Glucagon & Hypoglycemia | QoW Rationale

Our July 14th Question of the week quizzed test takers on glucagon and hypoglycemia. Although 54% of respondents chose the correct answer, 46% did not. We thought that this was an important topic to discuss further, so we can pass on correct info to people living with diabetes.

Before we start though, if you don’t want any spoilers and haven’t tried the question yet, you can answer below: Answer Question

Question: RJ is 15 years old and starting on basal-bolus insulin. The diabetes specialist reviews the signs of hypoglycemia and provides information on glucagon rescue medications.

Which of the following statements is most accurate?

Answer Choices:

  1. Glucagon is an injectable form of glucose.
  2. Injectable glucagon rescue medications are to be injected subcutaneously only.
  3. Nasal glucagon must be inhaled to increase glucose levels.
  4. Premixed glucagon liquid solution is approved for children two years and older.

As shown above, the most common choice was option 4, the second most common answer was option 2, then option 3, and finally option 1.

Getting to the Best Answer

If you are thinking about taking the certification exam, this practice test question will set you up for success. Test writers anticipate possible answers based on the details in the question. They will wave those “juicy answers” right under your nose. Your job is to weed through the particulars, pluck out the most important elements and choose the BEST answer.

Answer 1 is incorrect. 14% chose this answer. “Glucagon is an injectable form of glucose.”

Glucagon is a counter-regulatory hormone secreted by the pancreas when blood sugars are dipping or during periods of emotional or physical stress. This hormone liberates stored glycogen from the liver, causing an upward surge in circulating glucose. Read more here

Answer 2 is incorrect. 15% of you chose this answer. “Injectable glucagon rescue medications are to be injected subcutaneously only.”

Our new Glucagon PocketCard describes the 3 forms of glucagon treatment available. The original Glucagon Emergency Kit can be injected subQ or into the muscle. Gvoke liquid glucagon is only administered subQ and Baqsimi is administered nasally.

Download your Glucagon PocketCard Here

Answer 3 is incorrect. About 14% of respondents chose this. “Nasal glucagon must be inhaled to increase glucose levels.” Since many people are unconscious during severe hypoglycemic events, they can not inhale on command. The nasal glucagon delivery device is inserted into the nose and the user presses the plunger to distribute the glucagon powder in the nasal cavity. Read more here

Finally, Answer 4 is correct! 55% chose this answer. “Premixed glucagon liquid solution is approved for children two years and older.” Gvoke glucagon solution is available in a prefilled syringe or HypoPen Injector and is indicated for children two years and up. Read more here

We hope you appreciate this week’s rationale! Thank you so much for taking the time to answer our Question of the Week and participate in this fun learning activity!

Preparing For the CDCES Exam 2020 Free Webinar |
August 6, 2020

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See our Preparing for CDCES Resource Page >>

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