Glucagon nose spray for very low blood sugar (1837)

Key points below

For a severe low blood sugar

What do I need to know about Glucagon nose spray (BAQSIMI©)?

What are the most common side effects?

When do I need to use Glucagon Nose Spray (BAQSIMI)?

If your child with diabetes has a severe low blood sugar that makes them:

Special information

How do I give nasal glucagon to my child?

Check your device for product specific instructions.

  1. If you are alone, treat your child with the spray. Baqsimi can cause nausea and vomiting. Roll your child on their side after giving Baqsimi. This will prevent choking if they throw up. If your child is throwing up, keep them on their side until they are alert and able to swallow.
  2. Call 911. Or if you have a second person to help, call 911 for emergency medical help right away.

    nasal glucagon - img A    nasal glucagon - img B
    Remove the shrink wrap by pulling on the red stripe.

    Open the lid and remove the device from the tube. Caution: Do not press the plunger until ready to give the dose.

    nasal glucagon - img C     nasal glucagon - img D

    Hold device between fingers and thumb. Do not push the plunger yet.

    Insert tip gently into one nostril until finger touches the outside of the nose. Push plunger firmly all the way in. Dose is complete when the green line is gone.

  3. If your child does not respond after 15 minutes give another dose.
  4. When they can safely swallow, get your child to eat as soon as possible. Give them a fast-acting source of sugar, like juice. Then give them a snack, like crackers with cheese or peanut butter.


Call the Diabetes clinic or Children’s operator at 414-266-2000 and ask to speak to the Diabetes provider on call, if your child:

  • Had a severe low blood sugar requiring any glucagon.
  • Is vomiting.