“What should be the emergency first steps to deal with hypoglycemia in diabetic patients?”

Have orange juice, glucose tablets, and glucagon shots available for them to use. The best thing is to avoid these episodes. It would help to allow your employees to have small snacks in between meals and allow them to take their blood sugar before they take any insulin shots and before each meal.

The company should have simple sugary snacks and drinks (e.g. orange juice) readily available for dealing with hypoglycemia symptoms. A glucagon kit should be stored in the refrigerator to be injected into muscle in emergencies where the employee or customer are poorly responsive and forcing liquids or foods into their mouth would be unsafe.

Sit the patient up against a wall. Have straws and soda at work (not sugar-free soda). Place the straw in the persons mouth with the other side in an 8-ounce glass of soda or soda can. Tell the patient to drink and they will. The secret is to make sure the patient is sitting up with your assistance. This method will bring the glucose back up in about 15 minutes. This will also prevent aspiration pneumonia. If you cannot sit the patient up, make sure they have glucagon that you can give them. If not, call 911.

Your question is a good one & it is commendable that you are willing to hire these people & be willing to treat them. So many people will discriminate against them. We have been working hard to counter this discrimination and you are to be commended for helping them. A BIG THANKS. Now, treatment--1) prevent when you can. To do this allow employee to test blood sugar as needed and to eat snacks when needed 2) if treatment is needed-supply sugary drinks if the patient is able to drink & follow with solid food. 3) be sure the patient has or you have available treatment supplies--these include sugary drinks, snack foods, plain table sugar, candy, etc., and glucose tablets or gel which can be held under the tongue. They are available over the counter in any drug store. Be sure an employee has them on hand & know where if the person is unable to talk. 3) allow employee to rest and recover after the feeding. 5) I don't know your state so I don't know your laws. In my state (Ks.), we worked & got the law passed to allow non-medical people to administer a drug called glucagon. This drug is given intra-muscular, so can be given in the arm, etc., and is non-dangerous, but will cause the liver to put out sugar & bring the blood sugar up. This would be used if the patient is unconcious & unable to take oral fluids. It comes in a syringe & bottle. The glucagon is in a freeze dryed form in the bottle. Inject the fluid in the syringe to dissolve it. Then, draw the fluid back out into the syringe. For an adult, inject the whole syringe full into a muscle like in the arm, and the patient will wake up in 15-20 min. If the drug is given when it is not needed, there is no danger, the patient will just have a high blood sugar they can correct themselves. The drug does have a side effect, however, & that is nausea, so the patient should be allowed to rest & take in small amounts at a time of fluids. The hypoglycemia itself may leave them with a headache. This is not a side effect of the glucagon, but of the hypoglycemia. After glucagon is given, call 911. But give the glucagon first & the employee may be fine by the time EMS arrives. A good thing. Do not panic! Hypoglycemia can cause seizures & unconsciousness, but it is rarely fatal. Protect the person from falling or otherwise injuring themselves as they lose control. This is the single most important thing you can do. Protect against injury. Then treat as above. First step-Protect from injury. Second step-Glucose tablets or jell under the tongue. Sugar fluids if awake & can drink. If they cannot take oral fluids, then glucagon (if law allows) and call 911. I hope it never happens, but good luck if it does.