What is the recommended treatment for a patient experiencing severe hypoglycemia?

The recommended treatment for severe hypoglycemia typically involves providing an immediate source of glucose to quickly elevate blood sugar levels. Administering 10-15 grams of simple carbohydrates is effective in rapidly correcting hypoglycemia because these carbohydrates can be quickly absorbed and utilized by the body. This method is suitable for individuals who are alert and able to swallow safely, allowing for a swift return to normal glucose levels.

In contrast, while glucagon is also a potential treatment for hypoglycemia, it is primarily used when the patient is unable to take oral carbohydrates due to altered consciousness or inability to swallow. The suggestion of providing IV insulin is counterproductive since insulin lowers blood glucose levels and would exacerbate hypoglycemia. Oral intake of complex carbohydrates is generally not recommended in an acute setting, as they take longer to digest and may not provide the immediate relief needed in severe cases.

Thus, administering simple carbohydrates provides a rapid and effective response to severe hypoglycemia, making it the best choice for immediate treatment in a conscious patient.