Diabetic drugs

Question 1

Glucagon GLU

Answer 1

INDICATED:

• Hypoglycaemia, (BM <4.0 ) especially known diabetics.
• Clinically suspected Hypo, where oral glu is not possible.
• Uncon pt, where hypo is a likely cause.

ACTION: A hormone that induces conversion of glycogen to glucose in the liver. raising blood glucose levels.

CONTRA: Low glycogen stores (recent use of GLU)
Hypoglycaemic seizures - IV GLU 10% is preferred.

CAUTIONS: Advoid IM administration, if likey to req Thrombolysis.

SIDE EFFECTS: Nausea, vomiting, diarrhoea, hypokalaemia, hypotension.

Not to be given IV.

Question 2

Glucose 40% Oral Gel GLG

Answer 2

INDICATED: Known or suspected hypo in a conscious pt, where no risk of choking or aspiration

ACTION: Rapid increase of blood glucose via buccal absorption

CONTRA: None

CAUTIONS: Altered consciouness

SIDE EFFECTS: None

Ad Info: Can be repeated.

Question 3

Glucose 10% GLX

Answer 3

INDICATED:

• Hypoglycaemia, (BM <4.0 ) especially known diabetics.
• Clinically suspected Hypo, where oral glu is not possible.
• Uncon pt, where hypo is a likely cause.

ACTION: Reversal of hypoglycaemia

CAUTIONS: Only via large bore cannula.

SIDE EFFECTS: None

Ad Info: Use all clinical info to decide between GLU, GLX and or GLX.