A unit dose of carbohydrate composition comprising 15 grams of carbohydrate, optionally in admixture with one or more pharmaceutically acceptable excipients. Further the carbohydrate composition may comprise the following formulation, which includes carbohydrate in the form of a 2:1 ratio of glucose to fructose or maltodextrin to fructose for example maltodextrin 44% w/w, water 32% w/w, fructose 22% w/w, citric acid 1.5% w/w, flavouring 0.4% w/w and potassium sorbate 0.1% w/w. The unit dose can be held in a sealed container (e.g. sachet). This invention relates to carbohydrate compositions for the management of diabetes, and in particular for the treatment of hypoglycaemic episodes in diabetes.