If you live with diabetes, you probably already keep an eye on your blood sugar, your meals, your medications. But emergencies can still happen—sudden low blood sugar, high sugar spikes, or even heart-related symptoms. That’s why every diabetic should have an emergency medication kit ready, whether at home, in the car, or on the go.
In this guide, we’ll walk you through what to carry, why it matters, how to use it, and how to store everything properly. Whether you have type 1, type 2, or care for someone with diabetes, this list could save a life.
🩺 Why Emergency Medications Matter
Diabetes emergencies don’t always give you time to think. In cases of:
- Severe hypoglycemia (very low blood sugar),
- Hyperglycemia or diabetic ketoacidosis (DKA),
- Heart attack symptoms (which diabetics are at higher risk for),
…having the right medications and tools nearby can prevent hospitalization—or worse.
🎒 Must-Have Emergency Medications and Supplies
Here’s what a well-prepared diabetic emergency kit should include, along with how and when to use each item:
1. Fast-Acting Glucose
What it’s for: Immediate treatment of low blood sugar (hypoglycemia)
When to use: Blood glucose under 70 mg/dL or symptoms like shakiness, sweating, confusion, irritability
Options include:
- Glucose tablets (pre-measured, fast to absorb)
- Glucose gels or liquids
- Juice boxes or regular soda (not diet)
- Hard candy (e.g., 5–6 pieces of Life Savers)
How to use:
Follow the “15-15 rule”:
→ Take 15g of carbs, wait 15 minutes, then recheck blood sugar.
Repeat if levels are still low.
Tip: Always keep a small pack of glucose tablets in your bag, car, nightstand, and desk drawer.
2. Glucagon Emergency Kit or Nasal Glucagon
What it’s for: Severe hypoglycemia when the person is unconscious, having a seizure, or unable to swallow
When to use: If someone with diabetes passes out or can’t safely consume sugar by mouth
Options:
- Glucagon injection kit (classic, needs mixing)
- Ready-to-use glucagon autoinjectors (e.g., Gvoke HypoPen)
- Nasal glucagon spray (e.g., Baqsimi)
How to use:
- Injections: Inject into the thigh or arm muscle (training is recommended)
- Nasal spray: Insert into nostril and press plunger
Always call 911 after using glucagon—follow-up care is necessary.
3. Insulin (for Type 1 or insulin-dependent Type 2)
What it’s for: To correct high blood sugar, especially if ketones are present
When to use: Blood sugar consistently above 250 mg/dL, with ketone testing positive (risk of DKA)
Options:
- Rapid-acting insulin (e.g., Humalog, Novolog)
- Insulin pens or pre-filled syringes for ease during travel
How to use: Follow your doctor’s correction dose guidelines. If you’re unsure and experiencing nausea, vomiting, or rapid breathing—go to the ER immediately.
Pro tip: Always carry extra insulin, a backup syringe or pen, and batteries for insulin pumps if used.
4. Aspirin (81mg – low-dose)
What it’s for: Emergency use if heart attack symptoms arise
Why it matters: People with diabetes are at higher risk of cardiovascular events like heart attacks. Chewing an aspirin during symptoms can help prevent a blood clot from worsening.
When to use:
If experiencing:
- Chest pressure or pain
- Shortness of breath
- Pain radiating to jaw, shoulder, or arm
How to use: Chew one 81mg aspirin (or one adult 325mg, if that’s all you have), then call 911 immediately.
Do not use if allergic or advised against by your doctor.
5. Medical ID + Emergency Contact Card
What it’s for: Fast identification during emergencies if you can’t speak for yourself
Options:
- Medical ID bracelet or necklace
- Wallet card with:
- Diagnosis (e.g., Type 1 Diabetes)
- Medications
- Allergies
- Emergency contacts
- Doctor’s name and number
EMTs are trained to look for medical IDs—this can save crucial time in emergencies.
6. Ketone Testing Supplies (for Type 1 or when sick)
What it’s for: Detects ketones in urine or blood, warning of DKA (diabetic ketoacidosis)
When to test:
- Blood sugar >250 mg/dL for more than a few hours
- You’re sick, have a fever, or vomiting
- Symptoms like abdominal pain, fruity breath, rapid breathing
Options:
- Urine ketone test strips
- Blood ketone meter (more accurate)
If ketones are moderate to high, seek medical attention immediately.
🧊 How to Store Emergency Medications Safely
- Insulin: Store unopened in the fridge (36°F–46°F / 2°C–8°C). Open pens can stay at room temp for 28 days.
- Glucagon kits: Keep at room temperature; check expiry dates regularly.
- Glucose tablets/candy: Avoid high heat (e.g., inside a car in summer)
- Aspirin: Store in a dry, cool place. Replace yearly if unused.
Tip: Pack medications in a zippered pouch or waterproof bag. Use a labeled case with a checklist so nothing gets missed.
🙋 Frequently Asked Questions
“Do I really need glucagon if I already have glucose tablets?”
Yes. Glucagon is for emergencies when you can’t swallow, which glucose tablets won’t help with.
“What if I’m traveling?”
Always pack:
- Double the amount of insulin and supplies you need
- A letter from your doctor for airport security
- Cold packs for insulin
- Snacks for low blood sugar
“Can I make one kit for home and one for work?”
Absolutely—and it’s encouraged. The more places you’re prepared, the safer you’ll be.
✅ Final Takeaway: Build It Before You Need It
Diabetes can be unpredictable. But being prepared makes all the difference. An emergency medication kit is your safety net—not just for you, but for loved ones who might have to act quickly.
Create your own kit today. Review it every few months. And talk with your doctor about any personal items you should add.
Because emergencies don’t wait—and when every second counts, being ready is everything.
