Hypoglycaemia

Question 1

What is hypoglycaemia?

Answer 1

• Common complication of pts with Diabetes type 1 and type 2
• Is a result of low blood sugar
• <4mmol (28 days and older)
• <2.6mmol (<28 days old)

Question 2

Signs and symptoms of Hypoglycaemia

Answer 2

• Neurologic symptoms: decreased LOC, dizziness, headache, irritability, weakness, lack of concentration, behavioural changes, tearfulness/crying
• Adrenergic symptoms: trembling or shaking, hunger, numbness around lips and fingers, diaphoresis, lightheadedness

Question 3

Hypoglycaemia Treatment?

Answer 3

• Goal of treatment is to increase pt’s blood glucose level (BGL) back to a normal level
• If pt can eat/drink, get pt to do so e.g. glucose gel
• If decreased LOC, IV glucose is main treatment line
• If IV access unavailable, glucagon can be given IM

Question 4

Adult Glucose 10% dose for hypoglycaemia

Answer 4

• 15g Bolus IV, continue to repeat whilst indicated

- This dosage given to anyone 10yrs and older

Question 5

Paediatric Glucose 10% dose for hypoglycaemia

Answer 5

• Applies to pt’s 10yrs of age and younger

- 0.2g/kg IV, max dose 15g