What is the recommended alternative if IV access is unavailable for hypoglycemia treatment?

• A. Glucagon administration intramuscularly; if available
• B. Administer subcutaneous insulin
• C. Repeat oral glucose every 5 minutes
• D. Wait for IV access

Answer: (C)

When IV access isn’t available, the priority is to raise blood glucose with a method you can administer immediately. If the patient is awake and able to swallow, giving oral glucose right away and then repeating it as needed is appropriate. Rechecking glucose after about 5 minutes and repeating oral glucose until the level normalizes keeps treatment rapid and practical without delaying care while you try to establish IV access. Subcutaneous insulin would worsen hypoglycemia, and waiting for IV access would delay relief. Glucagon is a valid option if the patient cannot swallow or is unconscious, but for a conscious patient who can take oral glucose, continuing oral glucose with small, repeated doses is the best course.