Like "Howdy Red I follow the 15/15 rule if I have a hypo. You can find that rule here ~ As far as alternatives to tabs, you could try level life glucose Gel ~ which may be a really good alternative to the tabs. Alternatively you could opt for those tubes of cake decorating gels. Each tube is said to contain 15 gm carbs. Just don't select blue or red as one of the colors because those colors could lead any paramedics down the wrong diagnosis pathway. God's best to you James"