Glucagon nose spray for very low blood sugar (1837)

For a severe low blood sugar

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

• Baqsimi is a dry powder given in the nostril for severe low blood sugar.
• It is one-time use.
• It is only for children age 4 years and older. Children younger than 4 years old will use a glucagon shot for severe low blood sugar.
• Baqsimi comes in a 2-pack. It is best to have one kit for home and one for school. Your child should keep their Baqsimi with them at all times. If you need help getting doses, talk to your provider.
• Store it in the shrink wrap. Keep it in a safe place that is less than 86˚ F (30˚ C).

What are the most common side effects?

• Upset stomach or throwing up.
• Headache.
• Stuffy nose and irritation.
• Watery or red eyes.

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

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

• Not able to have anything put in their mouth without choking.
• Having a seizure.
• Passed out or you are unable to wake them.

Special information

• Show your family, friends, and other caregivers how to use the nose spray. They need to know how to use it before it is needed.
• Instructions for use are on the manufacturer’s website: http://pi.lilly.com/us/baqsimi-us-ifu.pdf

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.
   
       
   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.
   
       
   
   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.