Use the 15–15 approach when it is safe
For most conscious adults who can swallow, use 15 g of fast-acting glucose, recheck after 15 minutes and repeat if the reading remains below 70 mg/dL. Glucose tablets or gel are easier to measure. Foods high in fat or protein act more slowly and are not the best first treatment.
Know when oral treatment is unsafe
Do not put food, drink or glucose gel into the mouth of a person who is unconscious, having a seizure or unable to swallow safely. Use prescribed glucagon if a trained person is present, place the person on their side and seek emergency help.
Prevent the next episode
Write down the time, reading, meal, activity and medicine or insulin involved. Repeated lows, night-time episodes or reduced warning symptoms should prompt an early review of doses, meal timing and whether a glucagon plan or glucose sensor is appropriate.
Frequently asked questions
Is chocolate a good first treatment for low sugar?
It is not preferred because fat can slow glucose absorption. Use a measured fast-acting glucose source when available.
Should I stop my diabetes medicine after one low?
Do not make an unsupervised change. Record what happened and contact the treating clinician promptly, especially after a severe or repeated low.
Guidelines and references
Dr. Pratyush Kumar · DNB Family Medicine, Sir Ganga Ram Hospital · DFID Diabetes Fellowship, Christian Medical College, Vellore
Updated and medically reviewed October 2026 · General education, not an individual prescription.