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Medical Author:

Benjamin Wedro, MD, FACEP, FAAEM

Benjamin Wedro, MD, FACEP, FAAEM

Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.

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Medical Editor:

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Increasing blood sugar levels is the treatment of an insulin reaction. Emergency personnel may start an intravenous line and inject an ampule of D50W, a highly concentrated glucose solution. If the patient takes a long-acting insulin or oral hypoglycemic medication, the IV line may be left in place and a dextrose (a type of sugar) solution may be continually infused.

Patients who are elderly, have an underlying illness that caused the hypoglycemia, or are taking long-acting medication may need further observation, additional treatment, and admission to the hospital.

Patients who are cold (hypothermic) because of a prolonged insulin reaction may require rewarming.

Most patients are able to be discharged home after a short observation period. When EMS is involved at home, if the patient wakens and returns to normal with glucose treatment, there may be no need to transport them to hospital if there is a responsible adult who can care for them at home.

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