Intranasal(in) Glucagon

·   Glucagon raises the glucose by stimulating the release of glycogen from the liver and muscles.

·   IN Glucagon can be given even with a runny or congested nose.

·   Available for anyone 4 years and older.

·   Do not remove the shrink wrap until it’s being used.

·   Open the lid and remove the device from the tube.

·   Hold device between fingers and thumb.

·   Gently insert tip into nostril until fingers touch the outside of the nose.

·   Push plunger firmly all the way.

·   Administration is complete when green line disappears.

· CALL 911 if not responsive in 15 minutes.

· If the child does not respond within 15 minutes, another dose may be given; wait for emergency help.

§ ½ cup juice/regular soda

§ 1 tube glucose gel

· When fully awake give a larger snack regardless of the blood sugar.

§ 1 package cheese or peanut butter crackers

§ ½ sandwich + ½ cup milk

· Watch for ‘rebound highs’ and more low glucose levels.

· Eat all meals and snacks as normal and target glucose of 150-200 mg/dl over the next 2-3 days to replenish liver glycogen stores.

· Call your provider’s office to report Nasal Glucagon use, for dose adjustments and to get a new prescription.

· Watch for side effects from the glucagon, upset stomach, nausea or vomiting.

· If necessary, follow the “Clear Ketones” guidelines in your diabetes packet.