My advice based on the situation:
We must distinguish the situation of hypoglycemia with active fast insulin to when there is no.In the first case, hypoglycemia will tend to be aggravated, so the fastest and efficient thing is to apply rule 15-15: a glucose gel (15gr of HC) and wait 15 minutes to reappear and, if necessary, if necessary,repeat.Why the gel?Well, once my endocrine told me that it is the fastest absorbing when having gel format (even more than water + sugar).In fact, it is the format that cyclists take in high -need for hydrates (which also carry more things than only glucose, therefore, not use those).And also avoids possible hyperglycemia caused by excess HC to get out of the hypo.I have tried it by carrying a freestyle sensor and controlling with XDrip every 5 minutes on my mobile and it is true: it took about 10 minutes to take effect and only uploaded what is necessary (from 60 to 120 approx.) And then stopped and even went down a bit.
If we go to other solutions it will be worse.A 33cl carbonated soda can has more than 3 HC rations which is very possible that it causes bouncing hyperglycemia.
Let us also think that our body has a self-defense mechanism that also works in our case, although weakly: when detecting hypos, glucose begins to be called the liver glucose reserve, which is limited in quantity.In fact, in borderline situations, by injecting glucagon we stop the action of insulin and that reserve is extracted, which must be filled later.Let's not forget that one of the effects of insulin is inhibits the metabolization of the liver glucose reserve .
The other situation: there is no active fast insulin.In that case, the hypo can be derived by exercise and the possible action of basal insulin.In that case, it is usually lighter and with a little food comes out.If in those cases we take gel, it will rise quite/too much (proven with freestyle sensor and xDRIP).Sometimes even with half a ration or one of HC: a small apple, a small or medium banana (care, high glycemic index) or a glass of milk.In these cases it may be appropriate to review our basal dose.For example, something that we do not realize checked when we go up/down is to check the basal insulin doses.There is an indication by kg of body mass that usually works well in each person.Even when I exercise for more than 20min- half an hour, there is a small rebound (it goes down, stop and climb a lot then +30/ +50) derived from the body is asking for glucose to the liver and also begins to metabolize glucose fromof fat and keep acting for a time from unemployment.
Conclusion: Without a doubt the gel is our great ally.The rest of things (juices, soft drinks, fruit ...) takes longer to have action.I have proven that up to 15-20 minutes it takes a fruit to give signs of life while the gel is barely 10. I think that should be enough to convince anyone.Somewhere (Diabetika) I think they sell small gels for children with rations of 5G HC by envelope, which can be a good idea for minor hypos when there is no insulin and we do not want to take the ration of 15g over.It is another idea and are not so expensive (if they are not taken frequently, of course; if they are taken frequently it is a symptom that the insulin-infesting balance of HC must be reviewed).