availability, Lifesavers are a reasonable treatment for insulin reactions.
Relief Plus Glucose Tablets	Exclusively at KMart	4 gm per dose	17 cals per dose	N/A	Three rolls of 10 that can be refilled from 50 tablet bottle.
Smarties Candies	Ce De Candy, Inc. Union, New Jersey (USA)	5 gm per dose (1 roll)	25 cals per dose	Assorted	Probably the least expensive emergency glucose available.
Spree	Sunline Brands St. Louis, MO (USA)	13 gm per dose (8 pieces)	60 cals per dose	Assorted	Spree are usually found next to SweeTarts. They are essentially SweeTarts with a hard sucrose candy coating.
SweeTarts (bag)	Sunline Brands St. Louis, MO (USA)	11 gm per dose (2 rolls of 12 candies each)	50 cals per dose	Assorted	Comes in a bag with about 34 rolls, with 12 candies per roll. One serving is two rolls, or 24 candies.
SweeTarts (large roll)	Sunline Brands St. Louis, MO (USA)	12 gm per dose (8 pieces)	60 cals per dose	Assorted	This is a roll of the larger SweeTarts. The roll is about seven inches long with 27 candies.

Additional Products

• The Quick-Fix Keychain attaches to your key ring and holds four emergency glucose tablets.

For Additional Information

• Poll: What do you or your child most often use to treat hypoglycemia?
• Hypoglycemia questions from "Ask the Diabetes Team"

Notes

• An insulin reaction requires immediate medical attention.
• Never give food to an unconscious person. Use a glucagon injection, followed by food when they awaken.
• If your child doesn't respond quickly to emergency glucose, telephone 911 or your local emergency medical response center at once.

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Last Updated: Wednesday October 21, 2009 06:50:00
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