PMID- 36082602 OWN - NLM STAT- MEDLINE DCOM- 20220912 LR - 20220912 IS - 0370-629X (Print) IS - 0370-629X (Linking) VI - 77 IP - 9 DP - 2022 Sep TI - [Nasal glucagon (Baqsimi®), new treatment for hypoglycaemic coma]. PG - 538-543 AB - Patients with insulin-treated type 1 diabetes (T1D) are exposed to hypoglycaemia, which may be serious. Serious cognitive impairment (including coma and seizure) that requires the help of a third party is a medical emergency. Besides the intravenous injection of glucose by a health care provider, its treatment consists of the subcutaneous or intramuscular injection of glucagon which may be performed by a family member. However, such an injection is not easy and puts off some people, which retards the initiation of a potentially life-saving therapy. The intranasal administration of 3 mg glucagon has been shown as efficacious as the subcutaneous or intramuscular injection of 1 mg glucagon in controlled studies carried out in both adult and youth patients with T1D. Stimulation and real-life studies among caregivers, patients and acquaintances showed a preference for nasal glucagon because of its easy and quick use. The launch of nasal glucagon (Baqsimi®) offers new perspectives for the ambulatory emergency management of severe hypoglycaemia and hypoglycaemic coma with a special obvious advantage in children. FAU - Philips, J C AU - Philips JC AD - Service de Diabétologie, Nutrition et Maladies métaboliques, Département de Médecine interne, CHU Liège, Belgique. FAU - Radermecker, R P AU - Radermecker RP AD - Service de Diabétologie, Nutrition et Maladies métaboliques, Département de Médecine interne, CHU Liège, Belgique. FAU - Lebrethon, M C AU - Lebrethon MC AD - Service de Pédiatrie, CHU NDB, Liège, Belgique. FAU - S, Scheen AU - S S AD - Service de Diabétologie, Nutrition et Maladies métaboliques, Département de Médecine interne, CHU Liège, Belgique. LA - fre PT - Journal Article TT - Le médicament du mois. Le glucagon nasal (Baqsimi®), nouveau traitement du coma hypoglycémique. PL - Belgium TA - Rev Med Liege JT - Revue medicale de Liege JID - 0404317 RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (Insulin) RN - 9007-92-5 (Glucagon) SB - IM MH - Adolescent MH - Adult MH - Blood Glucose MH - Child MH - Coma/chemically induced MH - *Diabetes Mellitus, Type 1/complications/drug therapy MH - Glucagon/adverse effects/therapeutic use MH - Humans MH - *Hypoglycemia/chemically induced MH - Hypoglycemic Agents/adverse effects MH - Insulin OTO - NOTNLM OT - Coma OT - Emergency therapy OT - Glucagon OT - Hypoglycaemia OT - Type 1 diabetes OT - Child EDAT- 2022/09/10 06:00 MHDA- 2022/09/14 06:00 CRDT- 2022/09/09 04:14 PHST- 2022/09/09 04:14 [entrez] PHST- 2022/09/10 06:00 [pubmed] PHST- 2022/09/14 06:00 [medline] PST - ppublish SO - Rev Med Liege. 2022 Sep;77(9):538-543.