HYPOGLYCAEMIA

Question 1

How much glucose/sucrose should you give someone presenting with hypoglycaemia in community?
give some examples
how often do you repeat if needed?

Answer 1

• 10 - 20g
• cococola: 100- 200ml
• lucozade orginial 55 - 100ml
• sugar 2 - 4 tsp
• repeat after 10 - 15 mins

Question 2

what should you avoid giving patients presenting with hypoglycaemia?

Answer 2

chocolate/biscuits as fat delays glucose resorption

Question 3

what should you avoid giving patients presenting with hypoglycaemia?

Answer 3

chocolate/biscuits as fat delays glucose resorption

Question 4

whats the management of sulphonylurea induced hypoglycaemia?

Answer 4

needs to be treated in hospital as can persist for hours

Question 5

how could you treat hypoglycaemia if someone is unconsious?

Answer 5

SC/IM glucagon

Question 6

what is hypoglycaemia classed as?

Answer 6

glucose <4mmol/l

Question 7

what level should glucose always be above when driving?

Answer 7

5 mmol/l

Question 8

when should someone check their blood glucose when planning to drive?

Answer 8

no more than 2 hours before and every 2 hours while driving

Question 9

how long should someone wait before driving again if glucose falls below 4mmol/l?

Answer 9

45mins

Question 10

how many times should glucose me measured a day in T1DM

Answer 10

4

Question 11

whats the pre-prandial and post-prandial glucose targets?

Answer 11

pre = 4 - 7
post = 5 - 9 (90mins after eating)