A small amount of IV insulin is given, about 0.1 to 0.4 units per kilogram of patient weight. Any intramuscular and oral medications are given to the patient a few minutes later, so that they will have time to enter the bloodstream. The patient is always under close observation. In a rare case of insulin hypersensitivity, IV glucose can be immediately given to avoid any danger of shock. The doctor decides how long to wait, and how far these symptoms should progress.
Deeper hypoglycemia seems to produce quicker and more profound medical results.
Intravenous medications are given, followed by IV hypertonic glucose. Symptoms of hypoglycemia rapidly disappear. The patient is sent away with specific instructions on what light meals to eat, and sometimes with oral medications to take between treatments. Another treatment may be given in two days to two months, depending on the patient's condition and stage of treatment. Over 18 to 40 minutes, symptoms of mild hypoglycemia develop.