Glucagon: The Rescue Medicine for Severe Lows | Dose Track
[Glossary · Compound types]

Glucagon

Also called glucagon rescue, nasal glucagon, glucagon injection, Baqsimi, Gvoke · Reviewed

Definition: Glucagon is a hormone made by the pancreas that raises the level of sugar in the blood. As a medicine it treats severe low blood sugar. MedlinePlus says it works by making the liver release stored sugar into the blood. Baqsimi (nasal powder) and Gvoke (injection) are examples.

How the labels say it is given

Two glucagon rescue labels
ProductFormWhat the label says
Baqsimi3 mg nasal powder, one device per doseFor ages 1 and older. Pressed into one nostril; it does not need to be inhaled. If there is no response after 15 minutes, a second dose from a new device may be given.
GvokeInjection under the skin (HypoPen, prefilled syringe, kit)For ages 2 and older with severe low blood sugar.

Because a person with a severe low needs someone else to help, the Baqsimi label says the people around them are told about it and how to use it. Emergency help is called right away.

When it may not work

The labels say people with low sugar stores in the liver, such as with starvation, adrenal insufficiency or long-lasting low blood sugar, may not respond. Glucagon is not used with pheochromocytoma, an adrenal tumor, or insulinoma, a pancreas tumor. Nausea and vomiting are common: in Baqsimi adult trials, nausea affected 26% and vomiting 15%.

Why it matters for your log

A rescue device sits unused for months. Logging its expiry date, and any time it was used along with the insulin dose before it, keeps both the device and the event on record.

Read more on Dose Track: When is glucagon used · Baqsimi side effects · Gvoke side effects · How to store glucagon

General education drawn from labels and published studies, not personal medical advice. Your prescriber, pharmacist and the label that came with your product are the final word.

Frequently asked questions

How does glucagon raise blood sugar?+
MedlinePlus says it makes the liver release stored sugar into the blood. The NCI describes glucagon as a pancreas hormone that raises blood sugar.
Does nasal glucagon need to be breathed in?+
No. The Baqsimi label says the dose is pressed into one nostril and does not need to be inhaled.