Episodes of severe hypoglycemia require the use of emergency glucagon. This is a synthetic form of glucagon that can be administered as an injection or as a nasal powder (dry nasal spray), depending on the type. Synthetic glucagon causes the liver to release stored glucose, which in turn raises blood sugar. Eat or drink something that contains mostly sugar or carbohydrates to increase your blood sugar level quickly.
Pure glucose available in tablets, gels, and other forms is the preferred treatment. Fast-acting carbohydrates are the best option for treating hypoglycemia and preventing an episode of severe hypoglycemia. Metformin is the first drug of choice in patients with type 2 diabetes mellitus. It is administered orally in tablets of 500 to 1000 mg twice a day.
To diagnose non-diabetic hypoglycemia, your doctor will perform a physical exam and ask questions about any medications you are taking. Glucagon is a prescription medication that increases blood sugar and you may need it if you have severe hypoglycemia.