In what situation might you administer intranasal glucagon?

Administering intranasal glucagon is particularly indicated when a person is unable to safely swallow oral glucose. This situation typically occurs when the individual is experiencing a severe hypoglycemic episode and may be at risk of choking or aspirating if they attempt to ingest something by mouth. Intranasal glucagon provides a convenient and effective route for delivering glucagon quickly, allowing for rapid treatment of hypoglycemia in those stuck in this critical condition.

While some might consider other scenarios, such as being intolerant of the taste of oral glucose or experiencing a fight-or-flight response, these do not represent the primary reasons for using intranasal glucagon over other methods. Additionally, administering glucagon in a responsive and alert state wouldn't be appropriate as the individual would typically be capable of safely consuming oral glucose at that point. Thus, the scenario of being unable to swallow is the most pertinent reason for opting to use intranasal glucagon, aligning with best practices in emergency diabetes management.